Proposed — not yet reviewed by GM

AI-generated content. Review and update status to canon once reviewed.

Illnesses are infections and diseases contracted from raw food, open wounds, filth, and other sick people. An Illness barely changes how you fight. It changes how you recover.

Every Illness has two severities: Minor and Major.

Contracting an Illness

Roll a DC 10 🏊 END + 🏕 Survival Test.

ResultOutcome
SuccessNothing happens.
FailYou contract an Illness as Minor.
🎭 CRITFAILYou contract an Illness as Major.

Which Illness you contract depends on how you were exposed. You can carry more than one at a time — each is tracked and progresses separately.

Food-Borne

Eating raw meat or eggs. The risk is printed on the item itself — see 🐄 Brahmin Meat. Cooking removes it entirely. No cooked food in the game carries an Illness roll.

Only these three can be caught from food. You cannot pick up 🫁 Bonecough, 👁 Blind Rot, or an 🩹 Infected Wound from a bad meal.

🚰 Dirty Water does not cause Illness

Dirty Water’s hazard is ☢ RADS, already priced into the item. Water-borne Illness is reserved for standing, fouled, or corpse-tainted water the GM specifically calls out.

Wound

Ending a 🏕 Long Rest with an untreated 🤕 Major Injury or 🤕 IncapacitationDC 12, higher than food because an open wound left through a night in the wasteland is more exposed than a questionable steak.

The result is always an 🩹 Infected Wound, on that limb.

Contagion

Sharing a camp with a character carrying 🫁 Bonecough. See that page for the 📊 DCs.

Environmental

Spore-heavy ruins, damp cellars, corpse piles, plague sites. The GM sets the 📊 DC (default 10) and chooses the Illness.

Progression

At the end of each 🏕 Long Rest, roll a DC 10 🏊 END + 🏕 Survival Test for each Illness you are carrying.

ResultOutcome
SuccessSeverity is reduced by one step. Major → Minor. Minor → cured.
FailSeverity escalates by one step. Minor → Major. If already Major, gain 1 stack of 😫 Exhaustion.

This is the same shape as mending 🤕 Injuries during Sleep — a success is progress, not just holding on.

The Test is made whether or not you chose Sleep as your Rest Activity. Being sick does not wait for you to be at leisure.

Provide Care: if another character performs the 🏕 Provide Care activity on you during the rest, you make your progression Tests with Advantage. This costs no items.

Effects

Illnesses attack recovery rather than combat. Below is the common shape — each Illness page lists its own exact effects.

SeverityCommon Effects
Minor-1 🏊 Endurance · healing reduced · Disadvantage on 🏊 END + 🏕 Survival Tests
Major-2 🏊 Endurance, -2 🏃 Agility · no HP recovery from Sleep · 1 😫 Exhaustion on a failed progression Test

Curing an Illness

MethodEffect
💊 AntibioticsRemoves all Illnesses at any severity, instantly. No Test. 3 ⚡ AP.
🧫 Infection CareCures a Minor Illness; reduces a Major to Minor. ⚕ Medicine Test + items.
🏕 Long RestA successful progression Test reduces severity by one step.
Doctor at a settlementCures one Illness at any severity. Costs caps and a Rest Activity.

🧫 Infection Care can be attempted once per Illness per 🏕 Long Rest.

Immunity

Robotic beings cannot contract Illnesses

Robots have nothing for an infection to live in. They cannot contract an Illness from any source, and 💊 Antibiotics and 🧼 Antiseptic both have no effect on them.

A biological character inside power armour is not protected.

🏕 Iron Constitution — a character with this 🏕 Adaptation automatically passes any contraction Test that would inflict a Minor Illness. They can still contract a Major Illness on a 🎭 CRITFAIL.

All Illnesses

IllnessSourceIn short
🤢 DysenteryFood-borneFood and drink restore no HP
🪱 Gut WormsFood-borneMild, but never clears on its own
🥵 Wasting FeverFood-borneEscalates fastest — DC 13 progression
🩹 Infected WoundWoundOne limb cannot heal
🫁 BonecoughContagionSpreads through the camp
👁 Blind RotEnvironmental👁 Perception loss; cannot keep watch

See Also