DOOMED | UNKNOWN CASUALTY - Difficult Health System
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A brutal Forge health overhaul heavily inspired by Project Zomboid and Casualties Unknown
Designed to be spooky or terrifying, often including dark environments, scary monsters, and survival horror mechanics.
Forge is a popular mod loader for versions 1.1+ of Minecraft.
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Description
DOOMED
A brutal, hands-on injury and survival system for Minecraft. Your body is fragile, your wounds are real, and healing is something you do with your own shaking hands.
TO BECOME DOOMED: TYPE '/doom' IN CHAT
CONTENT WARNING - PLEASE READ BEFORE YOU INSTALL
Doomed is a work of horror fiction. It is built to be disturbing, and it depicts heavy subject matter openly and without flinching.
This mod contains, in explicit detail:
▪ Graphic injury and gore - bleeding, broken bones, amputation, shrapnel, blown-out eyes, wounds you treat by hand
▪ Body horror and a forced, corrupting bodily transformation
▪ Sustained medical distress - pain, suffocation, cardiac failure, brain damage, sickness, hands-on treatment you can fail
▪ Despair, self-destruction, and self-harm themes. A character in a very low mental state can enter a self-harm episode; the story's climax is a despair-driven, unskippable transformation-death sequence in which the character confronts their own destruction.
This content is fiction. It depicts a doomed character's descent and self-destruction as horror, in the tradition of Project Zomboid and Casualties Unknown (this mod is not affiliated with either). It is not instructional, and it is not an endorsement or encouragement of self-harm. Every dark line you read in-game is spoken by the fiction - the curse, the entity, the character's own breaking mind - never as advice to you.
If any of this hits close to home, please look after yourself first.
In the US, call or text 988 (Suicide & Crisis Lifeline). Internationally, findahelpline.com lists free, confidential lines for your country.
Server owners can disable individual Doomed systems in the config (despair, frostbite, infection, radiation, trap damage, and more), and any player can leave the whole thing behind with /doom off. You are never trapped in it.
⚠ AND IT IS NOT A DIFFICULTY SETTING ⚠
Suffering is the subject, not a side effect. You are cursed with a fragile demi-human body. You will bleed out. You will break bones, choke on your own blood, catch infections, lose your mind to brain damage, and shake so badly you can barely treat yourself. Healing is not a hotbar item you click - it is a set of tactile, fiddly, hands-on minigames you perform on your own flesh while in agony, and you can absolutely botch them and make things worse.
Suffer well.

DOOMED makes Minecraft significantly harder to survive.
Broken bones matter. Infection matters. Pain, oxygen, thirst, hunger, exhaustion, mood, trauma, and temperature all push back against you. This is a system where wounds stack, mistakes linger, and surviving a fight does not mean you survived the consequences.
You can choose to become Doomed
Simply input '/doom' in the chat
Doing so marks you as something the world is allowed to hate. Compatible mobs and systems may become more hostile toward you; soft integrations can treat you as a target. And something begins to speak. It does not stop.
"Salivating over your own destruction."
"Dribbling with pathetic, unearned confidence."
"No demon forced your hand. No god set this trap."
"You crawled into the furnace all by yourself, laid down, and pulled the lid shut."
"No matter how fast you run, or how hard you fight, tomorrow's sorrow is already waiting for you."

Features
Injury & trauma
- Body-part health tracking - press H to open your body panel
- Bleeding, internal bleeding and hemorrhage pressure
- Broken bones, dislocations, amputations, shrapnel, open wounds and infection
Vital signs
- Pain, shock, consciousness, brain damage, oxygen loss and cardiac failure - each tracked and each able to kill you
Survival needs
- Hunger, thirst, temperature (cold and heat), exhaustion, sleep quality, weight strain, wetness, dirtiness, radiation, venom, immunity and sickness
Treatment
- Hands-on treatment minigames you perform on your own body - and can fail
- Moodles that tell you, at a glance, what is going wrong
Tools & integration
- The WITNESS Diagnostic Tablet: body scans, vitals, trace explanations and lore
- Optional soft-compatibility hooks for RPG Classes and hostile-world systems
Survival Layer
Thank you to Kyntiane and Nexopathy for sharing this video!
- Temperature. Weather, night, altitude and shelter drive your core body temperature. A freezing, exposed night can frostbite off your fingers; a roof or a fire keeps you alive; digging deep escapes the surface cold.
- Warm up. Campfires, lava and lit furnaces warm you through your clothing - plus new blocks: the fuel-burning Brazier and portable RF-powered Heater / Cooler machines (their charge travels with the block). Heaters and coolers from other mods work too, via datapack block tags.
- Gear up. Resistance ferns (sun-fern in warm biomes, frost-fern in cold) drop fibre for craftable insulation - fur coat, liner, hood - plus a warming Hot Drink and a chilling Cold Pack. Craft a Thermometer for an exact body-temperature readout on your HUD.
- Water. Fill a craftable Canteen from any water source and boil it clean on a fire, brazier or heater - or drink straight from open water with an empty hand, if you don't mind the silt (and the sickness that comes with it).
The Ending
The transformation has an ending.
I will only say this: it cannot be skipped, it cannot be rushed, and at one point the game will ask you to type something. Mean it.
(Headphones recommended. Flashing-image / photosensitivity warning applies.)
Survivors carry permanent marks - and permanent gifts.
Diagnostic Tablet
The field diagnostic tablet gives a more detailed readout of what is happening to your body. It can show vitals, affected body regions, active overlays, likely causes, warnings, prognosis, and deeper lore records through the Bureau archive. You must craft it.
IRIS is built into the device. She is not always nice, but she is usually correct.
Optional RPG Classes Integration
When used with RPG Classes, Doomed can appear as a selectable path.
Selecting it does not instantly confirm the class. It opens the Doomed ritual instead. Backing out leaves you unclaimed. Completing the ritual binds the Doomed path.
For Modpack Authors & Server Owners
- Every heavy Doomed system can be switched off in the config, mid-world and state-preserving: temperature, frostbite, despair, infection, radiation, trap damage, condition effects.
- Add any block to the
doomedmatu:heat_sources_*/cold_sources_*tags to make your own heaters and coolers warm or chill a Doomed player. - Any player can renounce the class entirely with
/doom off.
Inspiration
This mod is heavily inspired by:
- Project Zomboid
- Casualties Unknown
It is not affiliated with either project.

JOIN THE DISCORD SERVER
Updates, bug reports, server news, testing, screenshots, support, and future development happen in the Discord. This mod was made for my modpack: Fantastic Frontier.
▶ JOIN THE FANTASTIC FRONTIER DISCORD ◀
If you play the pack, join the Discord. Most communication around the project happens there.
We also have a public server: play.fantasticfrontier.xyz

SUPPORT DEVELOPMENT
Fantastic Frontier is free to play, but it is not small to build.
Support helps cover server costs, development time, commissioned work, custom assets, testing, bug fixing, and the amount of time I can realistically keep putting into the project.
Ko-fi: https://ko-fi.com/matulives PayPal: https://paypal.me/MattLeTwat
Downloads help. Support decides how far the project can grow.

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