Insanity - Mental Health Management

⭐ — (60 endorsements) 📥 2,439 downloads 📌 vAlpha 📅 9/17/2025
🟡 Updated this year

By TacoBurritoChimichanga · Quests and Adventures

⬇ Download Mod Source: Nexus Mods ↗ 📅 Updated: 12/29/2025 📅 Created: 9/17/2025
⚠️ Install Order · 2 steps
1🛠️ F4SE — Fallout 4 Script Extender Download ↗
2🔧 UFO4P — Unofficial Fallout 4 Patch Download ↗

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

🔍 Analysis

  • 👍 2.5% endorsement rate — high engagement, a strong quality signal
  • 🏆 #22 of 44 Quests and Adventures mods in this game by downloads

📋 About This Mod

Every kill counts, every drug you take counts, and every thing you do matters. This mod aims to bring a Mental Health System into Fallout, trying to simulate Mental Health Issues and punishing the player for their decisions, introducing a

Overview:

This mod is my attempt to make a Health Management System, with things that affect most actions you do, like killing humans, ghouls, and even children, or taking whatever type of drug. This mod inserts a Mental Condition State inside the player that goes down every time you do bad stuff like the mentioned above, or goes up when doing the opposite. And if you go deep down in your Mental Condition State, very bad things will start to happen. This mod is heavily inspired by FROST, DUST, and the PTSD Mental Health Management System.

Features

  • []Custom Power Armor: Insert three pieces of a unique power armor that you can get inside the dungeon.

    []Legendary Weapon: Adds a custom legendary weapon

    []Big dungeon: adds 17+ new interior locations when certain conditions are met

    []Mental Health System: The main feature of this mod is that it lets you manage your mental condition with the use of certain food items or new medicines added

    []New Perks: This mod adds new perks that modify the way you play it in certain gameplay features

    []New enemies: This mod adds a total of 20+ new enemies

    []Loading Screens: This mod adds 30+ loading screens when certain conditions are met

    []New Medicines: This mod also adds 9 new medicines, for which you can find the recipe to build them in-game. They mainly work to cure diseases

    []New Faction: This mod also adds a new faction full of enemies, each one doing their work

    []New Worldspace: This mod uses a very small space of a worldspace to make use of the weather system

    []New Weather: This new weather can only be found in the dungeon, but it's nice to mention it :).

    Planned content:

    • []Add a way to trigger certain sounds in a random way when conditions are met

      []Add more enemies

      []Polish the rough edges of the dungeons

      []Add more dungeons

      []More dungeons

      []Make enemies custom sounds (Need VA)

      []Change the music of the dungeons

      []Add certain triggers in certain areas

      []Add custom textures to certain stuff

      How to play with this?

      All you have to know to not make any spoilers is that there is a new tab in t

📊 Mod Details

Game
Fallout 4 Mods
Author
TacoBurritoChimichanga
Version
Alpha
Downloads
2,439
Endorsements
60
Category
Quests and Adventures
Created
9/17/2025
Updated
12/29/2025

🔧 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.

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