Maladies

Illness and misfortune are commonplace on the frontier, but there are steps any settlement leader can take to help mitigate the worst of these issues.

The following is a collection of helpful advice and a list of all known maladies and potential methods of avoidance specific to each. Do note, not all maladies may appear in a given playthrough and may not occur at all on lower difficulties.

General Prevention/Remedies

• Provide a supply of hide coats to prevent animal-related injuries
• Avoid sending civilian villagers into uncharted terrain, manual exploration with hunters increases survivability should wildlife be encountered
• Villagers garrisoned in the Town Center during raider attacks do not get injured and inflict additional damage to nearby hostiles
• Taking care of general villager needs (adequate water supply, varied food sources, sufficient clothing/shoes, access to shelter in deadly cold winters) mitigates the majority of injury types
• Maladies left untreated can progress into more serious/less-survivable afflictions, act quickly if no treatment options are available.
• A supply of Medicinal Roots allows villagers to self-treat Maladies before medical Buildings are available
• In later game, Medicine provides this same self-treatment ability with greater success.
• Herbs and Soap help prevent spread of communicable Maladies
• A Healer's House increases likelihood of survival, though patient space is limited.
• The Hospital (upgraded Healer's House) provides a larger boost to survival rates and provides more patient capacity

Maladies List

Malady	Icon	Source	Spreads?	Curable?	Avoidance Recommendations
Food Poisoning		Resource gap	?		Store food in root cellars Avoid reliance on raw meat/fish Reduce food Spoilage by conversion where possible
Scurvy		Resource gap	No		Provide a greater variety of food sources (esp. Arborist Fruits and Forager Berries)
Poisoned Mushrooms		Resource gap	No		Eliminate mushrooms from Forager work zones
Gout		Resource gap	No		Avoid excessive reliance on Smoked Meat and Fish
Frostbite		Resource gap	No		Provide Linen Clothing for all villagers Avoid excessive travel times without nearby shelter during winter
Dehydration		Resource gap	No		Provide sufficient well access to villagers, both near residences and work areas
Bowel Obstruction		Resource gap	No		Unknown
Gangrene		Injury (progression)	No		Ensure prompt care for other types of injury
Broken Bones		Injury	No		Unknown
Festering Wounds		Injury	No		Avoid raider attacks by using garrison function of Town Center Provide any kind of armor for guards
Sprained Ankle		Injury	No		Ensure a sufficient supply of Shoes for villagers
Ratbite		Injury	No		Ensure villagers have access to Hide Coats Use the Rat Catcher building to eliminate and prevent buildup of vermin
Eagle Attack		Injury	No		Unknown, it is assumed that Hide Coats provide protection
Foot Wound		Injury	No		Ensure a sufficient supply of Shoes for villagers
Bee Sting		Injury	No		Unknown, it is assumed that Hide Coats provide protection This is an occupational hazard of Apiary interaction
Disabled		Injury (progression)	No	No	Results from other forms of injury and disease, especially if left untreated.
Worms		Disease	?		Ensure a sufficient supply of Shoes for villagers
Rabies		Disease	?		Can result from any animal-inflicted injury Avoid sending unarmed villagers into unexplored areas or areas with known predators Ensure villagers have access to Hide Coats to prevent bites
Infection		Disease (progression)	?		Ensure prompt care for injuries
Dysentery		Disease	?
Pneumonia		Disease (progression)	?		Ensure prompt care for respiratory diseases
Tetanus		Disease	No
Consumption		Disease	Yes
Typhoid		Disease	Yes
Cholera		Disease	Yes
Influenza		Disease	Yes
Smallpox		Disease	Yes		Ensure a sufficient supply of soap and herbs
Bubonic Plague		Disease	Yes		Limit size of rat populations via the Rat Catcher Ensure a sufficient supply of soap and herbs
Cold		Disease	Yes