Gameplay guide

Fallen World transforms Fallout 4 into a hardcore survival experience with realistic combat, advanced survival overhauls, and deep customization.

What’s changed

:::info Core systems

• Survival mechanics — Survival Mode Overhaul with hunger, thirst, complex diseases, and more
• Medical system — MAIM realistic injuries: bleeding, pain, limb damage, lethal headshots
• Radiation — Dangerous and deadly with stacking debuffs
• Combat overhaul — True Damage realistic weapon damage, smart enemy scaling
• Skills & perks — S7 Skills system for character progression
• UI & controls — Immersive HUD, extensive keybind customization :::

Quick navigation

Use the sidebar to jump to specific systems:

• Survival mechanics — Needs, healing, radiation, medical items
• Combat systems — Damage overhaul, enemy scaling, ammunition
• Controls & UI — Keybinds, HUD, menus, interface
• Tips & strategies — Essential survival, combat, resource management

:::tip Getting started Start with Survival mechanics to understand the core systems, then check Controls & UI for essential keybinds. :::

:::warning Difficulty Fallen World is significantly harder than vanilla Fallout 4. Don’t skip the survival and medical sections—they’re essential for staying alive. :::