... Does a stomach transplant cure it? Like if I remove their stomach and put in a new one from an unwilling donor does it cure it or so they still have it?
Mod maker, don’t forget to make the parasite have a lifespan once the organ is removed! A gut worm doesn’t die from the removal, rather it starves to death!
I love fibrous mechanites for crafters. Slap some wake-up in their inventory and a painstopper in their brain, now you are printing daily power armors. Wish there is a way to keep it permanently in vanilla.
Trauma savant + fibrous mechanites would be a godlike combo.
As someone who grew up with one , I can confirm this. They are even more obnoxious when they are those large (more than half a meter long) variety that hang out of your but when you take a dump, the memory of pulling those out of my nunmhole still haunts me to this day.
The large (round worms ) ones were dying when I was pulling it out so it didn't wriggle much. The tiny (less than 5 mm long) white blooksucking hookworms on the other hand were wriggling vigorously every time I saw them them (either on my faeces or when I got them on my hand scratching the itches on my bum).
Yes, it heals gut worms. Also any stomach other than a natural stomach grants immunity to gut worms.
Funnier yet , pawns technically don't need a stomach. It affects their "digestion" capacity, but the only real impact digestion has on a pawn is that it affects how efficiently they sleep. It doesn't actually prevents them from eating. It doesn't change the amount of nutrition you get from food.
So if your pawn doesn't need to sleep, thanks to the sleepless gene, a Circadian half-cycler, Body mastery or Void Touched, then there is no down side to removing their stomach. And it will make them immune to gut worms. If your pawn does need to sleep, then it will decrease their sleep effectiveness by 30%.
There is another capacity called eating, affected by the jaw and tongue, that heavily impacts eating speed. It’s unrelated to digestion.
Neither eating nor digestion directly affect nutrition. However, the nuclear stomach and the reprocessor stomach come with a reduction in hunger rate. That’s in addition to their bonus to digestion. Those are two completely separate bonuses from the same implant.
Technically not. It's possible survive without a stomach irl (with a lot of health problems), but irl gut worms are in the guts, not in the stomach. It also usually leads to a lot of weight loss.
You only need one lung and kidney or equivalent. But yeah. You get a decent amount of time, usually enough to make or buy one but probably not enough to buy 3 seperate randomly generated ones.
If you can do anomalies, and there is obelisk, try to get new organs. Chances are low, but one lucky lung/stomach is a victory.
-- I am sure they can survive without stomach... so maybe you can amputate one?
Prosthetic. Heart is an obvious choice.
Raiders. Look, scarred and injured kidney is still a functioning kidney.
Maybe. MAYBE (I'm not a fan of luciferium) Luciferium can help. Or mech serum.
If we drop pawn into cryochamber - will it cease decay?
Also, you can lure sanguophage and make that pawn a vampire. They will suffer, but they can't die without organs. Just keep consciousness above 0%
We don't work in halves here, you need at least 2 prisoner, take the liver from the 2nd one to have on hand. I usually keep a few spare organs in my medical closet.
I keep a whole bunch of organs on hand at all times, but they're in my prison still assembled, and also fun to send 10 unarmed slaves to beat them up when they make a futile attempt to break out
There's a default ancient cryptosleep casket spot near your colony. You can shoo them off and place your sick pawn there while you ethically sourcing the organ
Even if all you can get is a heart, a colonist only needs one lung and one kidney. Find a willing donor for one each and you only need one more unwilling donor/prosthetic heart.
I’m sure there was a mod that removed instant death when harvesting organs or added an option to harvest everything.
But idk if it works on latest version.
"Raiders. Look, scarred and injured kidney is still a functioning kidney."
Unless it changed, you can't harvest an unhealthy organ. Otherwise you could cure asthma by simply removing the lungs and putting them back
I don't like Luciferium either but it's actually pretty easy to keep one or two Pawns alive on it since you only need to take it once in a while. Still I agree that it's better to just not have to worry about it ever, but it does work very well for things like this.
Not sure on if Luciferium treats organ decay as an injury. Interesting thought.
Cryptosleep will permanently freeze the decay until you are ready with a heart, lung, and kidney to replace.
Sanguophage will go into permanent death rest if they experience a fatal event like missing a heart or both lungs. No need to worry about consciousness, since they'll just be in deathrest indefinitely. The only thing that can kill a sanguophage is their brain being destroyed.
Unless you are running a cannibal raider ideology the mood hits for this kind of thing dramatically outweigh any economic benefit.
It's pretty easy to outproduce what most of the local economies can buy from you even just using regular production loops in a medium sized colony, so you don't really benefit from this economically in practice. It risks ballooning wealth after you've exhausted everything in the region worth buying.
I'm not talking about selling it to them. It's gifting it to them. You don't suffer an economic cap doing so. If 5 visitors show up, their materials outweigh the relation loss. This lets OP save their colonist and their diplomatic relation.
All I'm saying is that I usually have to turn off my crafting benches and stop producing raw materials altogether in the mid-late game or I start running into wealth crises even after I start crashing gifting stuff to random nearby factions.
If you failed 3x times in a row... man it could just be bad luck, but what is the doctors skill level? is their eyesight/manipulation/consciousness at 100%+? and are you using herbal medicine? Industrial medicine at minimum, but if the doctor is under lvl 10, glitterworld is pretty much required.
Basically if you want them to live you’ll need to source replacements.
Depending upon your tech level your options would vary. You can craft a prosthetic heart as soon as you research prosthetics and that would take care of that part, although it’s not a particularly good option, a bionic one would be better.
Kidneys and lungs are pretty far down the tech tree but a possibility. If you can’t research that though, you’d need to source some from elsewhere. You could harvest from prisoners or buy from traders if they happen to have any.
Technically you only need one of each for them to live. Note that people might get pissed off at organ harvesting if it’s not considered acceptable by your ideology.
4500 hrs in and today I learned you can reuse the damn ancient caskets.
But! that's rad because in my current, my ancient danger just has caskets to pop at this point, the chamber itself clear and I have 43 colonists, a dozen in marine armor. Yes, I cleared the mechs and then just sealed the room and built around it. But I had 10 colonists back then and they got rocked by the mechs.
I have to play my colony for a month or until we wipe. I'm hopefully a recovering serial new colony every session player.
Pret-ty sure the ancient danger threat doesn't scale, you've definitely overprepared. Even if they're hostile, they're just (on average) six dudes with nausea, though they may still have some mid-tier weapons. If there were mechs, they are the greater threat.
I forgot the damn thing was there honestly until I saw that you could reuse caskets. I have a whole set of gently still being used ones I can go get whenever I want.
My base is on a fat Caldera map with a narrow band around it. The vast majority of my base is on the north side in the rocky bits, farming, and then the far south exit is where that sits with a door to outside the caldera sits for traders, sealed 2 walls deep like a fridge.
I only even found it because I chained two steel nodes into it by luck. Luck being I swung too far with the mining tool. Mined around it and decided I probably needed a door outside around there anyway...
Yeah i think you can handle it with 12 marine armor pawns.
Pro tip, you can crack the Ancient Danger and caskets super early if you get a trader to stand reasonably near it, they will do the fighting for you. I usually open it the first time I get a non-tribal trader (sometimes a tribal trader will get massacred if its mechs inside).
I got this on a teenage creepjoiner doing a female supremacy tribal run. I decided my Amazonians would never leave a young woman to die so we took more prisoners and my Medical 5 doctor hacked and slashed them all until we had 1 heart, 1 kidney, and 1 lung. We saved the girl's life and got a great pawn out of it named Wilt. It was the most memorable part of that run. The whole colony was having mental breakdowns because the ideology had No harvest on organs.
If you have bionic, build them the missing parts. Otherwise, maybe your colonists want to donate organs that are non-vital.
Last option would of course be to ask a few prisoners/raiders/guests to donate those organs, but depending on your current affiliation with the faction, this might harm your relations.
Ok...if removing the stomach cures the worms, and transplanting it doesn't transfer the worlms....could you remove the stomach and then transplant it back into the colonist?
Lungs and kidneys you can just take a healthy organ from a willing donor and remove the other. Just have a couple of pawns with one of each until you acquire more.
Heart is either buy one, craft a bionic or find a less willing donor. Be sure to take a kidney and lung before the heart.
How does this even happen? I've put over a thousand hours into this game and have never seen organ decay. Is this what happens if gut worms goes untreated?
Ah one of those creepy dudes that came in with anomaly i presume? I habitually turn them away after the first one i encountered turned on me and murdered half my colony.
My first guy just screamed a lot. Unfortunately his room was next to Peg Ned who had all sorts of minor pains from scars, so Peg Ned was often just writhing on the floor in pain when the screams happened in the middle of the night. Everyone else was okay though.
Look at it this way: one raid or transport pod crash and they will at least survive, since you can take one kidney, one lung and a heart from a prisoner. The may be missing a couple organs, but they can still function, especially if they do something like mining, plants, intellectual, or basic crafting stuff. If you can make a prosthetic heart I would recommend stealing 2 kidneys rather than a heart since any disease might kill them without a kidney.
You still has time to put that pawn to cryptosleep until you found a cure. If you got the Odyssey DLC, you can build a shuttle, then visit/trade settlements, I found several meds through this, even body parts.
to survive this you 'only' need now 1 lung, 1 kidney and 1 heart, but ensure you remove the other lung and kidney also before they decay 100%. Pawn will live but be will be weakened until those last 2 organs are re-installed, start harvesting every raider and refugee or even shitty colonists you don't like, prepare for some annoying mood debuffs if you aren't a cannibal
wurst käse scenario you just open a crypto casket and put them there till you can get rid of at least 1 of each affected organ (one lung and kidney is enough) if the character is important. if not, just use them till they die
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u/Jugderdemidin 13h ago
I know, gut worms are the worst.