Afflictions and healing

Healing in Chained Beasts is a bargain with the arena. Potions restore health and leave a physical or mental affliction behind. With more than 70 in the launch build, the question is never just 'how much health?' — it is 'which downside can I play around?'

70+ afflictionsPotion trade-offsUpdated 17 Oct 2026
The core rule: potions are not free heals. They buy health with an affliction. The Surgeon can manage the damage between acts, but every procedure has a cost. Treat healing as build decisions, not a reset button.

How healing works

Between rounds, you choose how to recover. The central trade-off is a potion: it restores health and applies an affliction. The affliction can be physical (movement, throwing, stamina) or mental (camera control, forced choices, teammate interactions). The developers describe this as the game's signature risk system.

The result is that a run is shaped by the injuries you accept. A team that heals blindly ends up with three players who cannot throw and one who cannot move. A team that plans its healing can carry one bad affliction and still function.

Affliction examples

These examples come from the developers' launch material. They are not the full list.

AfflictionWhat it does
AnnoyingAllies may attack you involuntarily if you get too close.
ImpulsiveForces you to lock in a new skill every second level and buy an item at every shop.
InfatuatedThe camera follows a particular ally and gives +10% damage when they are looking at you.
PsychosisYou hallucinate weapons into the arena.
Broken toeA training injury that hampers movement.
Dislocated shoulderA training injury that affects how well you throw.
Punctured lungA training injury that makes you run out of breath.

Training injuries are a separate risk

The Trainer is not a free upgrade button. Training adds reps to a shared XP bar, and each rep adds pain. Too many reps cause injuries such as a broken toe (movement),dislocated shoulder (throwing) or punctured lung (running out of breath). The XP is shared; the injury is personal.

The practical rule: train when the team needs the level, not because the bar is close. One player taking a movement injury to secure a perk for everyone can be correct — four players doing it is how a run dies.

The Surgeon

Between acts, the Surgeon can help manage afflictions or offer body modifications that grant new skills. Every procedure has a cost, so weigh it carefully. The Surgeon is your answer to an affliction that is quietly ruining the build, not a way to erase every mistake.

  • Remove the run-ending affliction first. A movement penalty on your only melee player is worse than a cosmetic problem.
  • Consider the augmentation. A new skill can be worth more than a clean bill of health if your build is missing a tool.
  • Do not spend the last coins on surgery. If the next act needs a weapon upgrade more than a cure, buy the weapon.

How to choose a drawback

  1. Protect your role. If you are the blocker, do not take a movement or stamina affliction. If you are the thrower, protect your shoulder.
  2. Avoid stacking the same penalty. Two movement penalties turn a dodge into a death sentence.
  3. Talk about mental afflictions. Annoying and Infatuated change how teammates interact with you; the group needs to know.
  4. Heal before a boss, not after a wipe. Arriving at a boss with 40% health and a fresh injury is worse than spending coins earlier.
  5. Keep one emergency potion. The arena does not care that you planned to heal next round.
Correction policy: if Featherweight publishes a full affliction list or changes the healing rules, this page will be updated and the verification date changed. This is an unofficial guide, not a data mine.

Plan the whole run

Skills, coins, training and surgery all feed the same build.