Hardcore Help
🟡 Updated this year⚠️ Install Order · 2 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
- 🏆 #43 of 107 Spells mods in this game by downloads
📋 About This Mod
-
[]While in combat you must succeed a DC10 Medicine check to get your allies up off the ground with the Help action.
[
]The healing works on undead and constructs instead of just "living", primarily for custom race mod support etc.[]You only restore a single Bonus Action when Downed is removed instead of all of them, removing a potential exploit via down-looping a character with lots of BA attacks.
[]If using the "Lenient" version of the mod you also restore a Reaction, and with succeeding a DC 15 Constitution Saving Throw restore an Action as well.
A successful Medicine Skill Check will heal a Downed friendly target for 1 Hit Points, while a failed check will only stabilise them.
You automatically succeed Medicine Skill Checks while outside of combat. Known conflicts:
- []Path Of Undeath by Siaell - Place Hardcore Help after (below) this mod, you will still be able to help up Undead allies with Hardcore Help overwriting its edits to the Help action. As of version 1. 9. 1 for Path Of Undeath load order should be irrelevant between these two mods.
Load order:
-
[]I used self inheritance, but even so other mods editing the Help action may not be compatible, mileage will vary.
[]The edits to Downed are less likely to be conflicting, and if just using the base version of the mod not much of a problem if overwritten.
Recommendation:
- []If you like this mod you'll probably love Hardcore Healing Potions!
If you like what I cook you can support me on Ko-fi!
Check out my other mods!
Hardcore Help is a small gameplay tweak for Baldur's Gate 3 that makes the Help action less effective, requiring Medicine checks to revive allies. It's for players who want a more challenging early game and increased immersion. With 84 endorsements and 113,920 downloads, it's a niche mod with a dedicated following.
✨ Key Features
📊 Pros & Cons
✅ Pros
- Tightens up early game difficulty—no more free res piles without investment
- Encourages building into Medicine or carrying scrolls, adds build variety
- Solid download count (113k) shows a real demand for harder combat
⚠️ Cons
- Only 84 endorsements—small but dedicated fanbase, not a mainstream pick
- Last updated January 2026—could break with future patches
For Baldur's Gate 3 players who find the base Help action too forgiving and want a grittier, more tactical experience. Skip if you prefer streamlined combat or don't want to invest in Medicine checks.
💡 Beginner Tips
- Make sure you have a character with Medicine proficiency to handle revives reliably.
- Stock up on scrolls of Revivify as a backup when Medicine checks fail.
- If you're using other combat overhaul mods, test for conflicts early.
📊 Mod Details
- Game
- Baldurs Gate 3 Mods
- Author
- BaldursGoonsack
- Version
- 5.0.0.4
- Downloads
- 113,920
- Endorsements
- 84
- Category
- Spells
- Created
- 6/15/2024
- Updated
- 1/12/2026
🔧 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.
Keep browsing — more Baldurs Gate 3 mods await