Real Injuries

⭐ ⭐ (682 endorsements) 📥 21,060 downloads 📌 v3.0.2 📅 11/28/2008
⚪ Last updated 2009

By KSchenk · Gameplay Effects and Changes

⬇ Download Mod Source: Nexus Mods ↗ 📅 Updated: 2/8/2009 📅 Created: 11/28/2008
⚠️ Install Order · 2 steps
1🛠️ FOSE — Fallout Script Extender Download ↗
2🔧 UFO3P — Unofficial Fallout 3 Patch Download ↗

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

🔍 Analysis

  • 👍 3.2% endorsement rate — high engagement, a strong quality signal
  • 🏆 #127 of 420 Gameplay Effects and Changes mods in this game by downloads

📋 About This Mod

Real Injuries \"Real Injuries\" changes Crippled Limbs more serious. Stimpaks can\'t heal your crippled limbs. You have to find other way. Real Injuries will address game difficulty via through \"Healing Source\" and \"Healing Mechanism\" changes. With Real Injuries, Game Difficulty will increase. Also you may use \"RI - Primary Needs\" with \"Real Injuries\". \"RI - Primary Needs\" is designed for combine with \"Real Injuries\". Official discussion topic http://www.bethsoft.com/bgsforums/index.php?showtopic=938887 For detailed information, please read the RI_Readme.html Fix and changes in 3. 0. 2

  • []Fix Applying Medical brace condition []Change Medical brace immediately remove from inventory when using.
Fix and changes in 3. 0. 1
  • []Fix Message typo []Fix readme type []Fix minor condition issue []RI_Core changes for RI - Primary Needs.
Version 3. 0. 0 Important Note: Version 3. 0. 0 is not compatible with current 2. 6.x. If you want use new version, uninstall first. Then install 3. 0. 0. Version 3. 0. 0 overview
  • []Less dialog menu []Cleanup/Optimize scripts []Change Wounds System []New shared ESM master for both \"Real Injuries\" and \"RI - Primary Needs\" []Easy to enhance, easy to maintenance.
For more details please read the document. Fixes in 2. 6. 8
  • []Fix possible script issue []Re-Compile FOSE related script for FOSE beta 5
Fix/Change in 2. 6. 7
  • []Fix Morphine Addiction issue []Re-Compile FOSE related script for FOSE beta 4
Fix in 2. 6. 6b RI_DoctorCost.esp replace. If you don\'t use this option, you don\'t need update. 2. 6. 6 archive had RI_DoctorCost.esp for 3. 0. 0 (currently under development). Sorry for inconvenience. No other changes. If you are not using RI_DoctorCost.esp, you don\'t need re-download. Fix in 2. 6. 6
  • []Stimpak creation menu condition issue
Changes and Fixes in 2. 6. 5 Wounds System Real Injuries 2. 6. 5 introduce new \"Wounds System\". Default Disabled, you can enable this feature via through config menu. Light Wounds: When PC loose 45%/33% (Preset 2/3) health, PC became to Light Wounds state. Penalty: -1 STR / HP Max Limited to 70% Severe Wounds: When PC loose 90%/66% (Preset 2/3) health PC became to Severe Wounds state. Penalty: -3 STR / HP Max Limited to 40%. Super Stimpak Now you can create \"Super Stimpak\". Super Stimpak is an advanced, very powerful healing chem. Super Stimpak will cause small amount of damage after a period of time due to the powerful nature of the che

🤖 AI-enhanced — based on mod data

Real Injuries makes crippled limbs more serious by preventing Stimpaks from healing them, forcing players to find alternative healing methods. It adjusts game difficulty through changes to healing sources and mechanisms. A compact gameplay mod for Fallout 3, with 682 endorsements and last updated in 2009.

✨ Key Features

Stimpaks can no longer heal crippled limbs.
Changes healing sources and mechanisms to increase difficulty.
Requires players to find alternative ways to heal crippled limbs.

📊 Pros & Cons

✅ Pros

  • Community-approved with 682 endorsements and over 21,000 downloads.
  • Adds a meaningful challenge for players who find the base game too easy.
  • Simple concept that integrates with the existing limb system.

⚠️ Cons

  • Last updated in 2009 — may have compatibility issues with modern setups or mods.
  • Limited scope: only affects crippled limb healing, not other gameplay aspects.
🎯 Is This For You?
For Fallout 3 players who want a tougher survival experience and are tired of Stimpaks being a universal cure. If you enjoy mods that force you to think strategically about healing, this is for you. Skip if you prefer a more casual playthrough or rely heavily on Stimpaks for limb recovery.
📦 Install:Easy· Under 1 minute

💡 Beginner Tips

  • Since this mod removes Stimpak limb healing, stock up on doctor's bags and visit doctors regularly to fix crippled limbs.
  • Consider pairing with other difficulty mods for a more hardcore survival experience, but test for compatibility first.
  • If you're using a mod manager, load this mod early in your load order to avoid conflicts with other gameplay tweaks.

📊 Mod Details

Game
Fallout 3 Mods
Author
KSchenk
Version
3.0.2
Downloads
21,060
Endorsements
682
Category
Gameplay Effects and Changes
Created
11/28/2008
Updated
2/8/2009

🔗 Required By 2 Mods

These mods list this mod as a dependency.

🔧 How to Install Fallout 3 Mods

Download from Nexus.

📖 Full step-by-step install guide for Fallout 3 →

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

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

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