Alexx's Medical Brutalism
Alexx's Medical Brutalism is AlexandrBud's medical-system overhaul. Its recorded author description adds medical conditions and explicitly excludes multiplayer; choose it for a solo mod setup and check the listed prosthetics compatibility separately.
| Property | Documented value | Status |
|---|---|---|
| author | AlexandrBud | 1 author snapshot · source currently access-restricted |
| version | 4.9.11 | 1 author snapshot · source currently access-restricted |
| updated | 2026-11-10 | 1 author snapshot · source currently access-restricted |
| endorsements | 158 | 1 author snapshot · source currently access-restricted |
| unique downloads | 3824 | 1 author snapshot · source currently access-restricted |
| requires | BepInEx (community guide uses 5.4.23.5) | 1 author snapshot · source currently access-restricted |
| features | Adds many new medical conditions, making expeditions deadlier and more complex | 1 author snapshot · source currently access-restricted |
| conflicts | No multiplayer support; compatible with Makeshift Prosthetics and Prosthetics | 1 author snapshot · source currently access-restricted |
| Field | Recorded value | Evidence |
|---|---|---|
| Author | AlexandrBud | 1 source · Nexus author snapshot |
| Recorded mod version | 4.9.11; updated 10 November 2026 | 1 source · Nexus author snapshot |
| Multiplayer | Author states no multiplayer support | 1 source · Nexus author snapshot |
| Named compatible projects | Prosthetics; Makeshift Prosthetics | 1 source · Nexus author snapshot |
What the overhaul changes
Medical Brutalism changes the scope of the medical system rather than supplying a single healing item. The recorded description promises additional medical conditions and a more complicated, more lethal expedition. That distinction matters when reading a vanilla treatment guide: a page explaining the base game's bleeding, infection or brain damage does not provide a complete treatment reference for this overhaul. The research snapshot did not include its full expanded condition list, so this guide does not assign invented symptoms, drug doses or remedies to those added conditions.
Solo play and prosthetics compatibility
The most consequential compatibility statement is the author's explicit exclusion of multiplayer. Installing Casualties Together does not establish that Medical Brutalism's added conditions will synchronize between players. Keep this overhaul out of a planned co-op package unless the author publishes a different compatibility statement. This is a restriction attached to Medical Brutalism itself; it should not be generalized into a claim that every medical or prosthetic modification is incompatible with co-op.
The same author snapshot names both YOU1ARE0IC's Prosthetics and NyaruQwQ's Makeshift Prosthetics as compatible projects. They are two separate mods with different features, not alternate names for Medical Brutalism. The statement supports considering those combinations, but it does not establish compatibility with every release of each project or with unrelated wound-interface modifications. Use the prosthetics comparison to distinguish the two before selecting files.
Choosing the correct files
The community Modding page describes BepInEx as the usual plugin loader and explains the plugins directory. For Medical Brutalism, start at the linked author listing, match its requirements to the file you choose, and keep the overhaul's archive and version label together. Do not replace the author's package instructions with a promise that every archive contains one DLL. A copied dependency from another medical mod can leave a mixed installation even when the Medical Brutalism file itself has the expected name.
Version 4.9.11 and 10 November 2026 are recorded author metadata, not an independently confirmed latest-release promise. Download counts and endorsements are omitted because they change without describing treatment behavior. The useful decision here is whether you want Medical Brutalism's expanded solo medical rules and one of its specifically named prosthetics combinations; the installation guide covers shared loader setup and removing a mod package.

