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Main article: Medical Items


A powerful opiate for treating pain associated with internal injuries, but will cause shortness of breath and eventual dependency with overuse.
Medical Usage
 Burn (-5)*
 Oxygen Low (25)*
 Opiate Overdose (22.5)*
 Opiate Withdrawal (-100)*
Duration 5s*
 Burn (-3.75)*
 Oxygen Low (40)*
 Opiate Overdose (30)*
 Opiate Withdrawal (-100)*
Duration 5s*
Skill Requirements
Skill Requirements
Medical: 72
Handicap Risk of failure proportional to the skill level.
Medical Fabricator
Skill: Medical: 50
Deconstructor Yield
Base Price 190 mk
OutpostOutpost Buy Sell
Habitation OutpostHabitation N/A 57 mk
ColonyColony N/A 57 mk
Research OutpostResearch N/A 57 mk
Military OutpostMilitary N/A 57 mk
Mining OutpostMining N/A 57 mk
Medical MerchantMedical Merchant 171 mk 51 mk
Engineer MerchantEngineer Merchant N/A 57 mk
Armory MerchantArmory Merchant N/A 57 mk
Children of The HonkmotherClown Merchant N/A 57 mk
The Church of HuskHusk Merchant N/A 57 mk
Identifier antidama2
Categories Medical
Tags smallitem, chem, medic, syringe

Fentanyl is an powerful Medicine capable of treating many common injuries.


Fentanyl treats Damage and, to an extremely small extent, Burns. It is a more advanced version of Morphine.

Applying Fentanyl to a character will decrease Damage by 75. Fentanyl can be applied to any limb, and its effects will be spread to all limbs equally.

Fentanyl does heal Burns, however since the effects are very small, it should not be used to treat burns. Instead, Bandages or Plastiseal should be used for the treatment of burns.


Like all Medical Items, Fentanyl can be applied through the Health GUI (Default Key H). See this page for more information on usage.

Fentanyl can be loaded into a Syringe Gun, and can also be swung from the hand to apply its effects to whatever it hits. Both of these methods will apply the full effects of the Fentanyl, and since Fentanyl is limb-independent, it may be quicker for a Medical Doctor to use these methods than to open the GUI.

Fentanyl is used to craft some advanced medicines:

  • Deusizine - A potent medicine capable of treating internal damage, oxygen deprivation, and blood loss.


"Damage" refers to the follow group of afflictions:

Fabrication & Deconstruction

Medical Fabricator Items
Crafting Materials Crafting Talent, Skill, Time Item Deconstruction Time Deconstruction Yield
Antibiotic Glue
Liquid Oxygenite
Medical 70

20 Antibiotic Glue
Liquid Oxygenite


  • While the item is referred to as an "opiate" several times in game, the real drug fentanyl is not actually an opiate. Since fentanyl is synthetic, it is actually classified as an opioid. The two terms are often confused, but opiates are extracted or refined from plant matter, whereas opioids are synthetically produced. The term opioid is also sometimes used to refer to both natural and synthetic drugs as a whole.
    • Since Europan fentanyl is made from morphine (which is itself made from opium, which is extracted from a plant), it is possible that the substance which is called fentanyl on Europa is distinct from fentanyl originating from Earth, but has been given the same name due to similarities in their effects. This might explain why it is referred as an opiate.
  • Due to the high overdose power of Fentanyl, it is sometimes used a weapon in PVP.
Medical Items
Basic Chemicals