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Broken bones, dislocations and shrapnel in Casualties: Unknown

Short answer

Dislocation: click Fix dislocation and drag a wrench onto it, which hurts far less than bare hands. Fracture: use a bone welding tool early (it cuts the remaining heal time to a quarter) or a splint, then rest; untreated it takes about 39 minutes. Shrapnel and glass: click Remove shrapnel and pull slowly and straight, or use tweezers.

Applies to Release 1.0 (Nov 9, 2026) Sources checked

Dislocations

A dislocated joint shows a trembling joint icon, bends your posture and hurts whenever you use that limb, for example jumping on a dislocated leg. Bone injuries also cap that limb's muscle health at 50 until they heal.

Ways to fix a dislocation
MethodPainRisk
Bare hands (minigame)+15 to +24 per push5% chance per push to fracture the limb (+100 pain, heavy bleeding)
Wrench (minigame)+5 to +10 per pushLow. The makeshift wrench and titanium multitool do not work
SplintNoneSlow: +100% healing speed
Bruise kitNoneHeals it directly
DressingLowers painSmall heal per use

You can stop the minigame at any time; how close you got changes the severity. Painkillers before you start help you stay under the 75% pain limit. Mending a dislocation gives +3 mood.

Special cases: a dislocated jaw hurts every time you eat (since demo 6.0 it makes food 25% less effective instead); a dislocated spine cuts swing damage by 40% and hurts as you move.

Fractures

A broken arm cannot hold items and hurts badly when you dig or hit. A broken leg hurts on every jump and landing. A head fracture usually breaks the neck (-40% attack damage, pain on attacks and jumps) and can disfigure you. Broken ribs cut swing damage by 40%.

Fracture healing (community wiki, demo 5)
TreatmentTime to heal
NothingAbout 39 minutes
SplintAbout 16 minutes
Bone welding toolRemaining time divided by 4 per use (best when used first)
DressingSmall boost per use

39 minutes is a large part of a 60-minute layer, and you burn roughly 100 hunger and 140 thirst while waiting. Stock food and water before you risk big drops. In oil pools on layer 3, a broken leg can drown you.

Shrapnel and glass shards

Shrapnel comes from explosions, turrets and glass. A limb with shrapnel will not heal or stop bleeding naturally. Glass shards stuck in a foot show as glass in the body diagram; stepping on them gives 5 shrapnel, big skin damage, bleeding and a burst of pain.

  1. Click Remove shrapnel above the icon.
  2. Grab a piece and pull it straight out, slowly. Pulling too fast or too far sideways makes you let go: +9 to +16 pain, -5 skin, a bit more bleeding.
  3. With tweezers (INT 9) there is no speed limit; only sideways wobble fails.
  4. On the head, each failure has a high chance to cost a little brain health. Use tweezers there.
  5. Bandage the limb afterwards.

Shaky hands make this harder: low Resilience, pain and low consciousness all add wobble. Painkillers help if you lack tweezers.

Prosthetics

Release 1.0 added prosthetics, so losing a limb no longer ends the usefulness of a run. There are 3 tiers; the last tier is a straight upgrade over a normal limb. Prosthetics are repaired and maintained differently from flesh, not healed. Official Official

Questions

How do you fix a dislocation in Casualties: Unknown?

Open the health panel, click Fix dislocation above the joint icon and push the bone back into the outline with fast mouse swings. A wrench (INT 12 to craft) cuts pain per push to +5 to +10. Bare-handed each push hurts +15 to +24 and has a small chance to fracture the limb. You cannot do it above 75% total pain.

How long does a broken bone take to heal?

About 39 minutes untreated in the demo code, about 16 with a splint. A bone welding tool divides the remaining time by 4, so use it right away. Healing a fracture gives +5 mood and unlocks the Good as New achievement.

Do splints work?

A splint speeds fracture healing by 150% and dislocation healing by 100%, but it wears out while worn. The community guide calls it the weakest option; a bone welding tool and dressings are faster.

How do you avoid glass shards?

Wear wood sandals (INT 8) or tactical boots (INT 16). Glass shards have a 40% chance to appear when you break a glass block, so watch where you step after breaking glass.

Sources