Grit and Glory - Injuries Exhaustion and Madness - MCM

⭐ ⭐ (194 endorsements) 📥 175,820 downloads 📌 v2.3.6.1 📅 2/14/2025
🟡 Updated this year

By BaldursGoonsack and osirisofinternet · Gameplay

⬇ Download Mod Source: Nexus Mods 📅 Updated: 7/11/2026 📅 Created: 2/14/2025
⚠️ Install Order · 3 steps
1🛠️ BG3 Script Extender — BG3 Script Extender Download ↗
2🧩 Community Library — Community Library (Norbyte) Download ↗
3📦 Mod Configuration Menu Find it →

Install in this order, then this mod last — most mods fail to load without their framework and dependencies in place.

🔍 Analysis

  • 👍 0.1% endorsement rate
  • 🏆 #101 of 515 Gameplay mods in this game by downloads

📋 About This Mod

Highly customisable, delightfully devilish.
  • []A highly configurable interface for player customisation.

    []A robust array of injuries from 5E and the third-party supplement Grit & Glory by Apostol Apostolov, currently 50 in total excluding re-flavoured effects to match different damage types. (With deviations where needed/suited.)

    []A homebrew exhaustion system inspired by multiple others, created to be fitting (IMO) for the BG3 experience.

    []Largely adapted 5E madness tables, both short and long term madness. (With deviations where needed/suited, indefinite madness can't really be adapted outside of TTRPG but that's fine.)

    []This isn't just a system for players, it applies to NPCs if you wish and it's GREAT!

    []An open ended approach to design for other mod authors to develop their own systems.

    []A WIP (but pretty well fleshed out) configuration file set up to get you started! (Separate download, requires manual placement!)

Installation:

  • []If you're coming from the old Injuries and updating mid-playthrough, you should absolutely run Mod Uninstaller on the dependency The Great Goon Library

    []Install the main Injuries mod the same way you would for any PAK file, into: AppData\Local\Larian Studios\Baldur's Gate 3\Mods

    []Download the config.json's zip folder separately and extract it to: AppData\Local\Larian Studios\Baldur's Gate 3\Script Extender

    []If done properly, it will be like so: Script Extender\Injuries\config.json

    []Use BG3MM, manual modsettings.lsx edit, Vortex, IGMM, MO2, whatever floats your boat for load order management, so long as it's done correctly

    []You're done, ready for play with my default config or for further configuration.

To come:

  • []Much more information in general

    []Resources for mod authors, including templates and what not

    []More configuration options

    []Additional systems adapted potentially, mainly madness and exhaustion which can plug in to the existing injury system

    []Homebrew injuries to add to the pot

Stretch goals:

[*]Custom material overrides/textures, animations etc. to bett

🤖 AI-enhanced — based on mod data

Grit and Glory is a gameplay overhaul for Baldur's Gate 3 that introduces injuries, exhaustion, and madness mechanics, making the adventuring life more demanding. It is Patch 8 compatible and has gained significant traction with 194 endorsements and over 175,000 downloads.

✨ Key Features

Adds injury system that can break legs and cause other physical ailments
Introduces exhaustion mechanics to simulate fatigue during adventures
Implements madness effects that can afflict characters
Compatible with Patch 8 of Baldur's Gate 3

📊 Pros & Cons

✅ Pros

  • Huge community trust with 175k downloads and 194 endorsements
  • Actively maintained, last updated July 2026
  • Brings a gritty realism layer that changes how you approach combat and exploration

⚠️ Cons

  • Only 194 endorsements relative to downloads might indicate mixed reception or niche appeal
  • Requires MCM (Mod Configuration Menu) which adds an extra dependency
🎯 Is This For You?
For BG3 players who want a harder, more realistic experience where injuries and madness are real threats. If you're tired of trivializing combat and want consequences for every fight, this is for you. Skip if you prefer a power fantasy or don't want to manage extra mechanics.
📦 Install:Medium· 5-10 minutes

💡 Beginner Tips

  • Make sure you have the MCM mod installed and load this mod after it in your mod manager.
  • Check the mod's settings in MCM to adjust the severity of injuries and exhaustion to your liking.
  • If you're using other gameplay overhauls, test for compatibility early to avoid conflicts.

📊 Mod Details

Game
Baldurs Gate 3 Mods
Author
BaldursGoonsack and osirisofinternet
Version
2.3.6.1
Downloads
175,820
Endorsements
194
Category
Gameplay
Created
2/14/2025
Updated
7/11/2026

🔧 How to Install Baldurs Gate 3 Mods

Download from Nexus.

📖 Full step-by-step install guide for Baldurs Gate 3 →

Visit the official mod page for specific installation instructions for this mod.

🎮 Need cheat codes or console commands? Check ur gaming wiki for Baldurs Gate 3 commands, item IDs, and more.

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