Hello visitor! A note about the contents of this wiki: Barotrauma is a game with several years' worth history as a free-download open source game, and this wiki has been written primarily based on this legacy version. As such, not all content is relevant to the Steam release. So please wait patiently as the contents are updated, and feel free to contribute new information once the Steam version of Barotrauma is released!
Afflictions are status effects which characters can receive through varied means, they can have positive or negative effects. Afflictions are displayed as icons above your health bar, and in-depth information can be seen through the health GUI (which can be accessed with the [H] key, or by clicking on your health bar).
This menu shows:
- The limb affected (do note that some afflictions affect the whole body and are always displayed on the torso/head)
- The overall state of each limb, signalled by its color, from Green to Red
- A list of afflictions, and a loose indicator of their strength (Light, Medium or Heavy)
- A list of suitable treatments (may be misleading, only characters with high enough Medical Skill will get an accurate list of treatments) for the affliction.
Most afflictions can be treated by applying a suitable treatment to the afflicted limb, from the Health GUI, by dragging and dropping the treatment.
While some effects are not visually displayed until a certain threshold, if the associated icon is not shown the affliction has no effect on your character (except the stun affliction which never displays its icon)
- 1 List of Afflictions
- 1.1 Internal Damage
- 1.2 Bleeding
- 1.3 Burn
- 1.4 Oxygen Low
- 1.5 Bloodloss
- 1.6 Stun
- 1.7 Barotrauma/Pressure
- 1.8 Husk Infection
- 1.9 Psychosis
- 1.10 Drunk
- 1.11 Opiate Withdrawal
- 1.12 Opiate Overdose
- 1.13 Opiate Addiction
- 1.14 Gunshot Wound
- 1.15 Radiation Sickness
- 1.16 Morbusine Poisoning
- 1.17 Sufforin Poisoning
- 1.18 Deliriumine Poisoning
- 1.19 Cyanide Poisoning
- 1.20 Slow Metabolism
- 1.21 Hyperactivity
- 1.22 Husk Infection Resistance
- 1.23 Psychosis Resistance
- 1.24 Pressure Resistance
- 1.25 Vigor
- 1.26 Space Herpes
List of Afflictions[edit | edit source]
There is a total of 28 afflictions, 6 of which are helpful (technically 5 since one of them currently cannot be obtained during usual gameplay) and the other 22 harmful in some way.
Internal Damage[edit | edit source]
The area is an ugly shade of purple, and apparently very painful to touch. You suspect a bone might be broken.
The Internal Damage afflictions represents raw damage, and directly reduces the Health of the afflicted Character.
Most attacks in-game deal damage by using this affliction or its variants, and the affliction can affect any limb.
Variants[edit | edit source]
Internal Damage is split into 4 types:
Bite Wounds - Inflicted by various Creatures.
Bleeding[edit | edit source]
Blood pours freely from this ragged and particularly nasty open wound.
The Bleeding affliction represents open wounds, most of the Creatures on Europa can cause open wounds alongside Internal Damage. While Bleeding does directly reduce a character's health, its most dangerous attribute is the constant bloodloss caused by it. This affliction can affect any Limb.
Bleeding will gradually stop, until it eventually disappears, albeit waiting it out is usually not a viable solution due to the accumulation of Bloodloss.
Burn[edit | edit source]
The area is blistered and red, and skin is already beginning to peel away in sheets. The patient is in a great deal of pain.
The Burn affliction represents the damage caused by heat sources, and directly reduces the health of the afflicted character.
Oxygen Low[edit | edit source]
The skin is pale and clammy, and the lips turning blue.
The Oxygen Low affliction represents suffocation damage, and it directly reduces the health of the afflicted character.
The affliction is commonly caused by being in oxygen-poor environments (most commonly, underwater) without an Oxygen source or by being in critical condition.
The affliction will quickly vanish by being conscious in an oxygenated room.
If the afflicted character is in critical condition, the common course of action involves supplying the character with a Diving Mask and performing CPR. Alternatively, medical items such as Liquid Oxygenite can also treat it.
Bloodloss[edit | edit source]
The patient is pale and cold. Their heart beats in an alarmingly rapid fashion.
The Bloodloss affliction is how the damage from Bleeding progressively accumulates and has a direct impact on the health of the afflicted character.
The only way to receive Bloodloss is to have suffered from Bleeding for some time.
Bloodloss can be treated by supplying the patient with an external source of intravenous fluid, usually a Blood Pack.
While Bloodloss gradually disappears, a Bleeding wound will accumulate Bloodloss faster than it decays, leading to a constant loss of health.
Stun[edit | edit source]
The patient is dazed and unresponsive.
The Stun affliction has no impact on health, but prevents any kind of input from the affected character during its duration and forces the afflicted character into ragdoll mode.
Most commonly caused with a Stun Baton or Chloral Hydrate, albeit most attacks deal a tiny (fraction of a second) stun to simulate impact. Stunned characters can be [G]rabbed by other players, and their inventory freely accessed.
The stun duration can be reduced with Methamphetamine, however since stun disappears quickly it's rarely worth treating.
Barotrauma/Pressure[edit | edit source]
There is obvious massive organ damage and the blood vessels of the eye have burst, creating an unnerving red gaze.
The Barotrauma affliction can only be seen when examining characters who have died from it, but living characters will be shown the affliction's icon when they are in a high pressure area (most notably, Europa's ocean), death by Barotrauma is not instant, and its effects are signaled by screen shaking and Bleeding.
There is no way to treat nor heal barotrauma, its effects can only be prevented by wearing a Diving Suit (However, beyond the depth of 2000m, not even a Diving Suit will protect you from the pressure).
Husk Infection[edit | edit source]
Something dark and unpleasant moves in the mouth. They are rendered completely mute, save for occasional clicking sounds apparently emanating from deep within the throat.
A single bite/injection is enough to permanently infect a character, as the affliction progressively gets worse.
As the infection progresses, you will be prompted with messages about your state, the dormant stage of the infection has no adverse side effects, however, the medium stage of the affliction will make you unable to talk in chat (and possibly VOIP), and prevent all adverse effects of Barotrauma, allowing the Player to freely swim on the Europan Ocean without a Diving Suit. At its terminal stage, a stinger-like appendage will fully grow in the Character's throat, and can be used to attack (middle mouse button, or [R]) and spread the infection to other Characters. Being fully infected will also cause your Character to rise back from death as an NPC Husk, fortunately, a killed Husk does not revive a third time.
The only known treatment for a husk infection is Calyxanide, albeit it's only effective during the dormant and middle stages of the infection (doing so grants the player the "I am the cure" Achievement).
Calyxanide won't help during the final stages, in which it only deals heavy damage to the infected character.
Psychosis[edit | edit source]
The patient rants and mutters in an agitated fashion, a steady commentary of unseen events.
The Psychosis affliction has no impact on health, but causes the player to see fires and screen shaking, as if the submarine was being attacked by a Creature.
Psychosis can be inflicted from Deliriumine Poisoning, Alien Blood or from exploring the Alien Ruinscitation needed, and while it doesn't significantly impact a character's performance, may be troublesome in the event of a real fire.
Psychosis, on its own naturally fades away but may be instantly treated by using Haloperidol.
Drunk[edit | edit source]
The smell of alcohol rises from them like a vapor, their speech slurs a little, and their eyes fail to focus.
The Drunk affliction has detrimental effects for player movement, communication and perception, progressively worse depending on how drunk the player is, and can be gotten by drinking Ethanol.
Its effects include: Lowered max health, lowered Speed, blurry and visually distorted screen and speech impairment (only applies to AI dialogcitation needed).
Extremely drunk players can die from it, as the effect will eventually set the player's max health to 0, sending them into critical condition, however, death from alcohol poisoning is rare, as the affliction deteriorates relatively quickly (especially at high levels).
There's no way to cure drunk players, the only existing cure is waiting it out.
Opiate Withdrawal[edit | edit source]
Agitation and a tremor are obvious, as are the signs of nausea.
The Opiate Withdrawal affliction has detrimental effects for player movement, communication and perception, progressively worse depending on the severity of the affliction, a player will enter opiate withdrawal if they were suffering from Opiate Addiction and were not given opiates (Fentanyl, Opium and Morphine) or treated (with Naloxone).
Its effects include: Lowered max health (which can outright kill the player, if the affliction is severe enough), lowered speed, a visually distorted screen, strange colors and speech impairment (only applies to AI dialogcitation needed).
The affliction will very slowly fade out, but can be treated with Naloxone to reduce its effects or delayed by further fueling the patient's opiate addiction.
Opiate Overdose[edit | edit source]
The patient has pinpoint pupils and icy cold skin. They struggle to breathe and swallow.
The Opiate Overdose affliction appears when a player has been treated with too many opiates, minor overdose causes small distortion of the screen, while higher severity of overdose will greatly distort the screen and progressively kill the player by reducing the max health depending on the severity.
If you can see the icon above your health bar, you are at risk of death from opiate overdose.
Opiate overdose can not be cured, but it quickly decays.
In the event of overdosing on opiates, your only hope is to survive the recovery and seek suitable treatment for the upcoming Opiate Withdrawal.
Opiate Addiction[edit | edit source]
The patient is happy enough... so long as they get what they need.
The Opiate Addiction affliction appears when a Player has been given Opiates (albeit its effects only manifest when overused). This affliction serves as a "director" that constantly causes Opiate Withdrawal (forcing the player to either take additional Opiates, risking Opiate Overdose, or to deal with the progressively worse Opiate Withdrawal). Fully recovering from an Opiate Addiction grants the Player the "Getting Clean" achievement.
Opiate Addiction decays on its own, but can be cured with Naloxone. Taking Opiates while suffering from Opiate Addiction is not recommended, and should be avoided (outside of Roleplaying).
Gunshot Wound[edit | edit source]
The entry site is a small, dark, bruised hole oozing a little blood. The exit wound however is a large ragged mess of exposed tissue and pouring blood.
The Gunshot Wound affliction behaves exactly like Bleeding, albeit it's usually caused by stronger sources.
The most dangerous attribute from a Gunshot Wound is the constant Bloodloss caused by it. This affliction can affect any limb.
Radiation Sickness[edit | edit source]
Burns and sores can be seen on patient's skin. They seem to be spreading.
Radiation Sickness will cause progressively worse Burn on each limb of the body, leading to quickly accumulating damage.
Radiation Sickness does not decay overtime, and gets progressively worse, thus, it should be quickly treated with Antirad.
Morbusine Poisoning[edit | edit source]
The patient can't breathe at all, and their heartrate is slowing rapidly.
Morbusine Poisoning is caused by being injected with Morbusine.
It causes screen distortion, slowed movement, and quickly reduces max health.
Morbusine Poisoning will kill a character after about 50 seconds if not treated.
The only way to survive Morbusine Poisoning is to be given Morbusine Antidote in time.
Sufforin Poisoning[edit | edit source]
Without prompt treatment, sufforine poisoning leads to delusions and rapid death.
Sufforin Poisoning is caused by being injected with Sufforin.
It causes screen distortion, slowed movement, and quickly reduces max health.
Sufforin Poisoning will kill a character after about 50 seconds if not treated.
The only way to survive Sufforin Poisoning is to be given Sufforin Antidote in time.
Deliriumine Poisoning[edit | edit source]
Patient is hallucinating and exhibits paranoia.
Deliriumine Poisoning is caused by being injected with Deliriumine.
Unlike other poisons, Deliriumine is not lethal, as its only effect is causing a permanent, gradually increasing Psychosis.
Cyanide Poisoning[edit | edit source]
The patient is confused and has trouble breathing. Their skin is red and they have occasional muscle spasms.
Cyanide Poisoning is caused by being injected with It causes gradually worse screen distortion, drastically slowed movement, and as time goes on, permanent Stun as it quickly reduces the max health of the player.
Cyanide Poisoning will kill a character after about 100 seconds, but takes around 70 seconds to permanently stun the victim.
The only way to survive Cyanide Poisoning is to be given the Cyanide Antidote in time.
Slow Metabolism[edit | edit source]
Increases the duration of all buffs.
Slow Metabolism is a buff that can be obtained by drinking Tonic Liquid.
Its main purpose is increasing the duration of any other buffs, thus strengthening their effect.
Giving Tonic Liquid to a critically wounded patient may be worth it so as to increase the efficiency of further treatments
Slow Metabolism decays overtime, lasting a total of 100 seconds.
Hyperactivity[edit | edit source]
Gotta go fast.
Its main purpose is increasing the character speed to the safe limit (the fastest speed that doesn't cause collision damage on impact with walls/doors).
Hyperactivity decays overtime, lasting a total of 80 seconds with Methamphetamine, and 100 with Hyperzine.
Husk Infection Resistance[edit | edit source]
Husk be gone.
Husk Infection Resistance is a buff that can be obtained by being injected with Broad-spectrum Antibiotics.
It protects the player from the Husk Infection by up to 75%.
Husk Infection Resistance decays overtime, lasting a total of 100 seconds.
Psychosis Resistance[edit | edit source]
Psychosis be gone.
Psychosis Resistance is a buff that can be obtained by consuming Ethanol.
It protects the player from Psychosis by up to 75%.
Psychosis Resistance decays overtime, lasting 10 seconds for each sip of Ethanol.
Pressure Resistance[edit | edit source]
Pressure be gone.
Pressure Resistance is an unobtainable buff which protects the player from environmental Pressure by up to 75%.
Pressure Resistance decays overtime, at a rate of 1 unit per second.
Vigor[edit | edit source]
Damage be gone.
Vigor protects the player from damage by up to 75%.
Vigor decays overtime, lasting ~60 seconds with Anabolic Steroids.
Space Herpes[edit | edit source]
The patient's face is covered with nasty-looking blisters and ulcers.
Space Herpes' is a special negative affliction which can cause a number of negative effects, it can only be gained by reaching a low enough Karma value. (The low-point can be configured in the Server Settings)
Its purpose is to deter griefing in Multiplayer, some of its effects include: lowered max health, lowered movement speed, blurry and visually distorted screen, fainting, weakness and blisters on face.
It decays over time as the player's karma increases passively.