Survival (Fallout 4)

Survival mode is a gameplay mode in Fallout 4 that introduces new aspects of survival into the gameplay.

Survival mode
Survival mode can be accessed in the options menu. Unlike Hardcore modes in previous Fallout games, Survival mode can be set before gameplay. Also, this mode can be toggled on or off, at any time during gameplay.

Features in this mode are as follows: Manual, quicksaving and almost all autosaves are disabled. Fast travel is disabled. The Sole survivor deals, but also takes more damage. Typically, threats are no longer displayed on the compass. Locations of interest are harder to detect. The Adrenaline perk is given. Sole survivor must stay hydrated, eat periodically, and have a regular sleep cycle. Fatigue damage reduces Action points (AP). Sleeping in a bed does not heal Hit points (HP). Illnesses and Antibiotics are introduced. Radiation damage impacts Hit points. RadAway, stimpaks and most other healing items heal over time, rather than all at once. Limbs can also be restored with a Stimpak, sleeping in an unowned bed until fully rested, or by visiting a Doctor. Ammunition has weight and total carry weight is significantly reduced for both the Sole survivor and companions. Companions will not get back up, if downed in combat, until healed. Location enemies and items repopulate slower.

Gameplay differences


Status effects

 * Note: the hours are for game time; the seconds for real time. (Based on FVN, may need to be updated; Values may or may not be true). This table is incomplete.