Grit and Glory - Injuries Exhaustion and Madness - MCM
🟡 Updated this year⚠️ Install Order · 3 steps
Install in this order, then this mod last — most mods fail to load without their framework and dependencies in place.
Preview

🔍 Analysis
- 👍 0.1% endorsement rate
- 🏆 #101 of 515 Gameplay mods in this game by downloads
📋 About This Mod
-
[]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:
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[]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:
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[]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
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
📊 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
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.
💡 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
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