Think about it - because ammunition weighs so much and fast travel is disabled, you'll be carrying everything potentially for miles and for hours, so having as much carry weight as possible means more resources for upgrading, restoratives for healing and ammo brought back to your settlements to prepare for future adventures. While the fast travel while over-encumbered aspect is naturally disabled, that extra carry weight is massively important. Strong back increases carrying capacity by up to 50 and allows you to run while over-encumbered. This is perhaps one of the most important perks available for survival difficulty. Also, as given away by the opening sentence, you'll be able to craft those lovely stimpacks, which are undeniably useful for surviving. With this perk, not only do drugs gradually last longer depending on the rank, but you can craft antibiotics at workshops, which instantly cure diseases - being caught in the wilderness with a nasty disease will seriously eat up your restoratives, negatively affecting your basic requirements. So, this makes the Chemist perk astonishingly useful. Unfortunately, stimpacks can no longer be created by default - and even more unfortunately, diseases are a relatively common occurrence. The subtlety of sneaking behind opponents carefully, while watching for potential flanking adversaries, is an essential skill with sneaking - and this makes it incredibly useful for the ambush / skirmish style encouraged within survival difficulty. Because this perk reduces the chances of detection by up to 50% - and even prevents triggering hostile explosives and floor traps - it's perfect for a subtle approach. Similar to the aforementioned perk above, Sneak is absolutely vital. Combine this with a silenced weapon or a sniper rifle and aim at an enemy's weak points for maximum effect. Realistically, the run-and-gun approach is not recommended on this difficulty a more careful, tactical approach is. Because this perk dramatically increases damage from sneak attacks (2.5x, 3x and 3.5x ranged damage for its three ranks), it's extremely useful for attacking unseen opponents. Survival difficulty is undeniably difficult and all adversaries are remarkably efficient at causing your immediate demise that's why the Ninja perk is perfect. With all those details discussed - and I apologize if there are missing additions - time to disclose the most important perks to assist in your survival within this now harsher landscape. There is no fast travel - now you must travel the old-fashioned way.Companions will head home if not healed with a stimpack to recover.Carrying capacity is significantly reduced.Larger ammo, missiles, nukes etc are significantly heavy. There are no saves, auto-saves or quicksaves available.Limbs are not cured automatically they require a stimpack or a bed.Beneficial drugs (stimpacks, rad X, radaway) can be dehydrating, induce hunger and leave you vulnerable to sicknesses.An example requires more sleep another is an infection causing periodic damage. Diseases can be contracted which have different effects.Eventually, you could suffer periodic damage which eventually causes death. The need to drink, eat, and sleep regularly - lest stats be diminished and fatigue set in.Fatigue from associated health concerns reduces AP, meaning less sprinting time and VATS.Much slower healing from stimpacks, food and water.More damage from opponents, so death occurs after a few hits.The various dramatic changes to the game include the following:.
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