When downed in combat, companions will no longer heal themselves automatically and thus require a stimpak to recover from their injuries. If left unattended, they will leave the Sole Survivor's traveling party and return to their most recent settlement to recover.
Codsworth will require a Robot repair kit for healing if Automatron add-on is installed. Generic robotic companions constructed at the robot workbench as part of the Automatron add-on function differently from other companions. As they no longer hold essential status, they will explode on death, becoming unrecoverable. There are five stages in each category of Wellness that span in-game hours. Decreases in Wellness condition are called Fatigue not to be confused with the illness of the same name.
Decreases in Wellness are communicated to the player with a "Fatigue" pop up warning. The increasing thresholds for each level of Wellness condition are on a curve.
For example, it takes about 6 hours without eating to go from Well-fed to Peckish to Hungry, then a further 12 hours to go from Hungry to Famished.
The tables in the sections below show the approximate times that it takes for a character to go from completely satisfied to the listed condition in each area. In-game time is expressed in "hours" and real-time is expressed in "minutes. Generally speaking, the value that an item contributes or hinders one's wellness is equal to the monetary value of the item used as shown in the Pip-Boy inventory, not as shown during trading with a vendor.
Benefit effects tend to use the full value, while negative effects tend to use a fraction of the negative value. High monetary values positive or negative are capped at a maximum effect value that varies by Wellness level. There is also a minimum effect value, generally equal to half the size of the current Wellness band for most bands, but not all. The effect of this is that most hunger and thirst conditions can be cleared by eating or drinking two items of any type, regardless of how low their monetary value is.
An implication of this is to eat low-value food and drink to deal with hunger and thirst while saving higher value items for their buff effects.
Unlike Hunger and Thirst, Disease uses a minimum and maximum base percent chance "risk pool" , which is increased by a flat additive percent value based on the category of item or exposure event involved. Only the high-risk events which include bites, most chems, swimming, and cannibalism as well as the riskier foods also trigger an immediate, intra-day check for contracting a disease.
Other exposure events rad treatments, caffeine drinks, normal food, rain simply accumulate risk in the disease risk pool. The disease risk pool is checked upon going to sleep, or on any high-risk event subject to some cool-off timers.
Whenever the disease risk pool is checked, it is either cleared down fully to the minimum if a new disease is contracted or drained slightly if no new disease is contracted.
Disease risk is directly increased by overall Fatigue the inverse of Wellness. Fatigue is a weighted average of Hunger, Thirst, and Sleep factors. Hence it is important to minimize all these aggravating risk factors, particularly prior to sleeping. However, the remedy must be taken no more than one game hour prior to the risk check sleeping or high-risk event. It may be advisable not to sleep until this effect state has expired. Any amount of sleeping will clear down the disease risk pool to its minimum value, adjusted for Wellness.
Low quality sleep on mattresses etc may increase the overall chance of getting a disease, if the effects of Fatigue outweigh the effects of reducing the risk pool to the minimum level, particularly considering that more frequent sleep will lead to more frequent disease checks. Generally speaking, the best time to take disease prevention measures is just before sleep or if it can be anticipated just before high-risk exposure. From a script comment it looks like all addictive Chems will trigger this.
Thirst will negatively impact the Intelligence , Luck and Perception stats, until corrected. Drinking dirty water , either bottled or directly from open water sources such as puddles and rivers, increases the possibility of contracting an illness.
As a means of ensuring one has a steady supply of water, the Sole Survivor can now fill empty bottles with dirty or purified water.
Dirty water is obtained from sources such as rivers, puddles, or ponds. Purified water is obtained from water pumps and water fountains , or direct without needing to supply an empty bottle from the workshop inventory of a settlement with a water supply surplus, as in a vanilla game.
While the Sole Survivor is hungry including Peckish - anything other than Well Fed , the healing and bonus properties of normal non-wild food consumption is suppressed until enough is consumed to make the survivor "well-fed.
Eating normal food that grants a bonus e. This is probably a bug. The amount of food that must be eaten to reduce hunger is relative to its quality which is equal to its nominal price , i. Certain foods, such as soups and certain crops, will satisfy both hunger and thirst, to the same value as their nominal price, so in effect have double worth or double effect. Wild plants in general do not reduce hunger, but they do apply their other buffs regardless of whether the player is Well Fed or not.
Razorgrain also behaves this way, which is almost certainly a bug. Certain wild plants wild corn , wild mutfruit , wild tarberry , silt bean behave like normal plants, not wild plants, in this regard. The Cannibal perk has a special interaction called Dark Craving when eating a corpse is used to satisfy hunger. Sleeping for at least one game hour on any bed, mattress, or sleeping bag will save the game, but have no other effect other than causing a disease check.
Sleeping longer two hours or more will heal crippled limbs, progressively heal hit points, and begin to reduce Fatigue levels that the player character has developed from being tired but not Fatigue from hunger or thirst.
Healing of hit points can proceed over multiple sleeping sessions. Each sleeping session causes one disease check of the current disease risk pool. It is possible to sleep for zero hours by hitting Cancel immediately after hitting the sleep command. This saves the game and carries out all of the normal disease checks, but does not reduce tiredness or grant any healing. The Sole Survivor cannot sleep more than 3 game hours in a sleeping bag or a tent , and more than 5 hours on a mattress. A mattress cannot reduce the sleep Fatigue state below "Tired" and a sleeping bag cannot reduce any existing sleep Fatigue state of "Weary" or less Tired, Overtired, or Weary.
Sleeping on a mattress or sleeping bag can prevent entering these sleep Fatigue states, but cannot remove them once they have been acquired.
If no better place to sleep is available it becomes important to anticipate when the next worst sleep state will arrive, and sleep before that happens. To sleep for longer amounts of time, or to fully remove all sleep Fatigue states, it is required to use a real bed. Attempting to sleep for longer than these times will result in one waking up at the time threshold. More frequent sleeping indirectly increases the risk of contracting a disease, particularly if there is exposure to disease risk events between sleep.
This is because while sleeping clears down the accumulated increased disease risk, a higher minimum risk is imposed by Fatigue including hunger and thirst , and a disease check is forced each time the player goes to sleep, checked prior to any reduction in the disease risk pool.
Sleeping for 7 game hours or more allows one to recover full health and if sleeping in a bed as opposed to a mattress or sleeping bag, will ensure one is well rested and minimizes the risk of illness. Being asleep for any period of time, in any bed, of any type, will force a check for illness. It will then clear the disease risk pool down to the Fatigue-adjusted minimum see the Disease risk section regardless of how brief the period of sleep is.
The message "You feel rested" appears after sleeping, when the sleep timer has been fully cleared. If the player is not currently at the Tired state or worse, 2 hours sleep is sufficient to clear this timer completely and permit up 14 hours before becoming Tired. The absolute minimum sustainable amount of sleep while avoiding the Tired state is to sleep 2 hours after every 13—14 hours of being awake theoretically, 14 hours but only given perfect timekeeping and no combat.
This would mean sleeping 4 hours out of every hrs. An optimal pattern for regular sleep if a bed is easily available would be to sleep 2 hours after every 10 hours awake, for a total of 4 hours sleep out of every 24 hours. With only a single regular sleep time each day, the optimum sleep duration would be 10 game hours asleep then 14 hours awake if there is no combat, see below ; otherwise, the player character will get the Tired warning at a different time on each successive day.
Entering combat not including just sprinting increments the sleep counter by 15 game minutes, i. There is a cooldown timer on this counter, so entering combat 56 times in immediate succession will not cause an increase in sleep fatigue state. On the first day of the game, upon leaving the Vault always at 9am, the player will become Tired at 11am unless they sleep prior to that time or sooner if they enter combat.
However if sleeping prior to becoming Tired on the first day only , the sleep timer is fully reset even if sleeping for zero hours , granting the full normal 14 hours before the player becomes Tired.
This benefit may not persist if restoring from a saved game that was saved at that point. Consuming caffeinated drinks such as Nuka-Cola will delay the need to sleep for some time. They also will temporarily reduce the current tiredness state by usually one step. However, caffeinated drinks have hunger increasing effects as well as reduced thirst-quenching effects.
Alcoholic drinks will typically cause increased Thirst rather than reducing it. Unlike sleeping, waiting using an item of furniture does not reduce the rate of hunger increase or thirst increase, does not heal damage, and does not clear or reduce the disease risk pool.
Hunger, thirst, and tiredness all continue to accumulate normally while waiting. However waiting does not trigger a disease pool check like sleeping does.
Also, periodic damage effects - caused by extreme states of hunger or thirst, overencumbrance, or the "Infection" disease - will not occur while waiting. As in normal mode, waiting will like sleeping completely avoid the effects of rad storms, avoiding the need to seek shelter inside an interior cell.
There is no correlation between player character actions and any particular disease type. Disease type is almost totally random, the only exception being that the game will not assign the same disease type consecutively.
But might well assign first one disease, then a different one, then the first one again. It is not possible to contract more than one disease per game day, and it is not possible to contract a disease on the first game day.
Subject to this, it is possible to have multiple diseases at the same time, and it is theoretically possible to contract all disease types simultaneously. Fallout Wiki Explore. Fallout games. Classic games Fallout Fallout 2 Fallout Tactics. Fallout Atomic Shop Apparel Bundles C.
Emotes Icons Photomode S. Skins Styles Utility. Allies Creatures and robots Factions Vendors. The beginning of Fallout 4 is memorable and iconic. It really puts urgency in the player's heart to go and find Shaun. That being said, sometimes it would be nice to just be born as someone else and spawn in a completely different location. The Start Me Up mod is fantastic for players who want a much more challenging start. Sanctuary Hills is pretty easy and full of useful loot, so spawning in a location further down south with nothing but a shirt on the Sole Survivor's back is the ultimate challenge.
Even better, the mod adjusts the game's dialogue accordingly. The abundance of stuff is a major issue in Fallout 4. There's just so much junk and other loot everywhere the player goes that surviving actually feels fairly easy if the player knows where to look for specific items.
Moreover, it doesn't even make sense for areas to be so full of loot in an era of raiders and radiation. The Loot Overhaul mod and its patch are a necessity for Fallout 4's modded survival mode.
The patch is a must-download since it'll also cover all of Fallout 4 's DLCs. Finding useful junk items will no longer be an easy task with this mod. If playing on survival mode is a brand new experience, it might be a good idea to install this mod called Survival Options. It allows players to customize the default preset for survival that Bethesda has introduced, which is great for players who are only getting into this type of gameplay. The mod can be found on the Pip-Boy, and basically allows the player to tweak options for every aspect of survival, including sleep, hunger, thirst, combat, diseases, bed, and even save options.
There's no better way to start than making a custom preset fit for one's needs. One of the main issues in the vanilla Survival difficulty is that players will do much less damage on the enemies.
As such, they'll often find themselves using more ammo to kill simple creatures in the wasteland, which feels a bit unrealistic and tedious at times. Realistic Survival Damage balances this out by ensuring enemies aren't just bullet sponges. It doesn't make the game easier, but rather ensures the player won't be mowing down the same gang of ghouls for five minutes straight.
In terms of combat mods, this one is a must-have Fallout 4 survival mod. Nothing makes surviving in the wasteland more atmospheric than the dynamic weather system of Fallout 4. Sadly, it could use a little more work and a bunch more detail in order for it to feel real and engaging. That's exactly what this mod aspires to do. The True Storms mod adds more weather effects and sounds, both outdoors and indoors. The weather feels more realistic overall and a lot more intense than in the original game.
Power armor is one of the most essential parts of successfully surviving in the wasteland. However, it's really easy to find around the Commonwealth, with how prevalent it is. That just seems to take away from the immersion and the challenge of the game. Some Assembly Required is a highly recommended Fallout 4 survival mod for those who play with power armors in particular. It makes finding power armor actually feel good and rewarding.
Full sets will no longer be a common occurrence, so players will really have to look around and be sparing with their resources. Fast travel is one of those controversial features in open-world games that tends to take away the feeling of immersion.
That's why in Survival difficulty it's actually disabled and players are forced to walk everywhere on the map, which can get pretty tedious. This actually makes sense from a story-telling perspective as well. In terms of which Fallout 4 survival mods to start with , this one is easily among the first ones players should get to increase the stakes.
The only way to save in Survival difficulty is to sleep, but this isn't actually that realistic. The player could wake up and make a bunch of preparations in the morning, only to have to sleep again in order to save the game. This just doesn't make much sense. The Sleep or Save mod allows players to choose between the two instead of always sleeping.
Beds and sleeping bags are now valid save points in the game, which makes sense and doesn't take away the challenging part. If fast traveling to settlements doesn't feel right, there's another mod out there that replaces the fast travel feature with a brand new vehicle.
This APC also doubles as a storage space for players, and it's also great for sleeping and saving the game while on the go. The APC doesn't travel absolutely everywhere either, which makes it feel realistic. It has about 36 locations for the base game , including some of the major cities. Players looking for just one large mod pack to completely overhaul their game will definitely enjoy a mod like Horizon , which is a huge mod that introduces a ton of features and tweaks to the Survival difficulty of the game.
From armor to perks to combat and even healing, everything has a healthy dose of realism. With Horizon, it's more difficult than ever to actually survive in the wasteland long-term, making it a fantastic basic Fallout 4 survival mod. It's pretty weird how settlements work in Fallout 4.
The Sole Survivor just has to do everything for their people, which seems a little bit strange. After multiple settlements have been invigorated, one would imagine that the people would grow more independent. This becomes the case thanks to a Fallout 4 survival mod known as Sim Settlements.
This lets the player plan out various areas and buildings in advance for a settlement, and the settlers themselves will then work towards them. Camping is a feature that perhaps one day Bethesda will officially adopt into their major game franchises.
However, for now, players will have to survive with the help of mods. Camping is almost like a missing part of the game that was never released, and it's finally brought to life by the Campsite mod. This mod introduces a bunch of new items and crafting recipes into the game. From sleeping bags to even dog beds, the Sole Survivor is set to spend the night anywhere in the Commonwealth.
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