Hospital

The Hospital is where you go when you lose in a fight, are hospitalized, lose a game of Russian Roulette, after failing certain Crimes and Organized Crimes, if Leslie attacks you while playing the wheels, or from a random event in a Mission. In this event your life becomes 1.

How to Get out?

Revive

Being Revived will remove you from hospital and replenish a percentage of your life based on the revive skill of the reviver. This costs the reviver 75 energy, with the cost being reduced by 5 energy for every upgrade their faction has in the "Reviver" branch in the Fortitude tree, to a minimum of 25 energy. Being under the effects of Love Juice during the Valentine's Day Event also reduces the energy cost by 10 energy, which results in the minimum cost to revive being 15 energy. To gain the ability to revive, a person must first reach the brain surgeon rank in the medical starter job.

Items

The following items aid with getting out of hospital:

  • Small First Aid Kit
  • First Aid Kit
  • Morphine
  • Blood Bags
  • Neumune Tablet
  • Opium

Every mentioned item, except Opium, will add time to your medical cooldown after use. Your medical cooldown is a timer that increases each time you use a medical item. When it goes over 6 hours, you cant take more medical items until it goes under 6 hours. You can view your current medical cooldown (if you have any) by clicking/hovering over the medical cooldown icon in your icons.

The maximum medical cooldown can be increased through faction upgrade up to 9 hours. You can improve the effectiveness of all the medical items up to 50% through Education (+20%) and Faction special upgrades (+30%).

Small First Aid Kit

The Small First Aid Kit, also known as an "SFAK" is obtained by stealing it from the hospital while in the medical job. There is a 1/3 chance of getting 50 of these when opening a box of medical supplies, acquired through the TCHS stock benefit. You can also buy these from the Pharmacy for $20,000 each.

The "SFAK" will take 20-24 minutes off your hospital time depending on Education courses you have taken, restore 5% of your total Life and add 10 minutes to your medical cooldown.

First Aid Kit

The First Aid Kit, also known as a "FAK" is obtained by stealing it from the hospital while in the medical job. There is a 1/3 chance of getting 30 of these when opening a box of medical supplies, acquired through the TCHS stock benefit. You can also buy these from the pharmacy for $35,000 each.

The "FAK" will take 40-48 minutes off your hospital time depending on Education courses you have taken, restore 10% of your total Life and add 15 minutes to your medical cooldown.

Morphine

Morphine is obtained by stealing it from the hospital while in the medical job. There is a 1/3 chance of getting 20 of these when opening a box of medical supplies, acquired through the TCHS stock benefit. You can also buy these from the pharmacy for $50,000 each.

Morphine will take 70-84 minutes off your hospital time depending on Education courses you have taken, restore 15% of your total Life and add 20 minutes to your medical cooldown.

Blood Bags

Blood bags can be filled by using an empty blood bag, and used once the Education Intravenous Therapy has been completed. Filling a blood bag will take 30% of your life, add 1 hour to your medical cooldown, and give you one filled blood bag of your blood type.

Blood bags will take 120-144 minutes off your hospital time, and add 30 minutes to your medical cooldown, and will also restore 30% of your Life, making them ideal to quickly recover after combat.

A table on which Blood Bags you can use as which group can be found below:

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Opium

Opium is a drug which can be purchased from China, Japan and South Africa. It can also be bought from other players. Opium will remove all standard hospital time, replenish 50% of your life and provide a 30% passive bonus to your defense. It does not add to your medical cooldown, but instead adds a 120-180 minutes drug cooldown. To find out more about Opium and other drugs click here.

Neumune Tablet

This is the only Medical item that will remove Hospital time if you have Radiation Poisoning due to a Dirty Bomb either in construction or detonation or due to the use of an irradiated blood bag.

As of 23/02/21, using a Neumune Tablet will increase Medical Cooldown by 3 hours, decrease Hospital time by 3 hours, and reduce Radiation Poisoning by 12 hours (1.5%). It will not remove Hospital time for any other reason. It is available to buy in Switzerland for $6,500,000.

Early Discharge

Following the Medical Revamp 2021[1], a mechanic called ‘Outsider Hits’ was introduced to balance faction warring, and create a more competitive environment.

Main article: Outside Hit

An Early Discharge allows a player to leave the hospital with no medical items or medical cooldown used. An alternative hospital icon is activated for when the early discharge is available to the player.[2]

Players will have their health bar recovered to whatever it was before they were attacked by the outside hitter.[3]

Early Discharge will only become available after the faction has first received excessive outside hits.[4]

The flowchart below shows how an outside hit is determined:

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Elimination

An addendum has been placed on the definition of an "Outside Hit" regarding the Elimination competition that runs in September. All Elimination hits will be considered "Inside Hits", and thus will not qualify a user for Early Discharge.



Historical Notes

  • Neumune Tablet used to take off 24 hours hospital time
  • Medical items and reviving was updated on 23/02/21 in the Medical Revamp 2021


Patch History

Released prior to Patch list #1

Patch list #191 : 11/05/21
  • Added additional text to revive confirmations to say if the patient has Early Discharge available.
Patch list #185 : 23/03/21
  • Changed hospital time to override & replace jail time (can no longer be in both at once).
  • Changed faction money & points depositing to not be possible while in hospital or jail.
Patch list #184 : 16/03/21
  • Added warning if Early Discharge is available on medical item use confirmation
  • Changed Early Discharge to only become available after the faction has first received excessive outside hits.
Patch list #183 : 09/03/21
  • Added alternative hospital icon when outside hit mitigation (Early Discharge) is available to the user.
Patch list #182 : 02/03/21
  • Added Early Discharge system to handle 'outside hit' mitigation which removes hospital time and restores life.
  • Removed 'no medical cooldown for medical items' outside hit mitigation now replaced by Early Discharge.
Medical revamp 2021
  • Added revive skill from 0 to 100 which has been pre-generated from historical data.
  • Added outside attack mitigation so war participants gain no medical cooldown when alleviating hospital time.
  • Changed maximum medical cooldown from 24 / 36 hours to 6 / 9 hours.
  • Changed medical item base hospital time minute reductions from 20/50/100/100 -> 20/40/70/120.
  • Changed medical item base life recovery from 3.25 / 7.50 / 15.00 / 20.00 -> 5/10/15/30.
  • Changed medical item cooldown minutes from 15/30/60/60 -> 10/15/20/30
  • Changed Neumune tablet cooldown of 6 -> 3 hours, radiation reduction -50%, hospital time 4h -> 3h.
  • Changed Empty Blood Bags to require and use 20% -> 30% life but reduced cooldown from 3 -> 1 hours.
  • Changed base maximum medical cooldown from 24 hours -> 6 hours.
  • Changed 'Medical Cooldown' faction tree special to increase medical cooldown up to 3 additional hours.
  • Changed hospitalization base time range from 180-300 minutes -> 180-210 minutes.
  • Changed Hospitalizing merit to increase hospitalizing times from +100 minutes -> +50%.
  • Changed Hospitalization faction tree special to increase hospitalizing times from up to +25% -> +50%.
  • Changed Opium to only recover up to 50% of maximum life but is now affected by medical effectiveness.
  • Changed Opium to provide +30% defense for its reduced duration of 2-3 hours.
  • Changed revives to have the possibility of failure /w visible chance % of which a higher revive skill improves.
  • Changed revive button styles on hospital to show which people are not accepting your revives.
  • Changed revive life recovery to be based on reviver's revive skill (I.e. Level 23 reviver will recover to 23% life).
Patch list #181 : 23/02/21
  • Released Medical Revamp 2021.
Patch list #173 : 22/12/20
  • Changed Neumune tablet time reduction to also benefit from medical effectiveness.
Patch list #156 : 25/08/20
  • Changed irradiated blood bags to provide hospital time and continuous radiation increases.
  • Changed irradiated blood bags to only be used when in hospital or on low life (like other blood bags).
Patch list #152 : 28/07/20
  • Updated main backgrounds for regular / jail / hospital / abroad states.
Patch list #133 : 17/03/20
  • Changed high drug addiction gym hospitalization to not trigger if the user is under attack.
Patch list #131 : 03/03/20
  • Changed attack log results to 'Interrupted' instead of 'Escaped' when target goes to hospital / jail during attack.
Patch list #130 : 25/02/20
  • Changed hospital cross color to black for the hospital user icon.
Patch list #115 : 29/10/19
  • Changed withdrawing blood while under radiation sickness to produce Blood bag : Irradiated.
Patch list #113 : 15/10/19
  • Changed random hospital time from the dirty bomb building process to avoid potential mission targets.
Patch list #112 : 24/09/19
  • Changed radiation poisoning hospital time to remove the player from jail first.
Patch list #84 : 05/03/19
  • Changed drugs to prevent their usage while in hospital for radiation poisoning.
Patch list #80 : 05/02/19
  • Changed "Withdraw blood" button label on touchscreen view to "Use".
Patch list #79 : 29/01/19
  • Enabled medical item usage while in jail and hospital at the same time.
Patch list #61 : 18/09/18
  • Changed stock market to allow access while in Hospital / Jail.
Patch list #44 : 15/05/18

Disabled blood withdrawal and some various boosters while in jail.

Patch list #20 : 14/11/17
  • Changed jail/hospital page access permissions while hosped/jailed at the same time.
Patch list #1: 20/06/17
  • Using incorrect blood bag no longer overrides hospital reason if it doesn't affect hospital time.
Medical 2.0 released : 25/02/15
  • Life bar added.
  • Medical items now give life.
  • Revives have no cooldown, and only provide 25% life increase.
  • Blood types, blood bags and a new educational course released.
  • Radiation sickness - new status effect caused by Dirty Bombs - released.


References

  1. Chedburn, Medical Revamp 2021 (23/02/21)
  2. Chedburn, Patch list #183 (09/03/21)
  3. sugarvalves, AMENDMENTS MADE TO MEDICAL SYSTEM Newspaper Article (02/03/21)
  4. Chedburn, Patch list #184

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