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Survival mechanics

Fallout Anomaly is a brutal experience where staying alive is a constant struggle. Understanding these systems is the difference between thriving and dying.


Advanced Needs 76

We use Advanced Needs 76 as the backbone of our survival experience. It is a highly modular system where every feature can be toggled via the MCM.

Explore the Needs & World Interaction systems

Core Survival

  • Primary Needs: Management of hunger, thirst, and sleep.
  • Hygiene & Sanitation: Dental care, bathing, and bathroom needs.
  • Carry Weight: Realistic weight limits, including ammunition weight.
  • Spoilage: Food degrades over time; spoiled items can be repurposed as fertilizer.

Interaction & Immersion

  • World Consumption: Eat and drink directly from the world without cluttering your inventory.
  • Resource Gathering: Chop trees for wood, milk brahmin for rad-removal, and gut cars for scrap metal.
  • Camping & Fishing: Deploy CAMPs anywhere or spend time fishing for fresh food.
  • Stealth & Disguises: Perform lethal takedowns or craft disguises to infiltrate enemy territory.

MAIM Medical System

MAIM replaces vanilla healing with a realistic injury system. Every wound matters, and traditional "stimpak spam" will not save you here.

View Medical Mechanics & Item Reference

Mechanical Overview

MAIM tracks lethal headshots, arterial bleeding, physical shock, and individual limb trauma. A solid MCM setup is pre-configured to ensure a balanced yet punishing experience.

Healing Strategy

Healing items do not stack with themselves, but you can combine different items. For example, pre-medicating with TXA + Ibuprofen before a fight provides significant protection.

Essential Medical Supplies

ItemPrimary EffectRequirements
SP-1 StimpakGradual HP/AP regen & injury cureNone
SP-2 StimpakInstant heavy healing (3%/s)Weapon Holstered
Med-XTreats pain/shock; heals headAddictive
IbuprofenHeals head & non-crippled limbsMildly Addictive
BandageStops light bleedsNone
QuikClotStops heavy bleeds immediatelyNone
IFAKHeavy bleed stop + limb restorationNone
SAM SplintStabilizes crippled limbsNone
TXA InjectorCritical wound protection (300s)None

Radiation System

Radiation in Anomaly is not just a nuisance—it is a lethal poison that accumulates and degrades your body until treated.

View Radiation Poisoning & Medicines

How it Works

Radiation poisoning causes stacked debuffs that worsen over time even after you leave the hot zone. If left untreated, the poison will eventually be fatal.

Radiation Essentials
  • Monitor your Geiger counter: Watch ambient levels and internal poisoning.
  • Storm Protection: Gas masks or power armor helmets are required during rad storms.
  • Immediate Treatment: Do not wait. Debuffs stack quickly and become deadly.

Radiation Treatment

  • Ca-DTPA: Rapid radiation removal. Replaces Radaway. (Requires Weapon Holstered)
  • MutAway: Gradual healing of radiation damage.
  • Potassium Iodide: Provides +200 RAD resistance. Replaces Rad-X.
  • Pb-Jelly: Environmental radiation resistance.
  • Antibiotics: Essential for treating infections picked up in the wasteland.
The Survivor's Kit
  • Bandages & QuikClot: To stop bleeding instantly.
  • TXA & Ibuprofen: To pre-medicate before expected combat.
  • Ca-DTPA & Potassium Iodide: To navigate radioactive zones safely.
  • Working Gas Mask: To survive sudden radiation storms.
  • Fresh Food & Water: To keep your needs from reaching critical levels.