Version A1.13.0h1
Hotfix
- Fixed surgical container kit costing almost nothing, changed the recipe a little
- Fixed Blood Business talent not working correctly by ThousandFields
- Fixed iced not causing worsening infection
- Fixed spinal injury still causing a ton of analgesia

**Version A1.13.0**
QoL additions, gameplay optimization update
**Upcoming addon**
- NT Hyperbaric, an addon for in-depth diving and diver disease additions. Link access for beta testing when it will be ready, my focus will be mostly dedicated to this mod until it’s publicly released
**Upcoming update**
- Added dynamic blood loss rate depending on the current health conditions
- Added new ailment, rib cage destruction
- Added few interactive items to insert into hospital bed and surgery table: refrigerated crate, inhaler tank, blood filtration unit, radiation scrubber slots
- Added medical emergency suit to perform full resuscitation underwater
- Changed defibs to interact with water and ME suit
- Changed the sprites for scalpel designs, autopulse and health scanner
**Content**:
- Added temporary traumatic shock immunity, only given to patients with retracted skin during level transitions
- Added surgical kit recipe, replaces all recipes for surgery instruments
- Changed and updated alien blood effects by ThousandFields
- Changed Bloody Business so that it reduces alien blood effects of hemo shock by 95% and psychosis by 30%. Credit to ThousandFields
- Removed organ scalpels
- Added displaying basic surgery instruments in health UI if analgesia is 10% or higher
- Changed multiscalpel recipe to have common ingredients
- Removed partial resource ingredients from every recipe
- Changed the sprites of hospital and surgical beds for upcoming additions
- Changed the ice pack to heal internal bleeding gradually by 0.2 / second over the affliction duration
- Removed stasis bag use through Health UI
- Changed the price of starter crate to 600 mk
- Added traumatic and surgical amputation variants for head limb
- Added fling physics to amputated limbs
- Added blood splatter to organs and limbs
- Changed blood pack’s sprites for more visible labels
- Added convulsions visual effects to drug withdrawal and severe opiate overdose
**Gameplay**:
- Changed logic to not drop held in hand items from spinal cord injury. Changed the affliction to give mild immunity to pain similar to drunkness instead of extreme analgesia
- Changed logic so that being a nugget disables your movement
- Changed logic so that limb replacement surgery is uniform by Nebual
- Removed crawling voluntarily
- Changed logic for organ transplants so that they can be replaced without requiring removal, the clue is to put the organ after receiving <organ> removed affliction, swapping them around if the organ is not destroyed. Suture before replacing the organ to harvest them instead. Suggested by Per1ch
- Changed opiate and alcohol addictions to not cause a health debuff
**Miscellaneous**:
- Changed outpost NPC consent option to be disabled by default. This update will reset your previous config value, so you must check it again if it was enabled before the update
- Changed the look of configuration menu to enhance its visual quality by Lukako
- Changed mod files lossless to cut 30% of the mod size (audio bitrate and image codec changes, moved away the unused assets to a separate folder in git repository)
**Fixed**:
- Experiencing Lualess (the affliction) on particular players in a session
- Issues with AutoPulse application through Health UI
- Pets not eating organs and limbs
**Translations**:
- Added proper Turkish localisation by Ponas Noir Rakan
- Changed German translation for language improvements by Toast
**Missed logs**:
- A1.11.1 — changed multi tool treatment to act as a wrench for treating dislocations and removing autopulse
**Discord and workshop page news**:
- Added Change Notes category in discord
- Changed positions of some categories in discord
- Changed the name of #server-info in discord
- Added Boosty donations links in discord, and in workshop page. If you want to give monetary support for my work, you can do so now
- Added a Russian step-by-step procedure manual by the man himself, Heelge, in discord. For your guide to be put, let me review it

**Credits**:
- Thanks to personal insight from Echo, change notes will be more effective
- Per1ch inspired to draw sprites from scratch
- People at server that visit bugotrauma hell to contribute to this mod
- Readers of this change log

Version A1.12.1
Large optimization update
Performance improved prior to fork versions of the mod, which is about 50%* performance increase.
Also removed the faulty code that was reducing performance up to 600%*

Removed
- Limb penalty immunity on painless
- Collider fix when crawling
- Talents for unconsciousness (example: Emergency Response) fix

Fixed
- Damage consequenses not being affected by limbs with added damage resistance (example: Mudraptor Genes)

*: Note that all performance values were tested on my computer configuration and may differ from another machine

Version A1.12.0
Affliction update
Optimizations
- Improved performance for gel ice packs updates
- Refactored some logic in human updates which may add miscellaneous performance improvements (not confirmed)

Additions
- Regeneration has damage threshold limits and it applies to bandage and gel ice pack's healing effects
- Tweezer has a randomised treatment strength window and makes tweezing operations faster
- Many more items give medical skill experience and rebalanced the amount of the experience gained
- Internal bleeding treatment with gel ice pack and changed usage requirement to 40 medical skill
- Analgesia effects give stun resistance and halved damage resistance of previous amount. Enough analgesia strength gives immunity to damaged limb penalties such as aiming and moving
- Reduced chromatic aberration visual effect from analgesia significantly
- Halved the calcium output from deconstructing limbs
- Recipes with fpga returns copper on deconstruction
- All tools and containers recipes moved from medical fabricator to regular fabricator. Spinal and osteosynthesis implants moved to medical fabricator and they deconstruct into nothing

Fixes
- Modded batteries couldn't be used from "firing" health scanner
- Monsters not dying from oxygen low
- Talents with unconsciousness triggers (example = Emergency Responce didn't work on unconscious crew with more than 0 vitality)
- Burns had decreased vitality decrease compared to vanilla which is unintended
- Improved the multiscalpel description for more concise explaination of its abilities
- Artificial ventilation couldn't prevent acidosis from hypoventilation
- Reduced abnormal amounts of ointment in shop stocks
- Damaged sprites couldn't be displayed
- Being able to breathe or beat the heart on ~1 humanupdate time interval that allowed hot swapping lungs and the heart
- Translation fix for bonedamage and bonedeath for RU localization

Notable thanks for feedback from comments, Neurotrauma Fork Server, Per1ch, Azure, ThousandFields

Version A1.11.1h2
Hotfix
- Fixed generic organ damage being capped to 100

Addons can use this to uncap organ damage calculation for thier needs

Version A1.11.1h1
Hotfix
- Fixed generic organ damage not regenerating faster with thiamine

Alterations to previous update's code, nothing has changed