Realistic Needs and Diseases 2.0
⚪ Last updated 2016⚠️ Install Order · 3 steps
Install in this order, then this mod last — most mods fail to load without their framework and dependencies in place.
Preview

🔍 Analysis
- 👍 3.4% endorsement rate — high engagement, a strong quality signal
- 🏆 #94 of 121 Gameplay mods in this game by downloads
📋 About This Mod
Notice! I've completely emigrated to Skyrim Special Edition, which in return means, the legendary version of this Mod will no longer get any updates and support. Feel free to take over, or fix yourself. You could also frequent the SSE version, to get backportable versions.
Thanks anyone for helping me to improve the mod. And you should really move on to SSE. Its benefits completely outweights any argument you'd come up, to stay with legendary.
Logo by starfis, Thank you starfis!
Please, to honour my efforts and future endeavours, endorse the Mod!
This is a new and updated version of the very popular Mod Realistic Needs and Diseases by Perseid9. Perseid9 ended support for his Mod on 3/07/2014. Since then the Mod has not been updated, nor has it been maintained or supported. I had high hopes perseid9 would return and continue his work, but now after more then 1 year, I've abandoned all hope for him to return. Perseid9 made his Mod public domain, and so I took the responsibility to step in his shoes and continue what might be the best and most convenient Needs Mod ever. Perseid9, if you read this and you disagree with my adoption, let me know and I'll hand over the source code including all the work on the widgets and MCM menu I've done.
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The Mod is now also ported to Skyrim Special Edition. Look over here.
Difference to original versionVersion 2. 2+ has:
- added widget support for hunger, thirst, sleep and inebriation, they can be static, hotkeyed and or auto-fading, they also come in two color variations
- all widgets are configurable in the MCM menu: position, size, transparency, turn on/off
- added FISS support for easy widget preset save/load
- configure auto update interval for widgets
- you can fill your waterskins/bottles on any well, troughs and waterwheels
- innkeepers will respond verbaly when buying drinks
- hotkey feature to customize food from other Mods...simply drop the fooditem to the floor, hover the mouse over and press the hotkey
- a MCM toggle feature to remove the nasty carry weight penalty on hunger and sleep...if you prefer cheating over suffering...;)
- added feature to allow grilling food (meat, leek, potatoe) on all campfires, embers and various other firesources
- a fully functional weight system...you will visually loose/gain weight based on your diet, this plays nicely with Pumping Iron...you will also get a weight widget showing your stature
- added hotkey based "resting" feature, replacing the vanilla wait system...you will regen health and
Realistic Needs and Diseases 2.0 is an updated version of the popular survival mod by Perseid9, adding needs and diseases mechanics to Skyrim. It includes new features like weight, and has a strong community following with 3,661 endorsements.
✨ Key Features
📊 Pros & Cons
✅ Pros
- Community favorite with 3,661 endorsements and over 100k downloads
- Brings back a classic survival experience with a fresh update
- Adds weight mechanics for extra immersion
⚠️ Cons
- Last updated in 2016, so may have compatibility issues with newer Skyrim versions
- Requires the original mod's assets, which might not be clearly indicated
For Skyrim players who enjoy survival mechanics like hunger, thirst, and fatigue. If you're a fan of the original Realistic Needs and Diseases, this updated version adds weight for more depth. Skip if you prefer a more action-focused playthrough without survival elements.
💡 Beginner Tips
- Make sure to load this mod after any other survival mods to avoid conflicts.
- Check the mod's forum page for community patches that might fix compatibility with your mod list.
- Use a mod manager like Vortex or Mod Organizer 2 to keep track of the files and avoid manual installation errors.
📊 Mod Details
- Game
- Skyrim LE Mods
- Author
- CrEaToXx
- Version
- 2.3.4
- Downloads
- 107,820
- Endorsements
- 3,661
- Category
- Gameplay
- Created
- 9/17/2016
- Updated
- 9/17/2016
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