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Gameplay

Under the Knife

by The AshForge Team · v1.0.0
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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. Requires the AshForge Mod Loader — enable it from the AshForge Hub.
Changelog
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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