10 Games With REALISTIC INJURIES That Are Ruthless

The side effects of the traumas in Prey were the worst parts. Haemorrhage would make you lose health if you sprinted, but you could also hear your wet shoes and you leave bloody footprints. You couldn't jump with broken legs, and you would hear your bones crunch if you tried.

To be honest, the first games that ever really made me "feel" the pain of an injury were the recent Tomb Raider games. Somebody on that dev team wanted Lara to suffer, and she definitely did that...the actual "injuries" only really happen as part of cutscenes, any in-game damage can be rectified, but the stuff that she takes in those scripted scenes always got under my skin pretty good... That and RE8's bloody hand-injury fetish, that was a bit much too....

I'd recommend The Long Dark as well. Survival sim with a heavy emphasis on realism in that you're literally just trying to survive the Canadian winter. While the variety of injuries isn't as in depth as some of the entries here, the addition of temperature, hunger/thirst and rest management can complicate conditions quickly, making injuries extremely undesirable.

0:00 Intro 0:17 Kingdom Come Deliverance 1:59 Prey 3:25 Fear & Hunger 4:38 Metal Gear Solid 3 6:15 Green Hell 7:26 Project Zomboid 8:59 Bushido Blade 10:18 Kenshi 11:37 Rimjob 13:00 Escape From Tarkov I didn't it being tagged as "Number x" 😅

takov players: cheaters are a problem tarkov devs: weve added anxiety to the game

A small but cool detail in Bushido Blade - When you lose and you select continue (like in Tekken), you play the match again, but your character is bandaged. And the more you lose, the more bandaged your character is.

Arma 3's Ace mod goes into excruciating detail with injuries too. When you get hit your character is in pain, which requires morphine, but if you're bleeding the morphine will leak out of you. Plus it lowers your heart rate, requiring epinephrine, or else you might never wake up the next time you get shot. Medics also need to carry saline to refill your body with blood and fluids if you lose too much. It is hardcore, but very fun at times.

I started playing RimWorld when it had only one animal and only two kinds of raids. Looking back, this game went far, extremely complex while still having a nice learning curve

Red Dead Redemption 2 Arthur healing that injury was some next level stuff.

I'm glad you included Fear & Hunger! It's a really good game with super interesting lore, characters, and locations -- and gets more forgiving/do-able once you get party members! Highly recommend it and #2, Fear & Hunger: Termina as well!

One game that could be on this list is Mordheim: City of the Dammed! Tactical game where injury could mean: - Wooden legs ( can no longer climb, affects tile movement, and jumping down if affected) - Head injuries (can cause confusion where you lose your turn, or worse attack your friends (there is a myriad of head injuries, don't remember them all)) - Severed arm (can no longer climb, can no longer use 2 handed weapons) - Eye injury (lowers perception, meaning you will not see your enemies and traps) - Ear injury (lower perception) The list goes on. This in a squad tactical game, means your most valuable soldier can be rendered almost useless anytime. One of the most stressful games I have played.

I think DayZ deserves an honourable mention here, as it can get very frustrating being sick or injured and not being able to find the materials you need to heal

It's nice to see fear and hunger getting some recognition outside of it's previously very small niché. When I first saw this video, I was like "oh, FnH would fit it very well, but it won't be there cause it's too ovscure" and yet here we are. I must have missed the time when it got more recognition.

Call of Cthulhu Dark Corners of the Earth was pretty ruthless with sanity efects and having an arm injured to be able to aim. Loved that game

Don't forget Tao Feng. "Limb damage alert" > "Limb damage danger!" > "LIMB DAMAGE!!" Really underrated street fighter type game where you can repeatedly deal blows to your opponent's limbs. If you don't vary your attacks enough or if they don't avoid those attacks enough... that limb can be damaged and will severely weaken their kicks if it's their leg, or their punches if it's their arm. You can heal mid-fight by using Chi, but you have to try not to straight up lose the fight cuz you're focused on healing.

Any list that can include Kenshi is a top tier list. One of my most played games on stream, such a unique experience.

Had a real love/hate relationship with Green Hell. Already had a phobia of jungles and all the nasty crap you can get there, and this game really reinforced that hard :') Still had fun, but it also perfectly shows that you shouldn't get close to a jungle, unless you know what you are doing.

Hellish Quart is like a modernization of what Bushido Blade did. It's excellent

Never thought I’d see Bushido Blade in any list. Thought it was a rare unknown gem. Good game.

You left out Mordheim: City of the Damned. If one of your characters goes down you have to roll for an injury, where your characters can get cuncussed, lose fingers or eyes, limbs, or just die. Permanent injuries leave you debilitated in some way and are reflected in the character model, and with forced Iron Man mode you're just stuck with it.