BLURRY SCREEN
Pain causes pulsating blur around the edges of the screen, making threats harder to spot during combat. It lasts until the cause is treated or pain is suppressed.
The basics you need to know
Light Bleeding
You lose health slowly. Use a simple bandage to stop the bleeding.
Heavy Bleeding
Very dangerous! You lose health rapidly and leave a blood trail on the ground. Use a tourniquet.
Fractured Limbs
A fractured leg slows you down. A fractured arm impairs aiming and item use. Use a splint to treat the fracture.
Pain Effect
Your screen becomes blurry and your character groans. painkillers help you ignore this.
HEALING SYSTEM: PRIORITY & MANUAL USE
- Important: items in your backpack cannot be assigned to hotkeys; move them to your rig or pockets first. CMS and Surv12 can also be bound while equipped in a compatible special slot.
- Hotkey: If you place a medical kit on your hotbar (e.g., key 4) and use it, the game automatically prioritizes the most severe injury first (Heavy Bleeding > Light Bleeding > Lowest HP body parts).
- Surgical kit hotkey: With CMS or Surv12 in a special slot, drag the kit to an empty hotkey slot, or hover over it and press an unused key from 4 to 9.
- Drag & Drop: You can open your inventory and drag the medkit or bandage directly to the specific body part you want to heal (e.g., ensuring your Thorax is healed before an arm).
- Interrupting an action: some healing and surgery animations can be interrupted before they finish with an action input, such as firing or aiming; the cancellation is not instant. Some HP may be restored before the interruption. Bleeding or fractures are treated, and surgery restores the limb, only if the use completes. Canceling surgery too early may consume a use without restoring the limb. Do this only in an emergency.
Dealing with Bleedings
LIGHT BLEEDING
SLOW HP DRAINOccurs when you take a grazing shot or cut. It is not desperate, but you need a bandage or a medical kit to stop it.
HEAVY BLEEDING
RAPID HP DRAINHeavy bleeding drains health quickly and can kill you. Use a tourniquet (Esmarch or CALOK-B) to stop it in time.
FRESH WOUND
After treating a heavy bleed, the wound remains "fresh" for up to 8 minutes. Major damage can reopen it; sprinting or jumping may cause light bleeding. Avoid exertion until it heals.
Fractured Limbs
What happens when fractured?
- Legs: Each fracture reduces movement speed by 45% and lowers jump height. You cannot sprint without painkillers; sprinting while affected damages the leg.
- Arms: Aim sways and actions such as using items, searching, reloading, and swapping weapons become slower.
- Warning: Painkillers let you sprint with a fractured leg, but sprinting causes additional damage to it. They do not heal the fracture.
How to fix?
You need to use a splint. Painkillers only help you ignore the issue for a short time, but they do not heal the fracture.
When everything starts to hurt
Pain and tremor are different effects. Pain impairs vision and, if untreated, can also cause hand tremors. Recognize the icon and find cover before using medication.
TREMBLING HANDS
Your hands shake and aiming becomes less stable. Tremor can start after 45 seconds of untreated pain or as a side effect of certain stimulants and provisions. Check its cause before consuming another item.
How to respond
Find cover
Leave the line of fire. Using medication takes time and leaves you vulnerable.
Relieve the pain
Use painkillers to temporarily suppress pain. Duration and side effects depend on the item.
Treat the cause
If a limb is fractured, use a splint. Also treat bleeding and other effects that are causing pain.
Painkillers do not heal fractures or stop bleeding. They let you sprint with a fractured leg, but sprinting still damages the leg.
Status effects, buffs & debuffs
STATUS REFERENCE
Not every effect appears as a health bar. Some drain energy, impair vision or hearing, or change movement. Learn what each sign means and what to prioritize.
01
Light bleeding
Drains 1.36 HP from each functioning body part every 6 seconds and 5 Energy per minute.
DURATION
Until treated
TRIGGER
Bullets, falls, melee attacks, shrapnel, and barbed wire.
WHAT TO DO
Use a bandage or medkit with enough charge.
02
Heavy bleeding
Drains 1.53 HP from each functioning body part every 4 seconds, uses 6 Energy per minute, and leaves blood trails.
DURATION
Until treated
TRIGGER
Primarily bullets.
WHAT TO DO
Stop it first with a tourniquet, CALOK-B, or a medkit that treats heavy bleeding.
03
Fresh wound
Replaces treated heavy bleeding; major damage can reopen it, while sprinting or jumping may cause light bleeding.
DURATION
Up to 8 minutes
TRIGGER
After treating heavy bleeding.
WHAT TO DO
Avoid sprinting and jumping; seek cover if it reopens.
04
Fracture
A leg fracture reduces movement speed by 45% per leg and lowers jump height; an arm fracture slows item use, searching, aiming, weapon swaps, and reloads.
DURATION
Until treated
TRIGGER
Falls, bullets, melee attacks, and failing the Gym event.
WHAT TO DO
Use a splint. Painkillers only mask it; sprinting with a fractured leg causes damage.
05
Pain
Blurs the screen edges and can lead to hand tremors.
DURATION
Until the cause is treated
TRIGGER
Fractures and other painful effects.
WHAT TO DO
Treat the cause; painkillers temporarily remove pain and ignore fractures.
06
Hands tremor
Makes your aim shake.
DURATION
Until the cause of pain is treated
TRIGGER
Untreated pain for 45 seconds or side effects from some stimulants and provisions.
WHAT TO DO
Treat the pain and check the consumed item’s side effects.
07
Concussion
Causes tinnitus and muffled audio.
DURATION
Depends on the cause
TRIGGER
Explosions and helmet ricochets.
WHAT TO DO
Get out of the line of fire and wait for it to fade.
08
Tunnel vision
Creates pulsing darkness around the edges of the screen.
DURATION
Depends on the cause
TRIGGER
Side effect of some stimulants.
WHAT TO DO
Avoid taking another stimulant until it passes.
09
On painkillers
Ignores pain and fractures, but turns peripheral vision black and white.
DURATION
Varies by item
TRIGGER
Painkillers, morphine, balms, and some stimulants.
WHAT TO DO
It is temporary: treat the fracture when it is safe.
10
Dehydration
After hydration reaches zero, deals 1 HP damage per functioning part every 15 seconds, and causes pain and tremor.
DURATION
Until hydration is restored
TRIGGER
Starts about 50 seconds after hydration reaches zero.
WHAT TO DO
Drink as soon as you can; damage can kill once Head or Thorax reaches zero.
11
Energy exhaustion
After energy reaches zero, deals 1 HP damage per functioning part every 5 seconds and causes tunnel vision.
DURATION
Until energy is restored
TRIGGER
Starts about 30 seconds after energy reaches zero.
WHAT TO DO
Eat when it is safe.
12
Overweight
Increases noise, stamina drain, and fall damage; reduces movement speed and jump height.
DURATION
Until weight is reduced
TRIGGER
Above approximately 33.77% of the current carry limit.
WHAT TO DO
Drop, stash, or transfer items to reduce your load.
13
Critical overweight
Prevents sprinting; stance and crouch movement also limit stamina recovery.
DURATION
Until weight is reduced
TRIGGER
When weight exceeds the current carry limit.
WHAT TO DO
Reduce your load before crossing exposed areas.
14
Stamina fatigue
Each stack increases Energy drain by 0.38 per minute.
DURATION
3 minutes per stack
TRIGGER
Continuous stamina use while the reserve is critical.
WHAT TO DO
Stop sprinting, recover stamina, and avoid entering combat exhausted.
15
Poisoning
Deals heavy damage over time and causes pain.
DURATION
Until an antidote is used
TRIGGER
Cultist knife or barbed wire in the Labyrinth.
WHAT TO DO
Use xTG-12 or Perfotoran (Blue Blood).
16
Stun and flash
Stun blinds and forces quick reloads; flash impairs vision.
DURATION
Varies; flash can last up to 90 seconds
TRIGGER
Flash grenades and other blinding devices.
WHAT TO DO
Find cover and wait for vision and hearing to return.
17
Consumable buffs & debuffs
Food, drinks, and stimulants can improve attributes or add delayed negative effects.
DURATION
Depends on the item
TRIGGER
Consuming provisions or stimulants.
WHAT TO DO
Read the item description and plan around effects that begin after the main duration.
18
Gym muscle soreness
Mild pain reduces skill points by 50%; severe pain prevents gaining skill points at the Gym.
DURATION
24 hours
TRIGGER
First and second training sessions, respectively.
WHAT TO DO
Consider the penalty before training again.
19
Berserk
Increases FOV, applies a painkiller effect, and grants infinite stamina; the PMC also shouts an aggressive phrase when it activates.
DURATION
10 seconds
TRIGGER
Elite Stress Resistance effect that activates at low health.
WHAT TO DO
Use the short window to reposition.
20
Panic attack
Forcefully jams your currently equipped weapon.
DURATION
While Kollontay is holding the PR-Taran baton.
TRIGGER
Being near Kollontay while he has the baton equipped.
WHAT TO DO
Leave Kollontay’s proximity and clear the weapon malfunction when safe.
How your body works
HEALTH DISTRIBUTION
440HPBase HP by body part
Default PMC values at the start of a raid. Arms and legs each count twice toward the total.
| BODY PART | PER PART | COMBINED |
|---|---|---|
| HEAD | 35 | 35 |
| THORAX | 85 | 85 |
| STOMACH | 70 | 70 |
| ARMS | 60 | 120 |
| LEGS | 65 | 130 |
| TOTAL HEALTH | 440 | |
Effects of injuries and blacked-out parts
01
Head and Thorax
Cannot fracture and cannot be restored with surgery. At 0 HP, any further damage is fatal. Bleeding or health lost to stimulants can reduce the part to zero without killing immediately.
02
Arms
Fractured: item use and searching are 50% slower on the right arm and 67% on the left. Reloading, drawing, and aiming take 67% longer on the right; reloading and drawing take 50% longer on the left. Destroyed: additional damage is distributed across the body at 0.49×.
03
Stomach
Cannot fracture. When destroyed, Hydration and Energy loss increase by 5×. Additional damage is distributed across the body at 1.05×.
04
Legs
Each fracture reduces speed by 45% and lowers jump height. Sprinting requires painkillers and still damages the leg. Destroyed legs distribute additional damage across the body at 0.7×.
Hunger and Thirst
DEHYDRATION
SLOW HEALTH DRAINAbout 50s after hydration reaches zero, you lose 1 HP per functioning body part every 15s; pain and tremors may also occur. Drink when safe.
EXHAUSTION (STARVATION)
RAPID HEALTH DRAINAbout 30s after energy reaches zero, you lose 1 HP per functioning body part every 5s and may get tunnel vision. Eat when safe.
Medicines & Supplies Guide
01. First Aid Kits (HP)
2 sec
AI-2 medkit
100 HP total; restores up to 50 HP per use. Does not treat bleeding or fractures.
3 sec
Car first aid kit
220 HP total; up to 70 HP per use. Treats light bleeding, consuming 50 HP from the kit.
3 sec
Salewa first aid kit
400 HP total; up to 85 HP per use. Treats light bleeding (45 HP) and heavy bleeding (175 HP).
3 sec
IFAK
300 HP total; up to 50 HP per use. Treats light bleeding (30 HP) and heavy bleeding (210 HP).
3 sec
AFAK
400 HP total; up to 60 HP per use. Treats light bleeding (30 HP) and heavy bleeding (170 HP).
5 sec
Grizzly first aid kit
1800 HP total; up to 175 HP per use. Treats bleeding, fractures, and contusions; costs 40/130 HP for light/heavy bleeds.
02. Bleeding Control
2 sec
Aseptic bandage
1 use. Stops 1 light bleed.
2 sec
Army bandage
2 uses. Military version for light bleedings.
5 sec
Esmarch tourniquet
Standard tourniquet to stop heavy bleeding.
3 sec
CAT tourniquet
Fast tactical tourniquet for heavy hemorrhages.
2 sec
CALOK-B
3 uses. The fastest way to stop heavy bleedings.
03. Surgery & Fractures
5 sec
Immobilizing splint
1 use. Heals 1 basic fracture.
3 sec
Aluminum splint
3 uses. Metal splint to treat multiple fractures.
3 sec
Tigzresq splint
7 uses. The best premium splint available for fractures.
16 sec
CMS surgical kit
3 uses. Restores blacked-out limbs. Reduces maximum limb HP.
20 sec
Surv12 field surgical kit
9 uses. Restores blacked-out limbs and treats fractures; preserves more HP than CMS.
04. Pain Relief
3 sec
Analgin painkillers
4 uses. Relieves pain for 95s.
5 sec
Augmentin antibiotic pills
Antibiotic. Relieves pain for 155s; grants +5 Energy and +1 Immunity for 300s, while reducing Hydration by 5.
5 sec
Ibuprofen pills
8 uses. Suppresses pain for 290s, but reduces Hydration by 17.
6 sec
Vaseline balm
3 uses. Suppresses pain for 350s; reduces Energy by 9 and Hydration by 9.
7 sec
Golden Star balm
5 uses. Suppresses pain for 370s and removes radiation for 420s; costs 19 Energy and regenerates +1 Energy/Hydration for 5s.
05. Injectors & Stimulants
2 sec
Morphine injector
Suppresses pain for 305s; reduces Energy by 10 and Hydration by 15.
2 sec
Propital
Health, Vitality, and Metabolism +20; regenerates +1 HP/s for 300s (up to 300 theoretical HP) and suppresses pain for 240s; may cause tremors afterward.
2 sec
eTG-change regenerative stimulant
Regenerates +6.5 HP/s for 60s (up to 390 theoretical HP) and Energy +0.5/s; afterward, Health/Endurance -5 and Energy recovery -3/s.
2 sec
AHF1-M
Health +5 and stops/prevents bleeding for 60s; afterward, reduces Hydration recovery by 0.3/s for 120s.
2 sec
Perfotoran (Blue Blood)
Regenerates +1.5 HP/s for 60s (up to 90 theoretical HP), removes radiation/toxins, and stops/prevents bleeding; treating a heavy bleed causes side effects.
2 sec
M.U.L.E. stimulant
+50% carry weight for 900s; reduces Health regeneration by 0.1 HP/s during the effect.
2 sec
3-b-TG stimulant
Attention and Perception +30, Strength +10, and Stamina recovery +1/s for 240s.
2 sec
Meldonin stimulant
Strength +10, Endurance +20, Stamina recovery +0.5/s, and damage taken -10% for 900s; afterward, reduces Energy/Hydration recovery by 0.1/s.
2 sec
Trimadol stimulant
Suppresses pain for 185s; combat stats and Stamina recovery (+3/s) last 180s; Energy/Hydration recovery -0.5/s during the effect.
2 sec
SJ1 TGLabs
Strength, Endurance, and Stress Resistance +20 for 180s; afterward, reduces Energy recovery by 0.25/s and Hydration by 0.3/s.
2 sec
SJ6 TGLabs stimulant
Maximum Stamina +30 and Stamina recovery +2/s for 240s; may cause tremors afterward.
2 sec
Zagustin
Vitality +20 and stops/prevents bleeding for 180s; after 170s, reduces Hydration by 1.4/s for 40s and may cause tremors.
2 sec
PNB stimulant
Removes contusion. Strength +20 and Health regeneration +3/s (up to 120 theoretical HP) for 40s; afterward, it reduces Health and Vitality.
2 sec
SJ9 TGLabs stimulant
Body temperature -7 °C for 300s; afterward, reduces Metabolism by 20 and Health regeneration by 0.1/s.
2 sec
SJ12 TGLabs stimulant
Perception +30, body temperature -4 °C, and Energy/Hydration recovery +0.05/s for 600s; temperature rises afterward.
2 sec
Obdolbos 2 cocktail
Strength, Endurance, Attention, and Perception +20 and carry limit +45% for 30 min; afterward, maximum Stamina, recovery, and health regeneration decrease.
2 sec
Adrenaline injector
Strength and Endurance +10 for 60s; regenerates +4 HP/s for 15s (up to 60 theoretical HP). May cause tremors and reduce Energy/Hydration afterward.
2 sec
xTG-12 antidote injector
Antidote against poisons and toxins for 60s; reduces Health by 5 after use.
2 sec
P22 (Product 22) stimulant injector
Stress Resistance, Health, and Vitality +30 for 60s; afterward, reduces Endurance by 10 and Stamina recovery by 0.8/s.
2 sec
L1 (Norepinephrine) injector
Endurance +10, Strength +20, and maximum Stamina +30 for 120s; afterward, reduces Energy/Hydration recovery by 0.45/s.
2 sec
Obdolbos cocktail injector
Randomized effects for 600s; severe debuffs, including sudden death, are possible.
2 sec
2A2-(b-TG) stimulant injector
Attention and Perception +10 and carry weight +15% for 900s; reduces Hydration recovery by 0.1/s.
Help! What do I use first?
- 01
STOP THE BLEEDING!
Heavy bleedings are the number one killer. If you are bleeding heavily, use a tourniquet immediately.
- 02
PROTECT HEAD & THORAX
Protect your Head and Thorax: a hit that reduces either part to zero usually kills you. If bleeding reduces one to 0 HP, you may remain alive; the next damage to that part, including another bleed tick, can be fatal.
- 03
ELIMINATE THE PAIN
Use painkillers to stop screen sway and enable running even when heavily injured.
- 04
TREAT FRACTURES & SURGERY
Before surgery or using a splint, stop all active bleeding, light or heavy. It keeps draining HP during the animation and can reduce a body part to zero. Perform treatment from a safe, hidden position.
Friendly Tips
PREVENT PAIN: Use painkillers before entering dangerous areas. This way, if you get shot, you can still run.
HOTKEYS: Place your medical items on keys 4 to 9. Your tourniquet should always be on the easiest hotkey!
WATER & FOOD: If you need both food and water, eat first and drink afterward: some foods reduce hydration, so water can replace what was lost. Medications and surgeries also drain hydration; carry water in your backpack.
SPECIAL SLOTS: CMS and Surv12 kits can be placed in compatible special slots on your rig. Items in these slots are not lost on death.