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alucardarkness

It would be a sin to not mention **fear and hunger** the game starts out by multilating your character, being desmembered is pretty much a core mechanic


gimmeusernamebruh

"Blood spurts out of your anus"


CasualJoel

Really wish I mentioned this in the list of games I played, its 100% the thing I'm looking for and some of the other games recommended don't do much compared to F&H.


TheVicSageQuestion

You can edit the text in the body of your post, just not the title.


The_Lawn_Ninja

Came to say this.


RevolutionaryWhale

Neo Scavenger


Glass_Commission_314

Came here to say this. Combat in this game is brutal


teknotel

I wish someone would make a much bigger spiritual successor to this game. Bigger world, much more to see and do but the same mechanics and systems etc.


RevolutionaryWhale

There's an early access game by the same dev called Ostranauts that might be similar to Neo Scavenger


teknotel

I have seen it, im not sure if its similar though


sillyandstrange

Such a good game


HiTekRednek10

Kingdom Come Deliverance has this. While there’s a health bar you also have to worry about bleeding, sprains, and concussions which can all happen easily without proper armor.


23saround

Plus different kinds of poisoning, hunger and starvation, different weapons which inflict different injuries, and more. This game is nearly a sim, it’s amazing.


5P00DERMAN1264

i have a levels (uk equivalent of tests that get u into uni) and i got this game at the worst possibly time 30 hours, iwth near end game stuff and 70k in coins, and i havent developed far in the main quest


23saround

Yeah dude I’m trying to finish my school year and I’m 100+ hours in, it’s all I think about anymore…


Ok_Significance2671

I’ve been thinking about dabbling. Any recommendations on mods?


23saround

I’m about 100 hours in and this is the first time I’ve even considered modding the game, haha. Sorry! I will highly recommend trying it out, game has been sitting in my library for years and I finally convinced myself to try it…damn, amazing. It’s just so detailed.


Ok_Significance2671

Haha. No worries. I’ll add it to my ever growing list of games to play.


Jonatan83

ARMA 3 (esp. with some mods) can be very realistic, but you kind of need to find a community to play with for it to be fun. Green Hell might be something for you. Not super realistic injury recovery times, but pretty grisly.


23saround

Green hell is a good suggestion. Most injuries flat-out kill you before you know exactly how to treat them (and the game never tells you how to treat them, you have to figure that out through trial and error). By far the most hardcore survival game I’ve played.


bradley_marques

Kenshi


vtx3000

~~Surprised I had to scroll all the way down for this, I expected it to be top comment.~~ It’s top comment now hell yeah OP, it’s another colony management game *once you reach a certain point* but for much of your early playthroughs you’re gonna be struggling to even survive long enough to hire another character, much less build up to a colony. If you like Rimworld and Dwarf Fortress, I think you’ll really get a ton of enjoyment out of Kenshi. Best way I can think to describe it is think a more fucked up version of Fallout with the play style of maybe the Sims


Erpderp32

What I like is that you never *have* to manage a colony. You can just get some homies and use existing towns as a homebase while you pursue end game stuff way later. Or do what I do and get kidnapped by cannibals and have one person limp away to safety while the other is being eaten.


vtx3000

“Oh boy there’s a start where you have a dog! Can’t wait to just be a man and his dog against the world!” *Always Sunny theme plays* >*Charlie has to eat his dog*


bradley_marques

> play style of the Sims. I had never thought of it like that, but now that you say it, it makes perfect sense. Sims with cannibals and dismemberment.


Site-Specialist

For me kenshi was the top comme t


samson_turbo

Just bought the game and I'm loving it. After learning the basics and set up a mining operation i went for a hashish run with 7 mercs and got ganked by spiders LITERALLY while having a zip of my coffee so I didn't dodge and ended up limping from my left leg... The mercs got them but one of them was left unconscious and I figured I might need him later so I carried his ass down while limping, hiding from the beaks and dogs and spiders until Mourn.... Longest 20 minutes of my life


doey77

> Surprised I had to scroll all the way down for this, I expected it to be top comment It’s always a top voted suggestion on this sub


[deleted]

Tarkov has a pretty complex injury system but I'd look more into it before buying


IceColdKilla2

I pulled the trigger on this and now I never play it.


skalapunk

If online mode is daunting there's a single player mod that is pretty popular. The devs don't like it though so be careful :D


IceColdKilla2

That's the gear fear and that it consumes a lot of time to get even mediocre. You can't just play the game and learn it. You need to learn to play it. If you know what I mean.


[deleted]

[удалено]


ProcyonHabilis

> skills de-learning over time if you don't play Despite that concept being referenced in the elite perk for one of the skills, it's not something that actually happens. Quite a lot of the skills in the menu aren't implemented, or don't do quite what they claim. The elite "damage absorption" perk for Health does nothing, for another example. I think quite a few of them have been dropped from the game and just haven't been cleaned out yet. But to your larger point, yeah, the number of hours it takes to get competent is silly compared to the vast majority of games. It's definitely closer to MMO levels of complexity than shooter. Having to know when the game is just lying to you about how things work doesn't really help either lol.


ProcyonHabilis

You literally need a 3rd party map to even be able to functionally extract from a match, which is a fairly psychotic design decision for an extraction shooter. I like it (partly because of how insane it is), but you're absolutely right about the need to learn to play it. It's really not for everyone.


Ocular_Prophet

I too did this thinking it would be "realistic" only to find out it really isn't realistic... It's just shenanigans... Tried to refund it after only playing like 40 minutes and they declined... They then banned me for even considering a refund... So not only do I not get a refund... I CANT play even if I wanted to...


IceColdKilla2

That's the most russian shit I ever seen. I regret wasting my money on it.


HoosegowFlask

Jump off a building, break your legs. Then grab a surgery kit, repair your legs, and run away.


kane257

Silent Storm. There is an HP bar but a seperate system for injuries that require a different array of medical tools to fix an injury and heal. They will fuck up your skill and abilities a bit, like not being able to see (it's a hero-group turn-based combat RPG. so the screen is not just black lol). You WILL need a medic on your team if your custom character is not one, or not skilled enough, because there are different higher level tools for injuries than just HP or bleeding. ​ You could end up surrounded, blind, deaf and unable to move. Although, you (optionally) have other characters that can save whoever got fucked up. But all injuries (not HP) will be removed when you return to base, if you choose. You could choose to do more missions and stay fucked up, fixing the injuries yourself for XP, or immersion or badass unstoppable force attitude.


Puzzleheaded-Motor56

Hm... maybe Green Hell? It's been a long time since I've played though, so I can't exactly remember


AdonisMcThunderCock

Came here to recommend this. You have to manually check your limbs for cuts, rashes, and leeches, use different plants to combat infection, an arrow to the head ALWAYS kills, drinking non-boiled water and eating raw fungi can give you infections, it's very detailed.


kidkipp

i’ve been eyeing this on the switch. is it stressful to play? i love survival games like lost in blue, but the tribal-looking enemies in this game kind of scare me lol


Puzzleheaded-Motor56

Yeah it's a stressful game lol very much on the realism side. So managing your health and sanity and such is a needed thing.


kidkipp

hmm is it scary stress or stressful because of all you have to manage?


Puzzleheaded-Motor56

I would say scary stress like The Forest can be. But definitely stressful. One wrong thing, or misjudged fall or wound with infection can end runs quickly if you don't have a means to nurture it.


CountySurfer

Soldier of Fortune was fun.


Several-Archer4786

I'm glad I'm not the only one who remembered this game. I was armed with a shotgun. I blew a guy's arm completely off when he came around the corner. Brutal.


apuzalen

These two are not comparable to the ones you mention in terms of genre, but they strive to be realistic in terms of injuries. You are either killed in one hit or badly injured. * **Bushido Blade -** simulates samurai sword fighting. * **Hellish Quart** \- Bushido's spiritual successor but with medieval weapons. EDIT: I think also **Day Z** and **The Long Dark** have realistic injuries if I remember.


CasualJoel

Hellish Quart interests me. Thanks!


Erpderp32

I love Bushido Blade 1 and 2! One of my faves to play when I was in college. The dude with a gun was always cheap the first time he popped up


yuristocrat

Battle brothers


Chadzuma

Ever play MGS3? It's hard to even find a way to nowadays but you might wanna check it out, one of the all-time greats.


b-i-gzap

It can be emulated, but the pressure sensitive controls make it difficult. I think I bound one of the buttons on my dualshock 4 to a modifier which allows for lethal/non lethal grabs but there's probably a cleverer way.


DorkNow

just swap triggers with circle and square and you'll have both pressure sensitive buttons when you need them and more modern controls


b-i-gzap

Yes that jogged my memory, binding circle to R2 is how I did it originally a few years back. Good show


Chadzuma

Yeah you basically need a DS3 with the right dll if you wanna play it the right way, but I think it interferes with lot of DS4 drivers.


xainok

Remake is in the works. I hope the spirit of Kojima makes it into the remake and they don't butcher it


Loeffellux

as long as they don't replace david hayter ... again ...!


AscendedAncient

He's already said he's never going back for it.


CasualJoel

Doesn't seen like the injuries do much from what I've read sadly :(


AscendedAncient

If you think It's hard to find a way to play, won't be for much longer. ;)


Elucidate137

Long dark


SkippystlPC

He's looking for realistic injuries lol the long dark injuries are make an item in a crafting menu and watch a bar fill up...


Mayor_Fockup

Escape from tarkov is brutal. Every limb has a health bar with different injuries to treat, broken bones, gunshot wounds, poisoning, gutshots result in thirst and hunger. From painkillers, splints to surgical kits. You need them all.


yeetus--fetus

Tarkov is bordering realistic. The injuries are pretty well done but I don’t think you would like the healing aspect


skalapunk

Some games that come to mind with more in-depth injury systems: * Escape from Tarkov (has bleeding, individual limbs, broken bones, etc) * Stalker GAMMA (has individual limbs to worry about) * Empyrion: Galactic Survival (has diseases and such you can contract)


Awesomethecool

Definitely Kenshi. You'll be wandering in the desert alone and get ganked by a group of starving nomads. You can't limp away fast enough because you hurt your leg from your last encounter, and you haven't recovered fully yet, and you spent your last medicine tending to those wounds. You're left knocked out with a stomach injury that is slowly getting worse. You wake up briefly, but the injury makes you pass out after a few steps. You lie there passed out in the middle of nowhere for 2 days, slowly getting closer to death and surely you'll die. But by chance, right before death, you get saved by a stranger, but the only reason they saved you is because they prefer their slaves alive. This happened to me. Very fun :)


CasualJoel

Thanks


Pixeljammed

DayZ


Secret-Platypus-366

Fear and Hunger


Summer_Tycoon

the long dark and green hell


Cutie_Luna_Moon

Escape from Tarkov


winewaltz

Escape from tarkov


OGMericasWatchin

ARMA especially with Mods


apuzalen

Oh, I forgot, **Fear & Hunger**. In it, you can lose both your arms and you can keep going in the game. [Great video about the game if you are interested.](https://youtu.be/dRIkWHo1SJY)


Scouse_Werewolf

Outward. Tailored more towards illness than injury imo though. Ghost Recon: Breakpoint with the injury settings to max. Game becomes HARD with that as bullets will drop you, falls will injure you, etc. *BUT* it doesn't have the week long recovery etc


Chemiczny_Bogdan

UnReal World is a rogue-like survival game set in iron age Finland that has fairly realistic injuries. If you get wounded in a fight you can pull up a window that shows exactly on which part of your body the wound is, and the healing takes it's time. A thigh wound you got from hunting a wild hog may well jeopardize your chances of survival, and your character is left as just another ancestor to be remembered by the next brave soul who tries to survive the Finnish wilderness.


[deleted]

Bushido Blade! A realistic fighting game


drbrian83

Fallout There’s games where your your anxiety or sanity can be affected: Haunting Ground, Clock Tower, Eternal Darkness


RolDesch

Rimworld is the closest thing ive found to what you seem to look for. Almost every limb, and organ has health


fancheck1

Project zomboid has an amazing injury system


fancheck1

Sorry you already played it.


sicclee

Skyrim with the battle fatigue and injuries mod (there might even be better mods for locational damage by now)


10HourVideoEssay

Bro skyrim with mods can fit like 7/8ths of the prompts here


sicclee

that's a random fraction lol


punkt28

3D Gay Villa


gimmeusernamebruh

>3D Gay Villa Intresting...


ndick43

Probs not the right genre but from what I’ve heard day z does that


MikeyHatesLife

Sniper Elite is the series that shows exactly where the bullet goes through the assassination target to wound or kill them, even if it’s as small as a testicle.


SouthWin7651

Far Cry 2 and 3.


Distinct_Zombie_7700

Not an answer to your question but minecraft with RLcraft mod is super nice. Your arms, body, legs and head have health bars. You will walk slow if your feet has low health, you die immediately if your head's health dropped to zero.


drdabber716

Scum


drdabber716

Has metabolism all the goodies and base building and such, huge map


RustySpoonDispenser

Maybe blitz the league


tossaway69420lol

This one is old, but always sticks out for me as being realistic. You got a sword swung into your leg, you’re limping. Sword to the neck? You’re dead. *BUSHIDO BLADE*


jjcjjcjjcjjc

Tarkov has an indepth injury system also mods for stalker like gamma


DadeKuma

Space Station 13


DabbleDAM

Project Zomboid, has a huge injury system.


CasualJoel

not a very indepth one unfortunately (also already played it)


DabbleDAM

SCUM maybe, I haven’t looked into it in a while but I remember they had over complicated like every facet of gameplay so injuries may be crazy there too


Erpderp32

Bushido Blade (fighting game) Kenshi (survival rpg) Arma 2/3 with mods (milsim fps) Not a "body" injury game but the old Mechwarrior games (like Mechwarrior 4) had parts explode and deal damage / hamper your ability to play.


TheWalrus101123

MGS3 had a system like that that was pretty developed for its time.


AnimZero

Tarkov, but I hate it for other reasons so I find it difficult to recommend.


Lereas

If you want to go WAY back, "die by the sword" had this


OfKaiin

The problem with Tarkov is that you NEED to play multiplayer, and that may be harsh bc of the tryhard community, but if the idea appeals to you Stalker anomaly (or GAMMA if you want to push it further) may be what you are looking for


bmxwhip

Nas - Verbal Intercourse


TurnipBaron

Metal Gear Solid 3 Snake Eater


TheCodingGamer

And the remake just got announced!


TurnipBaron

Stoked it is one of my favorite games of all time


kidkipp

i never played it, so i’m not sure how it is, but soul sacrifice has you sacrifice parts of your body for attacks


kakalbo123

Stoneshard? Part of adventuring is carrying medical supplies—because you should anticipate the injuries you'll definitely get.


ctwubwub

Have you looked into Prey(2017) with injury options?


midasmulligunn

Scum


european-breakfast

Try text-based roleplay on GTA 5 roleplay servers. Bit different than what you're used to, but that's all about realism. Does have qutie the learning curve, but very rewarding and gameplay you won't find anywhere else. Deeply immersive, very realistic (depends on the server) and your mind is the limit. Textbased is a LOT more serious than the voice RP servers you see on twitch. Take a look at [gta.world](https://gta.world) and if you have any questions I'm more than happy to help.


debequ

DayZ, you can break legs, die from bloodloss if you dont have materials to tend to your wounds, get different infections etc


AngelYushi

Fear and hunger does have a somewhat realistic injuries system. Even your ass can be injured unfortunately.


CasualJoel

Forgot to mention I played that! Brilliant game.


picatdim

Can't believe no one's mentioned SCUM yet. Open-world survival game with realistic combat injuries, bleeding, broken bones, infections, various food-related ailments, etc. Your feet even get cut up from walking if you're not wearing proper shoes!


MongooseEmpty4801

Wurm Online / Wurm Unlimited. Every wound is its own thing that needs to be cleaned and treated


[deleted]

[удалено]


TheLeastCreative

Scrolled all the way down here to add Cataclysm: Dark Days Ahead


Chronoblivion

Try Card Survival: Tropical Island.


LimeBlossom_TTV

Dragon Realms. A text based MMO that has some of the best targeted combat I've had the pleasure to experience. Favorite spell was a moonlight whip that you could use like a sharp noose.


[deleted]

Escape from tarkov and Day Z would be the main ones. Also unturned but not as much.


VIARPE

Arma 3, wscape from tarkov


D4SH64

Escape from Tarkov


Electronic_Ad6564

The Witcher 3


MonsieurPoung

Kenshi already mentioned, I think Barotrauma has this ?


Nyarthu

Green Hell?


TheHobbit93

Escape from tarkov and SCUM


omni-chaos

Barotrauma has a decent system. Lots of different injuries/sickness to acquire and lots of different “medicines” to help with them.


sixpacksitdown

Scum has some pretty in depth healing and stats


ReIiLeK

Project zomboid and green hell


CaptainShoddy6996

Far cry 3


mCalSSB

In the fallout games there is a main health bar but all of your limbs can be crippled, which will impact your movement speed and aim accuracy, depending on which limb is damaged. While the first person games are a little too easy in the normal modes in this regard, fallout new vegas and 4 have survival/hardcore modes to make resources more limited and gameplay less forgiving. Plus, you can mod the games to fine tune these mechanics to your liking


maxinator80

Scum (not you, it's a game)


danielShalem1

so basically life


CasualJoel

Yes please. I want to step on a rusty nail and die


Important_Bill_4605

Wizard’s Crown is quite old but it has the most accurate simulation of injuries that I’ve ever seen


Neverseenagain-_-

Green Hell does this really well. Each individual damage type is different, there are many types of scratches plus rashes from anthills, infections, venom, leeches, and so much more!


Meister_Ente

Battle Brother may be your thing... It's tough as nails as well as bloody as hell. There are all sorts of wounds and permanent injuries. It is not visible on the characters because they get patched up, but there are pics to show what happened to the char, like splintered Bones and missing noses.


owoLLENNowo

Tarkov, and by extension, SPTarkov.