Medical Pens — Quick Reference

Five pen types cover different systems. Know them by color — you won't have time to read labels mid-fight.

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Always Use a Tractor Beam

When a player goes down, your first move is always repositioning them — not treating them. Treating in the open gets you both killed.

Reviving a Downed Teammate

Reviving a downed teammate requires a specific technique — it won't trigger if any step is skipped. The sequence also works in Armistice zones.

1

Roll them face-up via Inner Thought (hold F). The interaction won't trigger if the player is face-down.

2

Crouch beside them. Standing puts you out of interaction range in most cases.

3

Right-click with Hemozal equipped. Keep applying until they reach 100% health before they regain consciousness.

Live Demo

Crouch + right-click revival

The Medgun — Primary Treatment Tool

The ParaMed gun is the standard treatment tool for all Rune Guard operations. Unlike a med pen, which you use blind, the medgun gives you a full diagnostic readout before you commit to any treatment — so you know exactly what drugs to use and how much to give.

• Scan a patient to see affected body areas, injury tier, current HP, active drugs, and BDL.
• The scan also identifies which drugs are needed to mask specific symptoms — impaired movement, hearing loss, partial paralysis, etc.
• To self-treat: press B. This is the same key as weapon fire mode switching — be careful not to confuse them in the field.
• We don't use the Greycat multi-tool medical attachment. It only delivers Hemozal with no BDL readout or injury monitoring. Marines may carry one as a last-resort backup, but the ParaMed gun is the standard.

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Administering Drugs

• Switch to Advanced mode using the Inner Thought menu (hold F while aiming at the patient).
• Press AUTO (bottom right of the interface) — this automatically balances drug levels based on the scan. Resurgera is excluded from AUTO and must be administered manually.
• Left-click in short bursts. Never let BDL exceed 50%. If it starts climbing, stop and let it decay naturally before continuing treatment.

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Advanced mode — drug sliders and BDL bar

Blood Drug Level & Overdose

Blood Drug Level tracks total drug saturation in a player's system. Every drug administered — including med pens — adds to it. As a medic, keeping BDL under control is just as important as treating injuries.

• BDL at 100% = overdose. Player incapacitates for up to 15 seconds.
• Exceeding 100% causes random intermittent incapacitation — lethal in active combat.
• Caused by over-application of drugs or excessive alcohol consumption.
• Prevention: use AUTO in short bursts and monitor the BDL bar constantly. Stop treating if it climbs past 50%.
• Resurgera (grey pen) speeds BDL decay and can reduce overdose duration. A Tier 3 med bed fully clears it.

Ship Med Beds

Med beds handle injuries that field treatment can't fully resolve — particularly Tier 1 and Tier 2 wounds requiring sustained care. Getting a critically injured teammate to the ship's bed should always be the priority when the situation allows.

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Patient in treatment

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Med bed interface

• Keeps the patient stable and prevents death from injury degradation while the cycle runs — even for critical wounds.
• All beds now require medical gel to function. Whoever handles ship loadout before an op needs to confirm gel is stocked. A bed without gel is useless.
• Treatment tier depends on the ship. A Cutlass Red can fully treat Tier 3 injuries. Higher-tier beds handle Tier 2 and Tier 1.
• A completed bed cycle brings hunger and thirst to 99%, clears all BDL, and removes every active drug from the patient's system — a full reset.

Field Rules

Rune Guard doesn't use dedicated medics exempt from combat. Every member is expected to know these rules and apply them in the field.

Field Medical Supplies

Medical kits spawn throughout the verse and are worth grabbing when you find them — especially heading into a bunker op where resupply options are limited.

• Identified by a first aid cross on the container exterior.
• Contents vary but typically include med tools, med pens, and tool attachments.
• Reliably found in bunkers throughout the verse, and inside party containers during Siege of Orison.
• If your loadout is already full when you find one, call it out on comms — another teammate may need the resupply.

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Medical kit — bunkers and Orison