Surgery

Surgery is something that is risky for both the surgeon and the patient. In Mothership 1e, Surgery is a Master level skill, and is treated the same as any other skill. This binary pass/fail method does not account for how the condition and mindset of a patient are also major influences on surgical outcomes. These rules present surgery as a more involved and complicated procedure.

Skills

Only players with the Surgery skill are able to attempt surgical rolls. Other players can attempt emergency medical care, but it takes training or assistance from someone with the Surgery skill to be able to attempt surgery.

Making a Roll

Surgery is simulated using an Opposed Roll. The surgeon makes either an Intellect or Speed Check depending on the situation. The patient makes a Body Save.

Advantage and Disadvantage

Surgery is dangerous, so it is better for everyone involved to work in the best possible setting, with available drugs and assistance.

Location	Patient	Surgeon
In the field, under duress	[-]	[-]
In the field, calm	[-]
While resting but without access to medical facilities
Resting with access to medical facilities	[+]	[+]

A patient may gain Advantage by using an automed or stimpak before surgery. The surgeon may use a stimpak before surgery to gain Advantage. Other drugs may serve these purposes as well.

It is also possible for a player with the Surgery skill to remotely guide unskilled characters through simple procedures, but the character performing the operation makes all Checks at Disadvantage and receives no skill bonus. Unskilled character may act as an assistant to the surgeon, giving the surgeon Advantage.

Interpreting the Roll

The outcome of the surgery roll is determined using the table below. All results refer to consequences for the patient. The surgeon receives normal consequences for Failure (+1 Stress) and Critical Failure (+1 Stress, Panic Check). Critical results occur in addition to the Success or Failure except in the case of a patient Critical Success and a surgeon Failure and a patient Failure and a surgeon Critical Failure.

Patient	Surgeon
Success	Success
+1d5 Health Crit: +1d5 Health	-1 Wound Crit: +1d10 Health
Failure	Success
-1d5 Health *Crit: -1d5 Health	-1 Wound Crit: +1d5 Health
Success	Failure
-1d5 Health Crit: No Health Lost	No Wounds Healed Crit: -1d5 Health
Failure	Failure
Roll on Surgical Wound table Crit: -1d10 Health	+1 Wound Crit: Death Save

Surgical Wounds

d10	Wound
1	Bruised
2	Drug Reaction Panic Check
3	Large Visible Scar
4	Lose Blood -1d5 Health
5	Bandages Left Inside -1d10 Health
6	Infection -2d5 Health
7	Lose a limb
8	Blinded
9	Paralyzed
10	Death Save