A civic healing template for Immortal Realm. Chirurgeons sit at the intersection of combat support, healing, and civic Order play — their work is genuinely useful in dungeons, in PvP groups, and in public civic scenes at the College Hall.
Quick Facts
| Role | Healing support, civic Order play |
| Skill total | 700 |
| Difficulty to play | Medium (support timing) |
| Difficulty to train | Medium (multi-skill) |
| Training time to working | 50-80 hours |
| Time to grandmaster | 100-200 hours |
| Pairs with | College of Chirurgeons, dungeons, civic content |
Skill Template
| Skill | Target | Why |
|---|---|---|
| Healing | 100 | Bandage healing on yourself and others |
| Anatomy | 100 | Healing scaling, damage utility |
| Magery | 100 | Heal spell, utility, Cure |
| Evaluating Intelligence | 100 | Scaling on Heal/Cure spells |
| Meditation | 100 | Mana regeneration |
| Resist Spells | 80-100 | Survival |
| Alchemy | 60-80 | Potion utility, including healing |
Total: 640-700.
The build emphasizes healing redundancy — bandage healing (Healing + Anatomy), spell healing (Magery + Eval Int), and potion healing (Alchemy). At any given moment in a fight, at least one of these is available.
Training Order
| Stage | Push To | Notes |
|---|---|---|
| 1 — Trainers | Healing 30, Anatomy 30, Magery 30, Med 30 | NPC trainers |
| 2 — Combat practice | Healing 60, Magery 60 | Heal yourself in low fights |
| 3 — Group support | Healing 80, Magery 80, Eval Int 60 | Heal others; Magery becomes useful |
| 4 — College joining | Apply to College | Begin rank progression |
| 5 — Mid-skill | All cores 80+ | Service work begins paying |
| 6 — Specialization | Alchemy 80 + Resist 80 | Full support kit |
| 7 — Grandmaster | All template skills to 100 | Promotion path opens fully |
College rank progression runs alongside skill training. Doing examinations and treatments builds your service record toward promotion regardless of skill level.
Stats
| Stat | Target | Why |
|---|---|---|
| INT | 100 | Mana for Healing/Cure spells |
| STR | 90 | HP and bandage carry |
| DEX | 35 | Casting and bandage application speed |
A Chirurgeon's stat priority is INT-first, STR second.
Gear
Starter gear:
| Slot | Item |
|---|---|
| Body | Cloth robe, leather underneath |
| Pack | Bandages × 200, reagents, healing potions |
| Spellbook | Standard spellbook |
Mid-game:
| Slot | Item |
|---|---|
| Body | Magic armor with mana-related attributes |
| Spellbook | Augmented spellbook |
| Pack | Numbing Draughts, Surgeon's Kits, treatment supplies |
Late-game:
| Slot | Item |
|---|---|
| Body | TimeWoven augmented support suit |
| Other | College Hall regalia (rank-gated cosmetics) |
College Order Progression
The Chirurgeon Order rank ladder. Seven enum ranks but only the first three promotion paths are wired — ranks above Chirurgeon exist in the system but their promotion gates arrive in later phases:
| Rank | Gate | Notes |
|---|---|---|
| Orderly | Entry on join | Entry rank |
| Attendant | 30 SP + the rank exam (RankExamGump) — 24h fail cooldown, per-rank | Confirmed members handling routine cases |
| Practitioner | 100 SP + 10 lifetime Calmleaf Draught donations + Lung & Limb exam | Conduct unsupervised treatments |
| Chirurgeon | 250 SP + 5 lifetime Mire Lung cures + Stones of the Body exam | Lead day-to-day Order work; serve as examiners |
| Physician | Promotion gate not yet wired | Reserved for future phases |
| Surgeon | Promotion gate not yet wired | Reserved for future phases |
| Master Chirurgeon | Promotion gate not yet wired | Reserved for future phases |
"Provost" is Master Aldric Vermeer's unique NPC title — not a player rank. He hosts every exam in the Hall.
Each rank's 24h failure cooldown is per-rank — failing the Attendant exam doesn't lock you out of the Practitioner or Chirurgeon exams. The Mire Lung cure counter and the Calmleaf donation counter both track lifetime totals (not per-day), and they're stored as account tags, so they survive logout but DO require explicit migration to follow a character through a transfer.
Service points come from:
- Cure Shakes (4 pts) / Stabilize Shakes (2 pts).
- Cure Mire Lung (8 pts) / Stabilize Mire Lung (4 pts).
- Cure Call Stones (12 pts) — the most-rewarded treatment / Failed Call Stones extraction (1 pt).
- Civic verbs at Attendant+: Absolve / Bless Writ / Prestige Hunt / Relic Aura — 4 pts each.
- Last Rites at gravestones (6 pts via the Mortal Shock integration).
Daily soft cap: 200 SP/day. Examinations alone don't earn SP — the cure or civic verb is what pays.
For full Order documentation, College of Chirurgeons.
Gold Strategy
How to fund this build:
| Stage | Income Source |
|---|---|
| Early | Tips from healed players, basic NPC work |
| Mid | Treatment fees (you charge for tool costs), token rewards |
| Late | Established reputation; commission healing for guilds |
Chirurgeons earn less per fight than combat builds but earn steady token income through Order service plus tips from grateful patients.
Weaknesses
| Weakness | Mitigation |
|---|---|
| Low solo damage | Stay in groups when possible |
| Reagent burn | Carry generous reserves |
| Vulnerable solo in PvP | Avoid Felucca solo; bring a combat ally |
| Healing target priority | Practice triage in real fights |
How This Build Connects to Systems
| System | Connection |
|---|---|
| College of Chirurgeons | Direct fit; the build's spiritual home |
| Maladies | You treat them; they're your work |
| Mortal Shock | Last Rites is your most-asked-for verb |
| Daily Ledger | Order tasks pay you reliably |
| Civic Justice | Chirurgeon service supports civic absolution |
| Commons | Your name shows up in the Providers tab |
When to Respec
This template handles civic healing and group support. Consider a respec when:
- You want to add Necromancy for combat-buff hybrid.
- You want to drop Alchemy for combat damage skill (Bushido + Tactics).
- You want to specialize toward bardic support (Music + Provocation).
- You want a more combat-leaning template (drop Eval Int + Med for Tactics + Anatomy at higher).
Where to Read Next
- For the College Order page, College of Chirurgeons.
- For the maladies system you'll treat, Immortal Realm Maladies.
- For the Mortal Shock layer, Mortal Shock.
- For the builds hub, Immortal Realm Builds.
- The download page is the on-ramp when you're ready.
Visual reference
Click to enlarge.
