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DOOMED | UNKNOWN CASUALTY - Difficult Health System
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A brutal Forge health overhaul heavily inspired by Project Zomboid and Casualties Unknown
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HEAVILY WORK IN PROGRESS. EXPECT WORLD CORRUPTION AND ITEM LOSSES.
AI USAGE / DEVELOPMENT NOTEI
If AI-assisted development is something you don't want in a mod, that's completely fine, DOOMED may simply not be for you.
credit to Alice ZyGenDer for making the title
SUFFERING IS THE SUBJECT.
A brutal, hands-on medical and survival simulation for Minecraft. Your body is real now - organs, blood types, bones, individual wounds - and healing is something you do with your own shaking hands. So is dying.
Doomed isn't a traditional difficulty setting, and it certainly isn't interested in providing a 'fun, rewarding gaming experience.' It is an unyielding, miserable simulator of physical degradation in-game and mental degradation in real life.
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
▪ Sustained medical distress - pain, suffocation, cardiac failure, brain damage, sickness, hands-on treatment you can fail ▪ Drug synthesis, use, addiction and withdrawal - opioids included (possible to disable in config) - depicted with their costs
▪ Cannibalism, with a disease you can only catch from it
▪ Despair, 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 self-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.
If you're a Dutchie like me, please contact 113 - they have genuinely saved me, you're never alone.
Server owners can disable individual Doomed systems in the config (despair, frostbite, opioids, 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 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.
Organs that fail, blood with a type, bones and joints and a spine, and wounds that are each their own injury with their own depth, contamination and age. Over 280 items, and most of them are ways to keep that body going. It is opt-in per player and built for multiplayer - and friends who never type /doom stay vanilla.
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.
"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."

Press H to open up your health panel.

Survival Layer
Thank you to Kyntiane and Nexopathy for sharing this video!
The Industry of Staying Alive
- One power block: the Fuel Generator, burning ordinary furnace fuel.
- Nine chemistry machines and a Reactor run real multi-step synthesis - poppies to latex to opium to morphine, and onward into things you should not make. Purity is rolled from how well you actually ran the step, and a dirty batch carries its filth into the syringe.
- Chemistry is dangerous the way it should be: fumes sicken you without a mask, flammable steps can flash over open flame, sealed reactions can rupture, and dirty glassware taints the next batch.
- Machines take per-face routing and real heat staging - a brazier under the vessel is tier one, more heaters against it go higher, and too much heat overcooks the batch. Every recipe opens natively in JEI and EMI.
- Twenty-six drugs exist as real, pipeable Forge fluids with purity tracked in the tank - your tech mod's pipes can move morphine.
- Sealed supply pods cracked through a staged defusal on a 180-second clock you cannot pause or reset - walking away or relogging does not stop it. Every threat announces itself first - a hiss, or a blink, or scorching on the hull.
- Batteries come in real sizes, rebreathers refill at the Oxygen Compressor, and the Decon Station scrubs and disinfects everything at once
IT IS EXTREMELY IMPORTANT YOU USE THE MIXING FLUID BARREL WHEN COLLECTING LIQUID FROM CHEMISTRY MACHINES
(More info in the game)
The WITNESS Tablet
Live ECG, blood pressure, oxygen, blood volume with loss per minute - and a diagnosis engine that names the root problem, nests its complications under it, ranks the most urgent intervention first, and admits what it cannot know. Treat our AI girl well, please!
Out of the box it is not your tablet: it boots as a UNI-HEALTH(tm) device, files you as an ASSET with a number, runs a sponsored ad band over your dying body, pops up a satisfaction survey the moment you stabilize, and auto-accepts a EULA on your behalf. Clause 22: "By continuing to live, you accept these terms."
The Transformation & Endless
One question at the start: Endless, or C.A. #DR-01.
Endless
- Is the health simulation, indefinitely, with a trait screen - perks paid for with flaws, starting budget zero.
C.A. #DR-01
- Survive the transformation and the Bureau.
For Modpack Authors & Server Owners
- Over 200 config options.
- One pace factor scales every vital rate from 0.05x to 100x, with per-system multipliers - bleed, hunger, thirst, infection, spoilage - each settable to zero.
- Pack hooks throughout: heat and cold source tags, hydrating food tags and damage-type physiology profiles (poison finds the liver, dragon breath finds the lungs) in datapacks; fully editable loot lists and dimension allow/deny policies in the server config.
- Servers with a decided look can lock individual customization options without silently disabling mechanics.
- 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.
CREDITS
MESHAPI愛 - for allowing me to use their music in my work!
Cryoxxed - for having made over a hundred item textures!
crushed acorn - for working on the experiment trader!
Vamu - for having made the Endowed model!
Alice ZyGenDer - for making the CF page title & mortar and pestle model!
Furminium - for being the voice actor and designer of the imaginary friend!
Vector - for helping out with code and debugging!
Rain animation and selected sound effects sourced from Grace, developed by The Fartering Few. Blood Rain GIF sourced from Grace Wiki, uploaded by Arctix53.
and my community, thank you so much for supporting this mod!!
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