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Almayer Doctor
Difficulty: Medium
Supervisors: Chief Medical Officer
Duties: Heal severely injured marines, do surgery.
Guides: Guide to Medicine, Surgery, Guide to Chemistry

"Doctor, I can't feel my legs!"
"I know, we amputated them!"
― A Patient and a Doctor

A Squad Medic can bandage a wounded marine, but sometimes the situation is so bad that the Marine should be taken from combat back to the Almayer. That's where you, the Almayer Doctor comes, safe in your medbay on the Almayer, you'll be doing all the things normal field medics can't do.


Your job as a Almayer Doctor is to heal what the Combat Medics can't. You will be responsible for:

  • Treating major wounds and infections
  • Operating on patients in need of major surgeries
  • Concocting medicine as required
  • Handling triage

You answer to the Chief Medical Officer, and should follow their instructions and advice at all times, however if the Commander gives you an order it takes priority over the Chief Medical Officers. In the event that you are ordered to create a field hospital remember that the CMO and acting commander have to agree to send you planetside. You also work with the Researcher, they don't really do much, but don't bother them in case they're on the verge of a breakthrough!

Drug Distribution

Drug distribution can be defined as:

 "Any non-standard issue drugs found in medical will require authorisation from the CMO and the CO for distribution." 

To sum it up, the CMO and the acting commander are authorising the client (AKA, anyone who asks for drugs from medbay. Most commonly medics.) to be given Medbay's medical supplies.

To distribute drugs, you as a doctor will have to ask the CMO to authorise it and also get the acting commanders permission to distribute drugs as well, if that doesn't happen the act of distributing drugs is seen as illegal and is punishable in accordance to marine law.

Tools of the Trade

The Almayer doctor is given a number of trusty tools to assist him or her in their duty, which is, being a doctor! These tools include:

  • Four cryogenic cells
  • A chemistry laboratory
  • Four operating theaters
  • Two sleepers
  • Six cryogenic freezers (For placing players who have left the game into.)
  • Five body scanners
  • A ton of medical kits, defibrillators and a bunch of other supplies in the vendors
  • Multiple IVs and a supply of blood bags

I'm a doctor! Now what?

At the beginning of each round, you will have 20-30 minutes to prepare the Medbay before injured marines start showing up. During this time, it is important to set up certain systems that you will need to deliver an efficient and effective medical experience.

Preventing Overwork and Long Wait Times:

Here are some common tasks that can help improve the effectiveness of your medical environment.

  • Go to the cryogenic freezer and turn it on.

The freezer cools the cryogenic cells, which is required for them to function effectively.You are able to customize the power and target temperature for the cryogenic cells, but the default configuration is the most efficient. As an additional improvement, you can fill the cryogenic cells with enhanced beakers. Make sure that engineering department has set up the power on the ship or the medbay will run out of power in no time.

  • Produce supplies for Squad Medics.

Squad medics have access to the medical communications channel through a medical key available in their lockers. They may request that you provide them with certain chemicals as a part of their preparation routine. Usual requests from medics may be: Bigger bicaridine pills, a mix of kelotane and dermaline, iron pills, and other medications. Always provide these medications in pill form, and in a labeled pill bottle. Don't forget about the authorisation to distribute the chemicals.

If you want to know what (and how) you can cook up, please refer to the chemistry guide.

  • Set up the IV drips.

IV drips are used to provide patients with blood. To use them, take a blood pack (or a beaker, if you want to inject chemicals) and use it on the IV drip to load it. After loading the IV drip, pull it to be adjacent to your patient and click-and-drag the IV drip to your patient's body. You should get a message that the IV drip was attached. MAKE SURE THAT THE BLOOD IS COMPATIBLE WITH YOUR PATIENT. If you are a lazy heathen, use blood (all blood types can take O- blood)

Always unattach the IV drip from the patient if he is about to be moved away. Patients will take minor brute damage if you pull them away while they are still attached.


As the round progresses, your main role will be to administer aid to the individuals that visit the Medbay. Since Squad Medics can patch up and resolve minor injuries, marines will typically only visit the Medbay if they have a severe internal injury that requires surgery. Because surgery is a time-consuming process with many separate steps, it is important to be educated on how to conduct surgery. It is important to triage cases properly, alien embryo cases and lung ruptures take priority over brain damage cases which in turn take priority over simple bone fractures in limbs.

For a step-by-step surgery guide, please refer to the guide to Surgery.

General Guidance

Nobody likes to wait in the Medbay while they are injured and unconscious. As a doctor, you need to organize your activities and manage your workflow efficiently in order to process patients quickly and reduce the time that everyone has to wait. This can become especially important if you are the only doctor actively conducting surgery. Remember that you can restock empty injectors, bottles and medical supplies in the medical vendors by clickdraging them back onto it. Not only it helps with the piles and piles of used medical supplies, but also makes them usable again. Don't forget that the pill bottles are not restockable.

Your actions will have a large impact upon whether or not the marines will be victorious, because your ability to do surgery influences the number of active marines currently engaged in combating the alien menace. Do your job well, but remember - this is not a chore. Perform your duties at your own pace.

Efficiency Tips or "How to Save Seconds on Every Procedure":

  • Before conducting surgery, always check the body scan of the patient and have it readily available in your mind.
  • If the patient has low blood levels and also requires surgery, give them the IV drip while they are on the surgery table.
  • Print mechanical limbs early on in the surgery procedure so they are ready immediately when you need them.
  • Ask your patient to remove their backpack/mask. This is much faster than taking off their items manually.
  • Wash your hands right after you set your patient's internals. It take a second for your patient to fall asleep, so you can take this time to wash your hands for the surgery.
  • The hemostat step after an incision is OPTIONAL. If you need to speed through surgeries at top speed, you can skip "Clamping bleeders" for your patient after you apply the scalpel. Keep in mind that this will cause them to bleed during the surgery.
  • For a single patient, conduct all required surgeries at once. This reduces the number of times you need to pick up surgery tools.
  • Don't fight with the other doctors over the operating rooms. It is a lot better to simply wait for it to get vacant instead of arguing with the people around you.

Your Skillset

Doctor skill set.png

To find out about how the skill system works head over to the skills system page.