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Gameplay

Under the Knife

by The AshForge Team · v1.2.1
⬇ New 765 KB
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medicaldoctorshealthgameplay

Summary

The base game gives you a Medicine skill, medicine and a treatment task, but doctors never treat anyone on their own — you have to right-click every wound, and colonists bleed out next to an idle medic. Under the Knife fixes that. Assign a colonist to Medicine and they tend the wounded themselves, worst cases first; a colonist bleeding out pulls a medic off whatever they were doing. Mark any bed a treatment bed to heal faster there and draw the walking wounded in to be cared for.

Details

• Auto-treating doctors. Assign Medicine and your medics tend the wounded on their own, in triage order — bleeding first. No more clicking every wound on every pawn. • Bleedout emergencies. A colonist about to bleed out pulls a medic off ordinary work to treat them, even when Medicine is set low. • Medical beds. Mark any bed a treatment bed on its Treatment tab: wounds mend faster there, badly-hurt colonists walk to one on their own and stay put until they're seen, and the healthy keep out so the ward stays open. • Wound alerts. Three severity tiers — wounded, badly wounded, and dying — plus a warning when someone is hurt and nobody is assigned to Medicine. Click an alert to move the camera through the wounded one by one. • Tunable under ESC ▸ Mod Settings: a master auto-treat switch, the bleedout-emergency thresholds, the healing rate, and how hurt a colonist must be before they go and lie down.
Changelog ▾
v1.2.1October 21, 2026
  • ChangedSafer alongside other mods. With the AshForge loader installed, this mod's game patches now go through the loader's own copy of Harmony, the patching library. Two mods changing the same part of the game from different copies of Harmony could silently cancel each other out; on one shared copy both changes take effect.
  • FixedQuitting to the main menu now frees the colony you left. Before, it stayed in memory until the next one loaded, about 190 MB in our tests.
v1.2.0October 8, 2026
  • ChangedRebuilt for the current Ascent of Ashes, and works with the game's built-in mod manager: extract the archive into the game's Mods folder and enable it in the in-game Mods menu. Installs through the AshForge Hub work as before; if both are present, only one copy runs.
v1.0.0July 19, 2026
  • NewFirst release: auto-treating doctors with triage, drop-everything bleedout response, medical beds, and severity-tiered wound alerts.

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