MAIM (Depreciated) - Wounds Bleeding Pain Meds and Headshots

⭐ ⭐⭐ (3,250 endorsements) 📥 378,833 downloads 📌 v2.2 📅 3/20/2022
⚪ Last updated 2022

By eclix · Overhauls

⬇ Download Mod Source: Nexus Mods 📅 Updated: 11/1/2022 📅 Created: 3/20/2022
⚠️ 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

  • 👍 0.9% endorsement rate
  • 🏆 #29 of 54 Overhauls mods in this game by downloads

📋 About This Mod

This mod is depreciated. Why not try MAIM Redux instead?

MAIM Discord - a hub for hardcore survival modding

MAIM YouTube - mod showcases

This mod is 100% script free and manages all its effects through perks.

It is compatible with weapon, projectile and ammo mods without needing patches.

Active support given in the MAIM Discord server.

MAIM transforms combat into a brutal and terrifying experience.

It adds a complex injury and healing system, inspired by Escape from Tarkov.

No more running and gunning; you'll need to use tactics and careful resource management to survive.

You can now get one-shot by a lone raider, or bleed to death after fighting off a few feral ghouls.

That said, almost everything is customisable in the MCM, so you can make it as easy or difficult as you like.

Best combined with SCOURGE and True Damage, which normalise enemy health and weapon damage respectively.

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Mechanics

Bleeding

  • []Damaging a body part to 50% condition causes a light bleed, to 0% causes heavy bleed.

    []Bleeding is indicated by noticiation messages, a blood spatter effect on the actor and light or heavy blood dripping sounds.

    []Bleeding damage is automatically scaled to the actor’s health.

    []Each body part bleeds independently and they stack with each other.

    []Sprinting increases bleed rate.

    []Light bleeds on the player last for 90s if untreated. The timer restarts each time you are hit.

    []Heavy bleeds last for 90s from the moment a limb is crippled, then stop until the limb is healed.

    []Light bleeds can be stopped with a Bandage, Hemostatic Gauze, TXA Injector or by healing the limb above 50% condition.

    []Heavy bleeds can be stopped with a Tourniquet (for limbs), Chest Seal (for torso) or Surgery Kit.

    Pain

    • []Damaging a body part below 50% condition causes mild pain, to 0% causes severe pain.

      []Pain causes periodic blurred vision.

      []Arm pain reduces reload speed.

      []Leg pain reduces movement speed and jump height.

      []Torso pain massively reduces AP regen.

      []Painkillers relieve these effects and heal head condition.

      []Sprinting on injured legs (below 50% condition) damages them further.

      Body part conditions

      []Limb shots do less damage to HP. Aim for the torso or head to kill.

      []Limb damage multiplier for player and NPCs is independently adjustable in MCM.

      []Body parts can only be brought out of crippled status by a Surgery Kit, Splint, sleep or by a doctor.

      []Torso conditi

🤖 AI-enhanced — based on mod data

MAIM is a hardcore combat and medical overhaul for Fallout 4 that introduces lethal headshots, wounds, bleeding, pain, and 12 new medical items. It is script-free and highly compatible, making it a solid choice for players seeking a more realistic survival experience.

✨ Key Features

Adds lethal headshots, wounds, bleeding, and pain mechanics
Introduces 12 new medical items
Script-free and highly compatible
Hardcore combat and medical overhaul

📊 Pros & Cons

✅ Pros

  • Huge community trust (3,250 endorsements) — this is a proven overhaul
  • Script-free design means fewer conflicts and better performance
  • Adds 12 new medical items, giving you more tools to manage injuries

⚠️ Cons

  • Deprecated — author has moved on, so no future updates
  • Last updated in 2022 — may need compatibility patches for newer DLC or mods
  • Hardcore mechanics can be brutal for casual players — not for everyone
🎯 Is This For You?
For Fallout 4 players who want a grittier, more realistic survival experience with meaningful injuries and medical management. If you're tired of bullet sponges and want headshots to actually matter, this is for you. Skip if you prefer a more casual, arcade-style shooter.
📦 Install:Easy· Under 5 minutes

💡 Beginner Tips

  • Since it's script-free, you can safely install or remove it mid-playthrough, but always test on a save you don't mind losing.
  • Pair with a mod that adds more enemies or tougher combat to really feel the impact of wounds and bleeding.
  • Check the mod's comments section for any known compatibility patches with popular overhaul mods.

📊 Mod Details

Game
Fallout 4 Mods
Author
eclix
Version
2.2
Downloads
378,833
Endorsements
3,250
Category
Overhauls
Created
3/20/2022
Updated
11/1/2022

🔧 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

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