This is the patient-side guide to seeking Chirurgeon treatment on Immortal Realm. For the Order itself, College of Chirurgeons. For the maladies system, Immortal Realm Maladies.
Quick Answer
| Situation | What to Do |
|---|---|
| You have a malady you want cured | Find a Chirurgeon, request treatment |
| You have high Mortal Shock stacks | Find a Chirurgeon, request Last Rites |
| Your friend died and has stacks | Visit their gravestone, leave Mourner's Flowers |
| Combat injuries (HP only) | Self-heal with bandages or potions |
| You're not sure what's wrong | Ask a Chirurgeon to examine you |
Quick Facts
| Where to find a Chirurgeon | College Hall in Britain; or ask in chat |
| Treatment range | Within 2 tiles of the patient (or the gravestone for Last Rites) |
| Cost | Tool cost + optional tip; service itself free |
| Required from you | Be online; for Last Rites and Death Certificates, be present at your gravestone |
| What to bring | Gold for tips, reagents only if a specific rite calls for them |
Step-by-Step: Get a Malady Treated
For a chronic condition like Mire Lung, The Shakes, or Call Stones:
- Identify the malady. Your buff icons and the malady gump (or a Chirurgeon's examination) tell you which malady you have and its current stage.
- Find a Chirurgeon. Visit the College Hall in Britain; ask in chat; check the forum for active Chirurgeons. You can also type
[requestreliefin-game (registered asAccessLevel.Player) — it registers a malady-relief Need on the Commons so any active Chirurgeon scanning the Needs tab can spot you. - Whisper or approach the Chirurgeon. Explain: "I have [malady name], stage [stage]. Are you available to treat?"
- Travel to a treatment-friendly location. Often the College Hall; sometimes wherever you both are. The Chirurgeon needs to be within 2 tiles.
- The Chirurgeon performs the treatment. Different maladies use different tools — Calmleaf Draught for The Shakes, Numbing Draught + Surgeon's Kit for the surgical Call Stones extraction, the Steaming Brazier for chronic-respiratory work like Mire Lung.
- Pay or tip as agreed. Tool costs are real; tipping for difficult cases (Cure Call Stones is worth 12 service points to the Chirurgeon, the most-rewarded treatment in the system) is customary.
- Follow recovery instructions. Some treatments have a recovery window; don't immediately re-engage with what caused the malady.
Step-by-Step: Request Last Rites
For Mortal Shock stacks (death-penalty debuff):
- Check your stack count. Open your buff icons or use the relevant gump; you'll see "Mortal Shock: N stacks" if you have any.
- Decide whether to seek treatment. Low stacks (1-3) — wait for decay. High stacks (8+) — find a Chirurgeon.
- Locate your gravestone. Last Rites is performed at your gravestone, which sits at your most recent death site. Travel there.
- Find a Chirurgeon. Open the Commons; check Providers; whisper or chat.
- The Chirurgeon meets you at the gravestone. Both of you must be present; you online, them in range.
- They perform Last Rites. A particle effect, a sound, all your Mortal Shock stacks clear. The gravestone is consumed.
- Tip if appropriate. Last Rites is a real social favor; gold or a reciprocal favor is normal.
For the Mortal Shock system in detail, Mortal Shock.
When to Ask a Chirurgeon
| Situation | Ask? |
|---|---|
| 1-3 Mortal Shock stacks | No (decay handles it) |
| 4-7 stacks | Optional (judgment call) |
| 8+ stacks | Yes |
| Active malady, low stage | Maybe (some self-resolve) |
| Active malady, high stage | Yes |
| Multiple stacked maladies | Yes |
| Combat injury (HP loss) | No (self-heal) |
What to Bring to Treatment
For most treatments:
| Item | Use |
|---|---|
| Gold for tip | Tipping is customary |
| Bandages | Backup self-heal during the rite |
| Reagents | Some rituals use reagents the Chirurgeon may need |
| Patience | Don't rush; treatments are real scenes |
Common Mistakes
- Asking for Last Rites at low stacks. Waste of the Chirurgeon's time. Use decay.
- Not specifying which malady you have. Let the Chirurgeon examine you if you don't know.
- Treating the Chirurgeon as an NPC. They're a real player giving you their time. Be polite; tip.
- Asking on a non-Chirurgeon channel. Use chat or the Commons; don't post in the wrong forum.
- Going offline mid-rite. Last Rites and Death Certificates require both parties online and at the gravestone.
What if There's No Chirurgeon Online?
| Workaround | Notes |
|---|---|
| Wait for decay | 1 stack per hour online |
| Mourner's Flowers | Friends can leave them at your gravestone (5 max, 1 stack each) |
| Death Certificate | High Ledger members can clear stacks instead |
| Self-treatment | Some maladies can be partially self-treated |
| Ask later | Active Chirurgeons exist; check chat through the day |
For the High Ledger Death Certificate path, see How to Use the High Ledger.
Reciprocity
Players who frequently use Chirurgeon services typically:
- Tip well after each treatment.
- Help fellow patients in turn (Mourner's Flowers cost nothing and help everyone).
- Refer friends to the Chirurgeons who treated them well.
The civic layer works because everyone participates. Don't be the player who only takes.
Where to Read Next
- For the College Order page, College of Chirurgeons.
- For the maladies system, Immortal Realm Maladies.
- For the death-penalty system, Mortal Shock.
- For death recovery in general, Death and Recovery.
- The download page is the on-ramp when you're ready.
