The Enemy Within
If a wound becomes gangrenous or was suffered as part of a critical hit that requires a Toughness Test to prevent a loss of function, it requires surgery.
Successful surgery to prevent loss of function requires a Challenging (-10) Heal Test and involves the cleaning of the wound and the repair of damaged bone and tissue. Surgery to remove gangrenous tissue requires a Heal Test with a difficulty equal to the infection difficulty, and involves the removal of the infected material from the body. Both processes are obviously very painful for the patient in question.
A character enduring surgery must make a Hard (-20) Willpower Test to prevent screaming and writhing in pain. If he is not subsequently pinned down and held immobile with a Grapple Test, his writhing causes a cumulative -5 penalty to the surgeon’s Heal Test per minute of the surgery that he remains mobile. Other patients prefer to get Stinking Drunk first, which prevents the writhing and screaming, but decreases the bonus to the Toughness Test provided by the surgeon’s efforts to merely a +10.
If surgery to prevent loss of function succeeds, the patient gains a +20 bonus to his Toughness Test. If the surgery fails, the patient does not gain the +20 bonus, and also suffers a chance of the operated area becoming infected. The patient must make another Toughness Test to prevent infection as if he had received another Wound and not received medical attention, except that the modifiers below apply instead. If the patient fails, he immediately suffers 1 Wound per 10% by which he failed the test and the area becomes infected, with all of the penalties and long-term effects as described under the Infection rules.
If surgery to remove a gangrenous infection succeeds, it ‘resets’ to a normal infection and the patient gains a +20 bonus to all subsequent Toughness Tests to resist the effects of the infection. The infection may also now be cured with a successful Heal Test as normal. If the surgery fails, the infection difficulty increases by -10 and the gangrenous infection progresses.Replacements
If a replacement or appendage is added as part of a surgery that results in an infection, or is attached to an area that become gangrenous, the replacement or appendage must be destroyed and a new one provided.