Casualties: Unknown Injuries

Survive limb trauma, bleeding, fractures, and body-wide emergencies in Casualties: Unknown with clear treatment priorities and practical tips.

Start With a Three-Second Triage

A single untreated cut can turn a strong run into a death spiral in Casualties: Unknown injuries because blood loss, pain, and impaired movement stack faster than most players expect. The game treats trauma as a core survival system, not a cosmetic debuff: every bleed, fracture, and internal problem changes what you can carry, swing, and escape. This guide breaks down Casualties: Unknown injuries into practical priorities, from stopping bleeding to recognizing when a limb status has become a body-wide emergency.

Before you loot, fight, or sprint, read the health panel. The limb and body status system behind Casualties: Unknown injuries ties visible symptoms to concrete penalties, so your first job is to decide whether you are losing blood, losing oxygen, or losing control of a limb.

PriorityWhat you are seeingFirst moveWhy it comes first
1Bleeding moodle, blood drips, yellowing limbs, teardrop symbolsApply dressings to external bleeds; suspect internal bleeding when no wound is visibleBlood volume loss can snowball into shock and death
2Oxygen dropping, respiratory arrest, chest trauma, internal bleedingTreat the underlying bleed; use a chest drain for hemothoraxBreathing problems can become cardiac arrest
3Fracture, dislocation, missing splint statusSplint the affected area and stop jumping or attackingBone injuries cap muscle health and add pain
4Infection risk, open woundsKeep the limb disinfectedDisinfection blocks infection progress unless immunity is severely compromised
5Confusion, shaking, vomiting, text distortionTreat oxygen, heat, radiation, opioid, or head-trauma causesBrain damage distorts controls and caps consciousness

The order matters because some treatments create new risks. Procoagulant can save you from internal bleeding, but it also raises blood viscosity. Stack it with wound glue or use it while venom is active, and you can trigger a pulmonary embolism. Treat the immediate bleed, then reassess before adding more clotting support.

Limb Injuries: Stop Bleeding, Then Stabilize

Bleeding is the most common immediate threat in Casualties: Unknown injuries. The moodle appears when blood volume is dropping, and any injury type can cause it. A limb with a bleeding rate above 0.018 L/m shows teardrop symbols; those symbols shift from yellow toward deep reddish brown as the bleed worsens. If a dressing icon appears inside the bleeding symbol, the dressing is slowing that limb’s bleed, not erasing it.

External bleeding responds to medical equipment such as dressings. Internal bleeding is the trap: if your character is losing blood but no external wound is visible, assume an internal bleed and look for specific treatment such as procoagulant. Continued internal bleeding can set up hemothorax, which is covered below.

StatusTypeEffectWhat to do
BleedingNegativeBlood volume drops; the limb drips blood and colors nearby limbs yellow over time; teardrop symbols appear above 0.018 L/mApply dressings for external bleeding; investigate hidden internal bleeding
DisinfectedPositiveProtects the limb from infection and halts infection progress unless immunity is severely compromisedKeep it active when infection risk is present
SplintPositiveSpeeds healing of fractures and dislocations; removableSplint bone injuries before you keep moving

Any bone injury—dislocation or fracture, regardless of where it occurs—reduces the affected area’s muscle health capacity to 50. That cap changes how much punishment the limb can take, so a splint is not optional cleanup; it is part of getting the limb back online. Splints speed healing for fractures and dislocations and can be removed when no longer needed.

Head and Thorax Trauma: When a Limb Status Changes Your Whole Run

Some statuses stay local; others rewrite the run when they land on the head or thorax. Casualties: Unknown injuries players should not treat every fracture the same. A fractured neck, dislocated spine, fractured ribs, or dislocated jaw can cut damage, movement, or even speech. The key is to stop testing the injury.

LocationStatusDocumented effectPractical response
HeadDislocated jawSpeech is impaired. Any item that restores hunger causes 25 pain; pain stacks with each liquid type in a container, regardless of amount, and can cause shock.Avoid mixed-liquid containers; use simple hunger recovery.
HeadFractured neckAttack damage reduced by 40%; 3 pain per attack and jump; movement reduced. A head fracture has an 80% chance to produce this.Stop fighting and jumping; stabilize and retreat.
ThoraxDislocated spineSwing damage reduced by 40%; 4 pain per attack and jump; pain while moving; movement reduced.Avoid swings and unnecessary movement.
ThoraxFractured ribsSwing damage reduced by 40%; 3 pain per attack.Fight only if forced; treat the bone injury.

The jaw is a sneaky one because it punishes the thing you need most: recovery. If every hunger-restoring item causes 25 pain, and each liquid type in the same container stacks that pain, a mixed drink can push you toward shock. Keep liquids simple until the jaw is fixed. For neck and spine trauma, the 40% damage reduction and pain per jump are not worth testing in a fight; reposition, splint, and live to heal.

Body Statuses That Kill Quietly

Limb injuries announce themselves. Body statuses often do not. The dangerous body statuses in Casualties: Unknown injuries include pulmonary embolism, hemothorax, opioid overdose, respiratory arrest, and brain damage. Several are caused or worsened by the treatment you use, so more medicine is not always safer.

Body statusTriggerEffectCounter
Pulmonary embolismBlood viscosity above 90, often from overuse of procoagulant or wound glue, or using them while venom is active1.667% chance each second; thorax muscle health drops 0.6/s; about 2m40s from full thorax health to lung failure; stops when viscosity falls below 50Streptokinase is the specific treatment; bruise kit or L.R.D. can extend the timer
HemothoraxInternal bleedingBlood collects around the lungs; breathing gets harder; maximum oxygen drops; worsens over time; can lead to cardiac arrest and deathChest drain; treat internal bleeding to prevent it
Opioid overdoseExcessive opioidsRespiratory arrest, direct brain damage, hypothermia, and incapacitation at extreme amountsNaloxone or naltrexone; auto-pump helps respiratory arrest but not direct brain damage or consciousness loss
Respiratory arrestUsually secondary to lung failure or another condition; prevents passive oxygen regenerationOxygen drains over time; can lead to cardiac arrest if the cause is not treatedTreat the underlying cause; auto-pump addresses respiratory arrest
Brain damageLow oxygen, high temperature, radiation sickness, opioid exposure, head traumaVisual distortion, shaking and ragdolling, inverted controls, vision flashes, vomiting, combat hallucinations; text corruption below 94%Slow natural heal at +0.003%/sec (0.18%/min, 10.8%/hr) if not mindwiped; Braingrow, Neural Booster, Mindwipe

Brain Damage Thresholds

Brain integrityStateWhat changes
Below 95%, above 80%Cognitive impairmentLow-to-moderate visual distortion; erratic and incoherent behavior; mentions tasting metal or feeling sick; minor text distortion
Below 80%, above 60%Neurological damageModerate-to-high visual distortion; mostly unable to speak coherently, without stutters; harder to read most text
Below 94%Text corruptionIn-game text other than the brain chip is replaced with random symbols on a per-character basis; gets worse as brain health drops

Brain damage deserves special respect because it attacks the interface you rely on. It caps maximum consciousness to current brain health, so confusion is not just flavor. If you see shaking, sudden vomiting, inverted controls, or combat music with no enemy, stop and treat the root cause—oxygen, heat, radiation, opioids, or head trauma—before you take another fight.

Death is the final body status: all moodles disappear, the run ends, and the report shows depth, net calorie gain, mental state, time passed, mission status, and attempts.

Treatment Priorities and Item Planning

For Casualties: Unknown injuries, build a kit around failure modes rather than a single favorite item. The best loadout answers four questions: can I stop a bleed, can I support a bone injury, can I clear a chest problem, and can I reverse an overdose or brain injury?

  • Bleeding: Carry dressings for external bleeds and procoagulant for hidden internal bleeding. Use procoagulant carefully; overuse, mixing with wound glue, or using it while venom is active can push blood viscosity high enough to trigger pulmonary embolism.
  • Bones: Keep a splint for fractures and dislocations. Splinting speeds healing, and avoiding jumps and heavy swings prevents pain from turning a bad limb into a lost fight.
  • Chest: A chest drain is the direct answer to hemothorax. Preventing hemothorax starts with treating internal bleeding before blood collects around the lungs.
  • Overdose and breathing: Naloxone or naltrexone can reverse opioid overdose. An auto-pump helps with respiratory arrest, but it does not stop overdose-related brain damage or consciousness loss.
  • Brain: Braingrow, Neural Booster, and Mindwipe restore brain health. Natural recovery is slow, so treat low oxygen, heat, radiation, opioids, and head trauma early.
  • Medication caution: Anti-rad can cause rising sickness and thorax pain. Do not treat it as a free buff, especially when you are already managing clotting or overdose risk.

A simple field checklist helps when the health panel is crowded: Is blood volume falling? Is oxygen falling? Is a limb bone-injured? Is the character confused? Treat in that order unless a visible crisis overrides it.

FAQ

What should I treat first in Casualties: Unknown injuries?

Stop life-threatening blood loss and breathing problems first. Apply dressings to external bleeding, suspect internal bleeding when no wound is visible, and treat hemothorax or respiratory arrest before spending time on a fracture. Once the character is stable, splint bone injuries, maintain disinfection, and address brain symptoms.

How can I tell whether bleeding is internal?

If blood volume is dropping but no external wound is visible, treat it as possible internal bleeding. Dressings are for external bleeds; internal bleeding needs specific treatment such as procoagulant. In Casualties: Unknown injuries, ignoring that difference can let hemothorax develop.

Do fractures and dislocations need a splint?

Yes. A splint speeds healing for fractures and dislocations and can be removed later. Any bone injury also reduces the affected area’s muscle health capacity to 50, so the limb stays vulnerable even after the immediate pain is managed. Splint early and avoid unnecessary jumps or attacks.

Can brain damage heal in Casualties: Unknown injuries?

It can recover slowly. Without a Mindwipe, brain health regenerates at +0.003% per second, which is about 0.18% per minute or 10.8% per hour. Braingrow, Neural Booster, and Mindwipe can restore it faster. Treat low oxygen, high temperature, radiation sickness, opioid exposure, and head trauma to stop further damage.