Cough
⚪ Last updated 2023⚠️ 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
- 👍 1.7% endorsement rate — high engagement, a strong quality signal
- 🏆 #46 of 64 Immersion mods in this game by downloads
📋 About This Mod
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(The video only shows JP voice pack)
Features
You'll see cough animations, hear cough sounds after:
Infected with disease
Eating dirty food
Drinking dirty water
Affected by explosion
Falling from high
Taking poison damage
Health is low
Also there is a short gamepad and camera shake.
Animations can be seen in 1st person and 3rd person.
Equipment cover the mouth can prevent coughs caused by storms or explosions.
Other optional gameplay features in MCM menu (See the picture).
Optional
If you have AAF installed (Not required).
You'll get extra face expressions.
And Character will not cought during AAF scenes.
If you have MCM installed(Not required)
You'll get a configuration menu to control many things.
See the picture.
Works for both genders
Japanese voice users can find JP voice pack in Optional file.
This mod and all of my mods won't take up you 255 plugin load limit.
I hope everyone is healthy in realife.
Recommend
Other mods that prove your character is not a corpse:
Stimpaks Help You Breathe
Workbench Humming
Click here to check my other mods.
And don't forget to endorse if you like them.
If you want to support me
https://www.patreon.com/Elzee
FAQ
Q: Mod not working?
A: Try console command "startquest elzee_cough_qust".
Try install AAF.
A: Corset from Vtaw Wardrobe 6
Belt from Vtaw Lana
Skirt from sonico uniform
Boots from Aboots by Jmenaru
Q: I have some other questions or bugs to report.
A: Feel free to use the post and the bug page.
I'm not that kind of "great author" like steve40 who published mods full of papyrus errors and even has no courage to face bug reports.
But I may not be able to help everyone very carefully.
Q: I said thank you but you don't reply.
A: I usually don't reply to simple thank you messages. But thank you. I'll remember:)
And thanks for everyone who gave me kind word
Cough adds realistic coughing animations, voices, and effects when your character is uncomfortable, making them feel alive rather than a silent corpse. With 3,307 endorsements and 197,632 downloads, it's a popular immersion mod for players who want more physical reactions.
✨ Key Features
📊 Pros & Cons
✅ Pros
- Huge download count (197k) shows it's widely used and trusted.
- 3,307 endorsements indicate strong community approval.
- Simple concept that adds a lot of life to your character.
⚠️ Cons
- Last updated in 2023, so may not be compatible with the latest game patches.
- Only adds coughing—if you want broader immersion features, this is limited.
For roleplayers and immersion enthusiasts who want their character to react physically to the environment. If you're tired of your character being a silent, unfeeling avatar, this mod adds a touch of realism. Skip if you prefer gameplay over cosmetic or audio additions.
💡 Beginner Tips
- Check if the mod requires a specific game version or framework before installing.
- If you use other immersion mods, test for conflicts in a new save.
- Listen for the coughing triggers—they often occur in dusty or smoky areas.
📊 Mod Details
- Game
- Fallout 4 Mods
- Author
- Elzee
- Version
- 1.4.2
- Downloads
- 197,632
- Endorsements
- 3,307
- Category
- Immersion
- Created
- 1/4/2021
- Updated
- 3/30/2023
🧩 Commonly Used Together
Users add these mods to the same collections — a real compatibility signal, not an AI guess.
🔧 How to Install Fallout 4 Mods
Download from Nexus.
📖 Full step-by-step install guide for Fallout 4 →
Visit the official mod page for specific installation instructions for this mod.
🎮 Need cheat codes or console commands? Check ur gaming wiki for Fallout 4 commands, item IDs, and more.
Keep browsing — more Fallout 4 mods await