Disease

The Disease system has been overhauled in Black Reliquary. But still works much the same as it did in Darkest Dungeon at its core.

Changes

Enemies, Curios, Trinkets and Traps can no longer give Heroes Diseases directly, instead they will contract a Symptom. Symptoms still have negative effects and most have a predefined Disease that they will evolve into after a certain amount of turns.

One Symptom will be completely removed if a Disease Kit Provision is used. Diseases can only be treated using Disease Kits, mitigating their effects.

There are also Implant Diseases which cannot be removed but offer notable positive effects and have unique visuals.

Behaviour

A Hero can only have 3 normal Symptoms/Diseases at a time, if they contract another one at this limit nothing will happen. Diseases give mostly Debuffs but some also have minor Buffs as well.

Upon contracting a Symptom a timer usually between 12 and 16 turns is set, which when finished causes it to evolve into a Disease, most of the time this is not random, with the Disease in question depending on the version of the Symptom.

Similarly, once a Disease is tended with a Disease Kit a timer typically between 81 and 100 turns will begin, once this ends it will revert back to normal.

A week on The Flameseeker is equivalent to 20 turns.

Removing

Most Diseases and Symptoms can still be removed at the Clinic like normal. Diseases can still be removed by certain Camping skills however some skills that previously removed them were changed to instead give Disease Kits or have completely different effects such as Grave Robber's Snuff Box. Symptoms can be removed by anything that removes Disease and Disease Kits.

List of Diseases/Symptoms

Symptoms

Name	Effects	Progresses Into
Anxiety	+15% Stress Received -5 ACC	The Worries, Bad Humours, Hysterical Blindness
Anorexia	-50% Food Consumed -100% Healing Received from Eating -5 DODGE	Wasting Sickness, Spasm of the Entrails, Bulimic, Scurvy
Convulsions	-8 ACC -5 DODGE	Vertigo, Bad Humours, Spasm of the Entrails, The Fits
Fatigue	-8 ACC -2 SPD	The Ague, The Black Plague, Lethargy, Scurvy, Tetanus
Headache	-5% CRT -3 ACC	The Ague, Bad Humours, The Fits, Vertigo, The Runs
Tachycardia	-10% DMG +10% Stress Received	The Worries, Rabies, The Red Plague, Spouting Sores
The Sweats	-15% MAX HP -2 SPD	Rabies, The Black Plague, The Red Plague, Spotted Fever, Tetanus, The Runs, The Ague
Cough	-5 ACC -10% Symptom/Disease Resist	Creeping Cought, The Ague, Tetanus
Hallucinations	+33% Horror Duration Received On Turn Start: Self: Receive 4 Stress (6% Chance)	The Worries, Ennui, Hysterical Blindness, Rabies, Vampiric Spirits
Nausea	-15% Healing Received -20% Move Resist	The Black Plague, The Ague, Bulimic, The Red Plague, Spasm of the Entrails, Tapeworm, The Runs, Wasting Sickness
The Rash	-20% Stress Healing Received -5% MAX HP	Syphilis, Bad Humours, The Red Plague, Spouting Sores, Spotted Fever
Tinnitus	-30% Stress Healing Done Self: Suffer 4 Stress (6% Chance)	Cochlear Rot

Diseases

Name	Effects	Effects (Tended)
The Worries	+20% Stress Received	+10% Stress Received
Bad Humours	-20% MAX HP -10% All Resistances	-10% MAX HP -5% All Resistances
Hysterical Blindness	-5 ACC per 25 Stress (Caps at 75) +15% Stress	-3 ACC per 25 Stress (Caps at 75) +5% Stress
Wasting Sickness	-40% Symptom/Disease Resist	-20% Symptom/Disease Resist
Spasm of the Entrails	-50% Healing Received while Camping -25% Stress Healing Received while Camping +15% Stress Received while Camping	-25% Healing Received while Camping -10% Stress Healing Received while Camping +5% Stress Received while Camping
Bulimic	+100% Food Consumed -100% Healing Received -10% Symptom/Disease Resist	+50% Food Consumed -50% Healing Received -5% Symptom/Disease Resist
Scurvy	-40% Healing Received -10% MAX HP	-20% Healing Received -5% MAX HP
Vertigo	-40% Move Resist	-20% Move Resist
The Fits	-10 ACC -8% CRT	-5 ACC -4% CRT
The Ague	-15% DMG -15% MAX HP -14% Death Blow Resist	-5% DMG -5% MAX HP -7% Death Blow Resist
The Black Plague	-75% Blight Resist -10% MAX HP -6 SPD	-30% Blight Resist -5% MAX HP -3 SPD
Lethargy	-4 SPD -10 DODGE	-2 SPD -5 DODGE
Tetanus	-15% CRT +8% Crits Received	-5% CRT +3% Crits Received
The Runs	-20 DODGE -10% MAX HP	-10 DODGE -5% MAX HP
Rabies	+15% DMG -10 ACC	+5% DMG -5 ACC
The Red Plague	-75% Bleed Resist -10% MAX HP -5% CRT	-30% Bleed Resist -5% MAX HP -2% CRT
Spouting Sores	-40% Bleed Resist On Turn Start: Bleed Self: 4 pts/tn for 3 tns (140% base) (8% Chance)	-20% Bleed Resist
Spotted Fever	-40% Blight Resist On Turn Start: Blight Self: 4 pts/tn for 3 tns (140% base) (8% Chance)	-20% Blight Resist
Creeping Cough	-20% DMG On Turn Start: Debuff Random Ally: -10 DODGE/-3 SPD (8% Chance)	-10% DMG
Ennui	+15% Virtue Chance -8 SPD	+5% Virtue Chance -4 SPD
Vampiric Spirits	-40% Debuff/Mark Resist On Turn Start: Self: Receive Random Debuff (8% Chance)	-20% Debuff/Mark Resist
Tapeworm	+200% Food Consumed Steals from Food-related Curios (60% Chance)	+100% Food Consumed
Syphilis	-5 ACC -25% Stress Healing Received -20% MAX HP	-10% Stress Healing Received -10% MAX HP
Cochlear Rot	+30% Chance Party Surprised -40% Stress Healing Done Inspiring Tune: -75% Stress Healing Received -75% Stress and Horror Amount Received from Sound-Based Attacks	+15% Chance Party Surprised -20% Stress Healing Done -25% Stress and Horror Amount Received from Sound-Based Attacks

Ascendancy

Coming in 1.0

Special

Symptoms/Diseases that cannot be gained by normal means.

Implants

Gained from the Augmented Mercenaries Town Event. Only found on Heroes, not gained. Untreatable.

Name	Effects	Notes
Allsicht Implant	Immune to Symptom/Disease +10% Stress Received +5 ACC +5% Scouting Chance	Allsicht is German for "All Sight".
Eisenleib Implant	Immune to Symptom/Disease +10% Stress Received +5% MAX HP +5% All Resistances	Eisenleib is German for "Iron Body".
Hastwirbel Implant	Immune to Symptom/Disease +10% Stress Received +4 SPD +5 DODGE	Hastwirbel is German for "Hasty Vertebrae".

Ghoul Fever/Plague

Gained from the Ghoulserum Injection Contraband.

Name	Effects	Progresses Into	Effects (Tended)
Ghoul Fever	Immune to Symptom/Disease +100% Food Consumed +10% Stress Received +5% Ghoul Encounter Chance	Ghoul Plague	-
Ghoul Plague	Immune to Symptom/Disease +10% PROT +100% Food Consumed +20% Stress Received +10% Ghoul Encounter Chance	-	Immune to Symptom/Disease +5% PROT +50% Food Consumed +10% Stress Received +5% Ghoul Encounter Chance

Rictus Imperfectus/Mortis

Gained from the Parasite Zero Contraband.

Name	Effects	Progresses Into	Effects (Tended)
Rictus Imperfectus	Immune to Symptom/Disease -25% Stress Healing Received On Turn Start: Party: Receive 4 Stress (8% Chance) On Hexer Corruption Vial Consumption: Buff Self: +2 SPD, +2% CRT per Vial Consumed	Rictus Mortis	-
Rictus Mortis	Immune to Symptom/Disease -50% Stress Healing Received On Turn Start: Party: Receive 4 Stress (15% Chance) On Hexer Corruption Vial Consumption: Buff Self: +3 SPD, +4% CRT per Vial Consumed	-	Immune to Symptom/Disease -15% Stress Healing On Turn Start: Party: Receive 4 Stress (5% Chance)

Disease/Symptom Resistance

Heroes' resistance to Symptoms/Disease is one of two resistances that isn't increased by Resolve Level, the other being Death Blow resistance.

The list of heroes by their Symptoms/Disease resistance, from highest to lowest:

Symptom/Disease Resistance
Veiled	Plague Doctor	Flagellant	Occultist	Thrall	Arbalest
60%	50%	40%	40%	40%	30%
Crusader	Grave Robber	Hellion	Hexer	Highwayman	Houndmaster
30%	30%	30%	30%	30%	30%
Man-at-Arms	Musketeer	Philomath	Shieldbreaker	Vestal	Abomination
30%	30%	30%	30%	30%	20%
Antiquarian	Bounty Hunter	Dredge	Jester	Judicator	Leper
20%	20%	20%	20%	20%	20%