Internal Damage

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See also: Afflictions
Affliction Internal Damage.png
There are signs of burst blood vessels and of organ damage.

The Internal Damage is an affliction that represent bodily damage, and directly reduce the Vitality of the Character. Most attacks in-game deal damage by using Internal Damage or its variants, all of which can affect any limb.
These afflictions neither grow nor decay over time, meaning that the damage inflicted will act as a fixed vitality reduction until treated.

Affliction Limb Specific? Scaled to Vitality? If left alone Strength Range Effects TreatmentsSkill CausesSkill
Affliction Internal Damage.png
Internal Damage
Affliction Blunt Force Trauma.pngAffliction Lacerations.pngAffliction Bite Wounds.pngAffliction Gunshot Wound.pngAffliction Organ Damage.pngAffliction Deep Tissue Injury.png
Yes except Organ Damage Yes Stays 0 - 100 Orders healandrescue.png -1 vitality per strength Deusizine.png Deusizine (-90 | -30)* Desirable Medical Skill72
Fentanyl.png Fentanyl (-75 | -50)* Desirable Medical Skill72
Morphine.png Morphine (-50 | -25)* Desirable Medical Skill30
Opium.png Opium (-20 | -10)* Desirable Medical Skill15
Hyperzine icon.png Hyperzine (-12 | -6)* Desirable Medical Skill50(note)
Tonic Liquid.png Tonic Liquid (-12 | 0)* Desirable Medical Skill5
Pomegrenade Extract icon.png Pomegrenade Extract (-6 | -3)* Desirable Medical Skill20
Antibiotic Glue.png Antibiotic Glue (0 | +12.5)* Desirable Medical Skill55
Broad-spectrum Antibiotics icon.png Broad-spectrum Antibiotics (+33 | +60)* Desirable Medical Skill25
Liquid Oxygenite icon.png Liquid Oxygenite (+30 | +90)* Desirable Medical Skill72
Methamphetamine icon.png Methamphetamine (+15 | +30)* Desirable Medical Skill35


Internal Damage is split into 7 types:

Internal Damage

Affliction Internal Damage.png Inflicted by Engine Propellers, Gravity Spheres, and CPR performed by a Character whose Medical skill is below 20.

There are signs of burst blood vessels and of organ damage.

Blunt Force Trauma

Affliction Blunt Force Trauma.png Inflicted by heavy environmental impact and blunt weapons, such as Crowbars, Wrenches, and Fall Damage.

The area is an ugly shade of purple, and apparently very painful to touch. You suspect a bone might be broken.


Affliction Lacerations.png Inflicted with sharp weapons, such as the Coilguns, Harpoons, and Diving Knife. Also inflicted by some Creatures.

The skin is pierced and there are deep, bleeding wounds.

Bite Wounds

Affliction Bite Wounds.png Inflicted by many Creatures.

There is extensive damage to soft tissue in the area and there are asymmetrical, bleeding wounds.

Gunshot Wound

Affliction Gunshot Wound.png Inflicted by getting shot at with firearms, such as the Revolver, Riot Shotgun and SMG.

The entry site is a small, dark, bruised hole oozing a little blood. The exit wound however is a large ragged mess of exposed tissue and pouring blood.

Organ Damage

Affliction Organ Damage.png Inflicted by some medical items, such as Broad-spectrum Antibiotics.

The patient is suffering from sharp pain in their internal organs. There is no visible damage to the epidermis.

Deep Tissue Injury

Affliction Deep Tissue Injury.png Inflicted by explosions, such as a Frag Grenade, 40mm Grenade, or Reactor Meltdown.

The area is colored purple. The tissue underneath feels different than the surrounding skin.

Side Effects