Afflictions

Afflictions are mostly temporary medical conditions that affect the player's ability to survive.

Overview

Afflictions can be acquired by the player through gameplay, and any current active Afflictions can be viewed in the menu.

There are two types of afflictions:

• Positive afflictions: Referred to in-game as Benefits, confer favorable effects and are identifiable by a green status icon
• Negative afflictions: Referred to simply as Afflictions, inflict harmful effects and are represented by a yellow risk or red afflicted status icon.

Benefits

Benefits are temporary status effects that provide positive effects to the player. They are gained by consuming certain foods, drinks, or recipes, wearing specific accessories, using First Aid items, or by avoiding starvation.

There are currently 11 different Benefits.

Image	Affliction	Cause	Effect	Duration
	Armoured	Equipped  Ballistic Vest	+50% Protection	While wearing the Ballistic Vest
	Energy Boost	Consume  Go! Energy Drink  Emergency Stim	Go! Energy Drink 50% Fatigue and Stamina replenished immediately. 50% Fatigue is lost when effect ends. Emergency Stim +100% Fatigue and Stamina Fatigue and Stamina do not decay (meaning you can sprint for as long as this effect lasts) -100% Fatigue (0% "Exhausted") when duration ends.	30 minutes (Go! Energy Drink) 15 minutes (Emergency Stim)
	Fatigue Reduced	Consume:  Cup of Acorn Coffee  Cup of Coffee  Go! Energy Drink  Emergency Stim  Caffeine Pills	+10% Fatigue. Fatigue decay is slowed. -50% Calorie Burn from Sprinting.	30 minutes (Acorn Coffee) 1 hour (Coffee) 45 minutes (Go! Energy Drink) 15 minutes (Emergency Stim) 4 hours (Caffeine Pills)
	Heat Pack (Affliction)	Heat Pack	+5.0C of Warmth as long as Heat Pack is carried once activated.	6 hours
	Improved Rest	Consume  Cup of Herbal Tea  Ptarmigan Stew  Rabbit Stew  Ranger Stew  Stalker's Pie  Thomson Family Stew  Trout Stew  Venison Stew	Additional +2% Condition restored per hour while sleeping (1% for Interloper) per hour.	3 hours (Any Stew) or 6 hours (Herbal Tea, Stalker's Pie)
	Nourished	Consume  Camber Flight Porridge  Breyerhouse Pie  Dockworker's Pie  Lily's Pancakes  Ranger Stew  Last Resort Soup  Porter's Soup  Vagabond Soup	+10% maximum Condition (for 110 total maximum)	3 hours
		Consume  Pemmican Bar  Prepper's Pie  Stalker's Pie	+15% maximum Stamina
	Restore Condition	Consume  Birch Bark Tea	+2.5% Condition per hour. Note: Effect continues in addition/despite other Condition altering effects (0% Needs, Blood Loss, passive Condition restoration, etc).	2 hours
	Sure Footing	Wearing  Crampons  Improvised Crampons	Less frequent sprains Rope Climbing is faster Weak Ice is more forgiving	While wearing Crampons/Improvised Crampons
	Unburdened	Consume  Coastal Fishcakes  Rabbit Pie  Venison Pie  Pemmican Bar  Porter's Soup	Increase carrying capacity by 3kg (6.6bs)	3 hours
	Warming Up	Consume HOT food/drinks	Significantly slows Warmth loss when 'feels like' is negative.	1 hour
	Well Fed	Calorie Store must not hit 0 for at least 72 hours	+5% maximum Condition (for 105% total maximum) Increases carrying capacity by 5kg (11lbs).	Until starving (Calorie Store becomes 0)

Benefit-Like Causing Items

The following items have positive secondary effects associated with them that give Benefit-like effects when equipped/used, despite no Affliction being present in the Stats menu. These Benefits are not immediately obvious, but gameplay altering effects do occur once these items are used/worn.

Affliction	Cause	Effect	Duration
Reduced Rifle Weight	Equipped Security Chief's Rifle Holster	Halves the weight of 1 Hunting Rifle in the player's inventory	While wearing the Security Chief's Rifle Holster
Reduced Tool Weight	Equipped Foreman's Tool Belt	Halves the weight of up to 3 specific tools in the player's inventory	While wearing the Foreman's Tool Belt
Wildlife Deterring Effect	Equipped Wolfskin Coat	Wolves have a chance to flee upon seeing the player.	While wearing the Wolfskin Coat
Wildlife Deterring Effect	Equipped Bearskin Coat	Wolves have a chance to flee upon seeing the player.	While wearing the Bearskin Coat
Wildlife Deterring Effect	Carry Bear Skin Bedroll	Wolves have a chance to flee upon seeing the player.	When deploying/carrying a Bear Skin Bedroll
Wildlife Deterring Effect	Consume Pumpkin Pie	Wolves always run away from the player. (only present during the 4 Days of Night event).	6 hours

Afflictions

Afflictions are temporary or permanent status effects that cause Condition loss or detrimental effects to the player. Most afflictions are treatable, however treatments may require multiple doses (and time between each dose) to cure. Treatments are mostly affliction-specific, and when taken must be selected to treat affliction for their effect.

Acquiring an Affliction will always list the origin. A list of Affliction sources include:

• Fall
• Wolf Attack
• Bear Attack
• Moose Attack
• Cougar Attack
• Plane Crash Injuries (Wintermute Only)
• Tainted Water
• Spoiled Food
• Glimmer Fog
• and many more

There are 39 different Afflictions, which can be sorted into two categories: injuries and diseases.

Injuries

Injuries are Afflictions that cause instantaneous damage to the player, and can be caused by falling, animal struggles, exposure to the elements, and steep terrain. Frostbite is a notable exception, being a permanent injury that occurs after the "Frostbite Risk" reaches 100%.

Image	Affliction	Cause	Effect	Duration	Treatment
	Blood Loss	Struggles with Wolf, Bear, Poisoned Wolf, or Timberwolf attacks, and falling	-30% Condition per hour	Until treatment	1 Bandage
	Broken Ribs	Struggle with Moose	-50% Maximum Stamina -25% Carrying capacity Note: Additional applications of Broken Ribs do not stack effect, but last longer (120 hours, 168, 216, etc).	Until treatment	2 Bandage + 4 Painkillers (or 2 Rose Hip Tea) and 5 days (120 hours) of Sleep
	Burdened	Consume  Prepper's Pie  Stalker's Pie	Decrease carrying capacity by 3kg (6.6bs)	1 hour	Wait until Affliction passes.
	Burns	Walking over a lit Campfire or into any open fire Walking into electrified wires/water during an Aurora Not throwing a lit Noisemaker	Maximum Condition set to 75%. When Burned, all Condition above 75% is lost immediately In addition to burns, contact with fires/electrified wires causes constant and rapid Condition loss	30 hours or until treatment	1 Bandage + 2 Painkillers (or 1 Rose Hip Tea)
	Frostbite	Frostbite Risk reaches 100%. (body part exposed to sustained 0°C or colder temperatures (head, hands, feet etc), or body part is wearing frozen clothing	-10% Maximum Condition	Permanent	No Treatment
	Gorged	Consume  Breyerhouse Pie  Dockworker's Pie	-15% Maximum Stamina	1 hour	Wait until Affliction passes.
	Headache	Drinking Go! Energy Drink, consuming certain recipes	Vision is blurred All Stamina is instantly lost	20 minutes	Wait until Affliction passes.
	Laceration	Struggles with Wildlife	-20% Condition	Immediate effect	Status effect disappears shortly after injury
	Major Bruising	Struggles with wildlife, falling	-10% Condition	Immediate effect	Status effect disappears shortly after injury
	Minor Bruising	Struggles with wildlife, falling	-5% Condition	Immediate effect	Status effect disappears shortly after injury
	Pain	Struggles with Wildlife, falling, sprains	Blurred vision, distorted sounds	Four hours or until treatment	1 Bandage + 2 Painkillers (or 1 Rose Hip Tea) Wait 4 hours
	Severe Lacerations	Cougar Struggle	Maximum Condition is reduced to 50%. Maximum Stamina is reduced by 50%. Generates 2-3 Blood Loss and Infection Risk along with the Affliction. New instances of Blood Loss and Infection Risk occur every 12 hours.	72 Hours	Wait until Affliction passes.
	Sprained Ankle	Struggles with wildlife, falling, walking on uneven or steep terrain (increased chance below 50% Fatigue, or when encumbered)	Sprinting is disabled Rope Climbing and Rock Climbing is disabled	Four hours of rest or until treatment	1 Bandage or 4 hours of Sleep
	Sprained Wrist	Struggles with Wildlife, falling, walking on uneven or steep terrain (increased chance below 50% Fatigue, or when Encumbered)	Rope Climbing and Rock Climbing is disabled Use of Hunting Rifles and Survival Bows use is disabled With both wrists sprained Revolvers, Distress Pistols, and Stones use is disabled	Two hours of rest or until treatment	1 Bandage or 2 hours of Sleep
	Suffocation	Being inside polluted air found in Last Prospect and Langston Mine.	Deteriorating vision, loss of hearing. Instant Death after the timer reaches 0	Length of the timer (30-60 real life seconds)	Exit the polluted air Wear a Respirator with Canister
	Torn Clothing	Struggles with wildlife, falling	Small amount of condition loss for a random piece of clothing	Immediate effect	Status effect disappears shortly after injury

Diseases

Diseases are Afflictions that build up as a visible yellow "Affliction Risk" and then physically deteriorate the body once the meter is full, with most diseases requiring some form of treatment in order to heal the player (though some will pass over time.) Though rare, some diseases are purely psychological in nature, but can be just as detrimental to a player's survival as a physical disease.

Players are able to view the percentage of any existing risk of disease in the Status Menu. This risk may cause disease either by reaching 100% or through a dice roll based on the current risk percentage at a certain point in time (Ex. Dysentery, Intestinal Parasites, Scurvy)

Actions that increase risk of disease include drinking unsafe water, consuming raw, spoiled, or predator-based food, and spending too much time indoors or in freezing cold. Players must be aware of these risks and how to manage them in order to avoid the Afflictions they may cause. 

Image	Affliction	Cause	Effect	Duration	Treatment
	Cabin Fever	Spending more than 113 hours indoors over the last 6 days (daily average of 18.83 hours). (Immediately on Stalker or Interloper, after 50 Days on Voyageur)	Cannot Sleep indoors for 24 hours	Until treated	Spending time outside
	Chemical Poisoning	Walking through Chemical Hazard Patches without a Respirator or footwear Struggles with Poisoned Wolf	Maximum Condition reduced by 20% per affliction. Note: When Poisoned, all Condition above the lowered max threshold, and the Well Fed buff is lost.	72 hours or until treatment	1 Emergency Stim
	Dysentery	Drinking Water (Unsafe)	Condition cannot be restored by Sleep -4% Condition per hour. Thirst Need rapidly depletes.	Until treated	2 Antibiotics (or 1 Reishi Tea/1 Burdock Tea) and 2.0 L Water (Potable) and 10 hours of Sleep.
	Food Poisoning	Eating raw meat or spoiled food.	Condition above 15% of maximum cannot be restored. -85% Condition over 12-24 hours (will not reduce Condition below 15% maximum). Note: most food poisoning sources become safe at 5 Cooking Skill.	12 - 24 hours or until treated	2 Antibiotics (or 1 Reishi Tea/1 Burdock Tea) and 10 hours of Sleep Waiting 12-24 hours.
	Hypothermia	Freezing for an extended period of time	Condition loss from Freezing is doubled (-20% Condition per hour, increased to -40% per hour). Fatigue is lost at 200% rate.	Until treated	Affliction heals while Warmth is above 0% (not "Freezing") until cured (6 hours on Pilgrim, 12 on Voyageur, 18 on Stalker, and 24 on Interloper) Note: While Hypothermic, Freezing again (0% Warmth) will fully reset the timer to maximum.
	Infection	Blood Loss from a Struggle with wildlife	-5% Condition per hour Fatigue is lost at an increased rate	Until treated	2 Antibiotics (or 1 Reishi Tea/1 Burdock Tea) and 8 hours of Sleep.
	Insomnia	Exposure to Glimmer Fog for too long	Rest is frequently interrupted, denying the player the full benefits of sleeping for long periods of time	18 - 36 hours	Wait until Affliction passes. Affliction can be mitigated by drinking  Cup of Herbal Tea before Resting.
	Intestinal Parasites	Consuming Bear, Cougar Meat, or Wolf Meat (on Stalker or Interloper mode)	-2% Maximum Condition per day -2% Maximum Fatigue per day	Until treated	2 Antibiotics (or 1 Reishi Tea/1 Burdock Tea) once a day for 10 days (240 hours) on Stalker; 20 days (480 hours) on Interloper
	Scurvy	Not eating enough foods rich in Vitamin-C	Carry Capacity debuff of 5 Kg Stamina drain multiplier of 1.5 Fatigue multiplier of 1.5 Lose 1 point of Condition per hour until the affliction is cured or until death	Until treated	Eat foods high in Vitamin-C

Darkwalker Afflictions

The following Afflictions can only be encountered in the Challenge Escape the Darkwalker.

Image	Affliction	Cause	Effect	Duration	Treatment
	Anxiety	Being within 200m (~656 feet) of the Darkwalker	Sleep and Pass Time is disabled, unless also in an active ward glyph's area of effect Increasingly bloodied screen the closer one becomes to the Darkwalker	Immediate effect	Moving further than 200m from The Darkwalker
	Fear	Being less than 50m (~164 feet) from The Darkwalker	-50% Condition per minute (real-time)	Immediate effect	Moving further than 50m from The Darkwalker
	Toxic Fog	Staying within a Region after Toxic Fog reaches Level 3 (timer reaches 2 minutes or less)	All food and drink is instantly RUINED and provides 0 calories Rapid loss of Condition All Wildlife dies within the Region	Infinite	Leave Region with Level 3 Toxic Fog

Misery Mode Afflictions

All Afflictions unique to Misery Mode are permanent. Some Afflictions appear when at different stages.

Image	Affliction	Cause	Effect	Duration
	Diminished Form	Stage 1: Hardship	-5kg Carry Weight 33% Mobility Penalty (Maximum Stamina is 66%) Reduced chance of hostile wildlife fleeing during struggle (Wolf, Timberwolf and Poisoned Wolf)	Permanent
	Sour Stomach	Stage 2: Sorrow Stage 3: Despair Stage 4: Torment	Maximum Calories Stored reduced by 1000 (1500 maximum) Disables Cooking Skill level 5 "immunity to Food Poisoning" perk when eating cooked low Condition food Disables Cooking Skill level 5 "immunity to Intestinal Parasites" perk when eating cooked predator meat All Food Poisoning chances of all food items are doubled. Safe food items with 0% Food Poisoning risk are still safe, though. The rate at which the Risk of Intestinal Parasites meter is filled after consuming predator meat is increased by 1.5. One piece gives 1% risk, two pieces 6%, three pieces 13% etc.	Permanent
	Frigid Bones	Stage 2: Sorrow Stage 3: Despair Stage 4: Torment	-5°C Feels Like temperature penalty (Outdoors and Indoors) Warmth meter recovers 50% slower	Permanent
	Rheumatic Joints	Stage 2: Sorrow Stage 3: Despair Stage 4: Torment	-50% Sprint speed bonus -50% Aiming meter (50% less time to Aim weapons) -50% Sprain Meter (Sprains occur 50% faster) 2% Condition damage upon receiving a Sprained Wrist or Sprained Ankle	Permanent
	Haunted Mind	Stage 2: Sorrow Stage 3: Despair Stage 4: Torment	Maximum consecutive Sleep hours capped at 7 (normally 12) -50% Condition recovered by Sleep	Permanent
	Broken Body	Stage 5: Ruin	All forms of Condition recovery are disabled (Passive from met Needs, Sleep and all Items) +100% Condition damage taken (double damage taken)(all sources)	Permanent

Cheat Death Afflictions

If the player chooses to Cheat Death, they will be given 2 Afflictions.

Image	Affliction	Cause	Effect	Duration	Treatment
	Cheated Death Penalty	Cheated Death	Long Term Penalty (permanent) -25%, -35%, -50% Condition (per death) Short Term Penalty (temporary) -50%, -60%, -75% Condition (per death)	Short Term Penalty: Recovery Hours dependent on Experience and number of Deaths Long Term Penalty: Permanent Affliction	None
	Weakened State	Cheated Death	Condition and Stamina recovery are halved A Black and White filter is placed over the world	Recovery Hours dependent on Experience and number of Deaths.	None

Wintermute Afflictions

The following Afflictions can only be encountered in Wintermute. These Afflictions do not affect the player character, but rather a Crash Survivor.

Image	Affliction	Cause	Effect	Duration	Treatment
	Concussion	Plane crash has given this to a Crash Survivor	None	Scripted	None
	Dehydration Risk	Affects a Crash Survivor, Lack of water	None	Until Healed	Drink Water (Potable)
	Dehydrated	Affects a Crash Survivor, Lack of water	Loss of Condition	Until Healed or Death	Drink Water (Potable)
	Hyperglycemic Risk	Dimitri has Type-1 Diabetes and has high blood sugar	None	Scripted	Insulin

Removed Afflictions

The following Affliction has been removed from the game:

Image	Affliction	Cause	Effect	Duration	Treatment
	Plane Crash Injuries	Plane crash has given this to Will Mackenzie	Cannot Sprint, hold Weapons, climb Rock Climbs	Scripted	Scripted