Turn ordinary Rust damage and survival into a full medical gameplay system.

Getting shot shouldn't always mean using a syringe and carrying on.

Eating unsafe food shouldn't be meaningless.
Freezing in the snow shouldn't only lower a bar.
Radiation shouldn't disappear the moment you leave the area.
Getting mauled by an animal shouldn't feel identical to falling off a roof.

Diseases makes those moments matter.

Players can suffer injuries, infections and environmental illnesses that develop over time, produce real symptoms and require appropriate treatment.

And when things go wrong?

They may need an actual doctor.

Make Survival Dangerous Again

Diseases transforms existing Rust gameplay into consequences players actually have to think about.

A bullet can leave a Deep Wound.

A hard fall can cause a Broken Leg.

A blow to the head can cause Concussion.

Cold and wet conditions can develop into Hypothermia.

Extreme heat can progress into serious Heat Illness.

Radiation exposure can become Radiation Sickness.

Animals can leave wounds - or transmit Rabies.

Unsafe food can cause anything from Food Poisoning to Salmonellosis.

And some infections are considerably worse than others...

VirusX can bring the dead back.

None of this requires replacing Rust's core gameplay. Diseases builds on top of it.

More Than Random Debuffs

Diseases are not simply icons with timers attached.

Conditions can progress through stages, worsen, recover, suppress symptoms, react to the environment and require different treatments depending on how far the condition has developed.

A player might be able to handle an early injury themselves.

Ignore it long enough and they may need professional treatment.

That creates something vanilla Rust rarely gives server owners:

Medical decisions with consequences.

Doctors Become Real Players in Your Economy

Give players a reason to become the person everyone wants to find after a bad fight.

Doctors can diagnose hidden conditions, treat patients, prepare specialist medicines and use the integrated medical interaction wheel without relying on awkward command spam.

Treatment can be:

Free. Standard-priced. Or priced by the doctor.

The patient receives the treatment offer and decides whether to accept it.

This creates an organic service economy around medicine where being a doctor can become an actual role on your server.

A Medical System Players Can Understand

Diseases includes player self-care, doctor treatment, custom medicines and an in-game Medical Guide.

Players don't need to memorize a wall of commands.

Hold a supported medical item and press R / Reload to open the medical interaction wheel and see what can actually be done.

The menu automatically adapts to the player's role, current conditions and available treatment items instead of presenting a giant list of irrelevant actions.

When professional help is needed, your Outpost Surgeon can act as the center of the medical system - offering examinations, guidance, doctor recruitment and connections to available player doctors.

Simple In-Game Interaction

Despite everything happening behind the scenes, actually using Diseases is intentionally simple.

For Players

• Hold a Bandage, Medical Syringe, Large Medkit, or supported treatment item.
• Press R / Reload.
• Choose an available self-care option from the medical interaction wheel.

Players only see treatment options that are actually relevant to their current condition and the item they are holding.

For Doctors

• Hold a supported medical item.
• Look at the patient you want to help.
• Press R / Reload.
• Choose from available medical actions such as:
• Diagnose Patient
• Treat Patient
• Prepare Medicine
• Medical Guide

The doctor menu automatically works from the patient's actual medical state and the treatments available.

Hold medical item → Press R → Choose what you want to do.

That's it.

Custom Medicines That Actually Matter

Diseases introduces specialist medicines instead of making every problem solvable with vanilla syringes.

• Wound care
• Radiation treatment
• Rabies treatment
• Fracture treatment
• Antiparasitic medicine
• VirusX suppression

And even an Experimental VirusX Antiserum.

Medicines can have their own recipes, custom skins, treatment chances and uses, giving server owners another valuable crafting and economy layer.

VirusX

Then there is VirusX.

An infected player who dies can reanimate.

Not as a cosmetic effect.

As an actual hostile infected carrying the identity of the fallen player.

Configure the reanimation delay, whether player loot transfers to the primary infected corpse, what happens to native zombie loot - and even how many infected spawn from a single death.

One death can become somebody else's problem very quickly.

And because player inventory is involved, Diseases uses protected transaction and recovery handling rather than blindly throwing items between corpses.

Built for Different Types of Servers

You don't need to turn your server into a hardcore medical simulator.

Almost every major system can be adjusted.

Run a brutal survival server where untreated injuries are genuinely dangerous.

Build an RP server with a functioning doctor profession and medical economy.

Add only a handful of injuries to a mostly vanilla server.

Or enable the full system and make surviving the environment just as important as surviving other players.

Diseases adapts to the server instead of forcing the server to adapt to Diseases.

What's Inside?

• 15 built-in conditions, illnesses and injuries including Deep Wound, Broken Leg, Concussion, Rabies, Hypothermia, Heat Illness, Radiation Sickness and VirusX.
• Progressive stages and symptoms rather than simple timer-based debuffs.
• Doctors, diagnosis and patient treatment with consent and configurable payment.
• Custom medicines and crafting with specialist treatment purposes.
• Simple R / Reload medical interaction wheel for player self-care and doctor actions.
• Self-care and Medical Guide integrated directly into the medical system.
• Outpost Surgeon and doctor recruitment for servers that want a real medical profession.
• Combat trauma and environmental exposure tied into normal Rust gameplay.
• Blood trails, screen effects and movement consequences that make conditions visible and meaningful.
• VirusX reanimation with configurable infected spawn count and protected player-loot handling.
• Deep configuration and expansion support for server owners who want to shape the system around their gameplay.
• Persistent medical state designed to survive reconnects, plugin reloads and server restarts.

Designed as a System - Not a Collection of Effects

The part players see is only half of Diseases.

Underneath it is a reusable condition engine handling progression, stages, persistence, treatments, medicines, environmental exposure, trauma, UI, doctor interaction and lifecycle recovery.

That means future conditions don't require rebuilding the plugin every time something new is added.

And for server owners, it means Diseases is designed to become a long-term medical foundation for your server, rather than a gimmick you install for one wipe.

Ready to Make Survival Matter?

Rust already gives players guns, food, radiation, temperature, animals, medicine and hostile environments.

Diseases gives those systems consequences.

Turn injuries into problems.

Turn medicine into gameplay.

Turn doctors into a profession.

And give your players another reason to fear dying.

Diseases - Advanced Medical & Injury System

Full Documentation

Full installation instructions, configuration explanations, commands, permissions, condition references, medicines, treatments, doctor setup, Outpost Surgeon configuration, VirusX settings, API documentation, troubleshooting and live-server guidance are available in the Documentation tab.

The documentation is written for both experienced server owners and people installing/configuring a Rust plugin like this for the first time.

Support & Updates

Join my Discord for support and plugin updates:

Plugins By Duff

https://discord.gg/2KBPH7hXb7