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Brain damage in Casualties: Unknown

Short answer

Brain damage starts below 95% brain health: screen distortion, mirrored controls, random ragdolls and vomiting. It heals slowly (about 11% per hour). Braingrow repairs it in small doses only, and a neural booster helps once. Prevention matters most: wear a makeshift helmet, then a bicycle or riot helmet, and avoid low oxygen and heatstroke.

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

What damages the brain

  • Head trauma. Stalactites, skullcrushers, falls onto your head, turret and spike hits to the head.
  • Low oxygen. Brain health starts falling below 80% SpO2 and much faster below 60%. Cardiac arrest drains it quickly.
  • Heat. Heatstroke above 41.5°C body temperature; 0.5% per second above 42°C.
  • Radiation, from the first gray, plus random 10-point hits above 9 Gy.
  • Opiate overdose and stroke.
  • Water intoxication (thirst above 175).

Brain health also caps consciousness: at 60% brain health you can never be more than 60% conscious.

Stages

Brain health moodles (community wiki; 1.0 spreads some effects to lower thresholds)
MoodleBrain healthWhat happens
Cognitive impairment95% to 80%Mild distortion, confused talk, tastes metal, minor garbled text
Neurological damage80% to 60%Heavy distortion, incoherent speech, hard-to-read text
Severe neurophysiological deterioration60% to 30%Violet distortion, speechless under 50%
Comatoseunder 30%Incapacitated, text unreadable
Casualties: Unknown screen darkened and blurred by low consciousness
Low consciousness and brain damage blur and darken the whole screen. Screenshot: Orsoniks / Oro Interactive, from the Steam store page.

Below 95% you can randomly shake and ragdoll, get mirrored controls (the screen flips to match), see flashes, vomit (33% every 30 seconds) and hear combat music that is not there. In 1.0 several of these only trigger at progressively lower brain health, so mild damage is less disruptive than in the demo. Official

Braingrow, neural booster and mindwipe

Brain repair options
ItemEffectCatch
BraingrowRepairs brain health; clears a stroke over 100 s50% vomit chance, braingrow sickness, overdose risk. Small doses only.
Neural booster+10 brain health and +20 mood on first use; clears strokeINT 18 to craft. A second one makes you vomit and overheat.
Mindwipe+50 brain health, stroke to 0INT to 0, permanent Hollow
RestAbout 0.18% per minute, 11% per hourSlow; not after a mindwipe
Last standSets brain health to 75 to 90%Once per run, mood-dependent

Hollow trap. Taking braingrow or a neural booster within 20 minutes of a mindwipe or neural booster makes you Hollow too. Community wiki

Helmets and prevention

  1. Hunt shade crawlers on layers 1 to 3 until you have 2 stiff carcasses, then craft a makeshift helmet at INT 8. The community guide calls it top priority.
  2. Upgrade to a bicycle helmet at INT 13.
  3. Upgrade to a riot helmet at INT 17.
  4. Throw a glowplant fruit into dark drops before jumping, and look up for stalactites in the Dried desert and Wasteland.

Questions

Does braingrow increase intelligence?

No. Braingrow only repairs lost brain health and clears strokes. It does not raise INT. It has a 50% chance to make you vomit and overdosing is dangerous, so use small doses.

What is cognitive impairment?

The first brain damage moodle, between 95% and 80% brain health: mild visual distortion, confused speech, occasional erratic behaviour and some garbled text.

What does mindwipe do?

It is a last resort. After a painful sequence it gives +50 brain health and clears strokes, but sets INT to 0 and makes you permanently Hollow: black and white vision, no speech, mood stuck near 0 and worse trader reputation.

Which helmet is best?

Makeshift helmet (INT 8, needs 2 stiff carcasses from shade crawlers), then bicycle helmet (INT 13), then riot helmet (INT 17). None gives full immunity to stalactites.

Sources