Addiction

While chems may grant helpful benefits they are not without fault. With every dose one takes, one must succeed a Constitution or Intelligence saving throw. On a failure, they are addicted. They may repeat this saving throw at the end of a long rest. While addicted to a chem, they do not receive its benefits and must take another dose to become immune to its addiction effect for 1 minute. The following are chems one can be addicted to, its addiction DC, and its addiction effect. Diluting (where applicable) removes any chance of addiction.

• Alcohol: 18. Disadvantage on Dexterity and Charisma saving throws and skills.
• Jet: 18. Your movement speed is decreased by 5 feet and you have disadvantage on Dexterity saving throws.
• Turbo: 15. You are paralyzed for 1 minute randomly every 3 hours.
• Mentats: 10. You have disadvantage on Intelligence checks and saving throws.
• Psycho:15. Once every minute and at the beginning of each of your turns, you must succeed a DC 12 Charisma saving throw or attack the closest creature.
• X-Cell: 15. All ability scores are decreased by -2.
• Med-X: 15. Your hit point maximum is decreased by 20%.
• Hydra: 12. You gain disadvantage on Constitution and Dexterity saving throws.
• Day Tripper: 12. Disadvantage on Charisma saving throws.
• Daddy-O: 12. -5 to Intelligence and Wisdom saving throws and skills.
• Coyote Tobacco Chew: 10. Disadvantage on Charisma skills.

Dilution

While chems can get people addicted, there are ways to avoid it. The most popular way is dilution. You can dilute any chem except for those that say they can't be diluted. Provided you have one of the chem in question, one of the container the chem is in, and 1 pint of water (only needed for liquids, see appropriate column), you can attempt to dilute it with a Survival check with a DC equal to the addiction DC (15 if the chem is nonaddictive)(check isn’t necessary if chem is pills or powder). On a failure, one diluted chem is made. On a success, two diluted chems are made instead. A diluted chem's numerical effect's potency is halved, or the duration if it does not have one. You also can't get addicted to it.

Skill Magazines

While not technically medical supplies, skill magazines function similarly. Each skill magazine typically costs about 25 caps. A skill magazine may be read as an action, crumbling the ancient paper in the process, thus destroying it. When read, you gain one the following depending on the magazine for 1 minute:

• Boxing Times - your next attack that deals melee damage has advantage.
• Fixin' Things - your next Arcana check has advantage.
• Future Weapons Today - your next attack that deals energy damage has advantage.
• Lad's Life - your next Survival check has advantage.
• ¡La Fantoma! - your next Stealth check has advantage.
• Locksmith's Reader - your next Sleight of Hand check has advantage.
• Meeting People - your next Persuasion check has advantage.
• Milsurp Review - your next attack that deals ballistic damage has advantage.
• Patriot's Cookbook - your next attack that deals explosive damage has advantage.
• Programmer's Digest - your next Investigation check has advantage.
• Salesman Weekly - your next Deception check has advantage.
• Tales of Chivalrie - your next Intimidation check has advantage.
• Today's Physician - your next Medicine check has advantage.
• True Police Stories - your next Insight check has advantage.

Food

In the wasteland, food is few and far between. Each food item has a Food Score. You have a Satiation count. Whenever you eat something and don’t vomit it, your Satiation count goes up by the food item’s Food Score. Your Satiation count decreases by 3 at the end of each day. If this causes it to go below 0, your Starvation count goes up by 1. Your Starvation count can go up to your Starvation Threshold (ST) is equal to 1/4 your Constitution score rounded down. Fulfilling your food requirement for each day decreases your Starvation count by 1. Every time your ST is passed, you gain 1 level of exhaustion. Every time you reduce your Starvation count below your ST, you lose 1 level of exhaustion.

One meat can be cut into 2 meats of 1 size category lower as a DC 15 Survival check. On a failure, it instead becomes 1 meat of 1 size category lower. Rotten food has half the weight and food score of the original food. Pre-War food can’t become rotten.

On eating raw or rotten meat or eggs, you must succeed a DC 15 Constitution or Charisma saving throw. On a failure, you vomit. You do not benefit from the item’s food score and the food becomes inedible.

Cooked meat and plants can be turned into a food ration with a DC 12 Survival check, so long as you have a fire and food worth a score of 3 or more. You can bulk make rations, which is recommended because if you fail, the result will be 1/4 the intended rations (round down, minimum of 0).

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