Sanitarium

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The front line of this war is not in the dungeon, but rather, inside the mind.
~ The Narrator
Sanitarium
The Sanitarium is one of the Locations in the Town where you can treat your Heroes' Quirks and Diseases for a price.

Upgrading the Sanitarium allows for more quirk and disease treatment slots and reduces treatment cost.

NPC Image Building Upgrade Progression
Sanitarium.png Sanitarium progression.png


Details[edit | edit source]

The Sanitarium has three places that can be upgraded:

  • Treatment Library: reduces the cost of Sanitarium Quirk treatments, allowing you to lock in positive Quirks and remove negative ones for less gold.
  • Medical Devices: reduces the cost of treating Disease and increases the chance of wiping out more than one disease at a time.
  • Patient Cells: this allows for more heroes to be treated at once. Initially, the Sanitarium only has one medical slot and one treatment slot.
Sanitarium Upgrades
Treatment
Library
Level 1 Level 2 Level 3 Level 4 Level 5
Reduces positive & negative quirk treatment cost by 10% Reduces positive & negative quirk treatment cost by 10% Reduces positive & negative quirk treatment cost by 10% Reduces positive & negative quirk treatment cost by 10% Reduces positive & negative quirk treatment cost by 10%
Sanitarium.cost.icon.png 3 Icon Bust.png 3 Icon Crest.png 8 Icon Bust.png 5 Icon Crest.png 12 Icon Bust.png 8 Icon Crest.png 16 Icon Bust.png 10 Icon Crest.png 21 Icon Bust.png 13 Icon Crest.png
Medical
Devices
Level 1 Level 2 Level 3 Level 4 Level 5
Reduces disease treatment cost by 13% Increases chance of curing extra diseases. Reduces disease treatment cost by 13% Increases chance of curing extra diseases. Reduces disease treatment cost by 13%
Sanitarium.disease quirk cost.icon.png 3 Icon Bust.png 3 Icon Crest.png 8 Icon Bust.png 5 Icon Crest.png 12 Icon Bust.png 8 Icon Crest.png 16 Icon Bust.png 10 Icon Crest.png 21 Icon Bust.png 13 Icon Crest.png
Patient
Cells
Level 1 Level 2 Level 3 Level 4
Increases number of medical ward slots to 2. Increases number of treatment ward slots to 2. Increases number of medical ward slots to 3. Increases number of treatment ward slots to 3.
Sanitarium.slots.icon.png 10 Icon Bust.png 6 Icon Crest.png 20 Icon Bust.png 13 Icon Crest.png 30 Icon Bust.png 19 Icon Crest.png 60 Icon Bust.png 38 Icon Crest.png

Quirk Management[edit | edit source]

When committing a hero to a quirk treatment slot, the player can remove up to 1 negative quirk and lock/remove up to 1 positive quirk. When managing a positive and negative quirk at the same time, the player pays for the sum of both individual treatments. This can make quirk treatment very expensive, and using the Sanitarium for this purpose is often put off until much later in the game where a player can afford regular treatments. On the other hand, triggering Caregiver's Convention by completing a Gather quest in the Weald will make the Sanitarium completely free for the next week, saving tens of thousands of gold on treatment.

Removal of chronic negative quirks is a more costly undertaking than treating a new negative quirk, so it's often recommended to get problematic negative quirks treated as soon as possible. If the player cannot afford treatment, it's recommended to not send the hero with that quirk on adventures to avoid the risk of the negative quirk becoming chronic. Sometimes it's not imperative that all negative quirks be treated - a chronic but benign negative quirk (for instance, one that restricts the stress relief activities a hero can participate in) will never be replaced by new negative quirks, leaving less room for other more problematic quirks (like Kleptomania or stat-reducing quirks).

Up to three positive quirks per hero can be locked, preventing new quirks from replacing them. However, should a player find a new quirk they want to lock while they already have three quirks locked on a hero, the hero must spend two weeks at the Sanitarium - one to remove a locked quirk, and another to lock in the desired quirk. It is also possible to remove non-locked positive quirks; the reason for doing so is mainly to delete redundant/weaker positive quirks so that new positive quirks are less likely to overwrite more important ones.

Diseases were once very impactful negative quirks, but now take their own slot, can be resisted, and are much cheaper to treat than quirks. Disease treatment is different from quirk treatment, and as such a hero committed to disease treatment cannot have their quirks treated in the same week.

Costs[edit | edit source]

The cost of treating heroes increases depending on their resolve level. For reference, Apprentice Heroes are Level 0-2, Veteran 3-4, Champion 5-6.

Treatment Costs
Base Cost: Level 1
Upgrades:
Level 2
Upgrades:
Level 3
Upgrades:
Level 4
Upgrades:
Level 5
Upgrades:
Negative: 1500 1350 1200 1050 900 750
Locked
Negative:
5000 4500 4000 3500 3000 2500
Lock/Remove
Positive:
7500 6750 6000 5250 4500 3750
Disease: 750 650 550 450

Treatment Costs
Base Cost: Level 1
Upgrades:
Level 2
Upgrades:
Level 3
Upgrades:
Level 4
Upgrades:
Level 5
Upgrades:
Negative: 2100 1890 1680 1470 1260 1050
Locked
Negative:
7000 6300 5600 4900 200 3500
Lock/Remove
Positive:
10500 9450 8400 7350 6300 5250
Disease: 1050 910 770 630

Treatment Costs
Base Cost: Level 1
Upgrades:
Level 2
Upgrades:
Level 3
Upgrades:
Level 4
Upgrades:
Level 5
Upgrades:
Negative: 2700 2430 2160 1890 1620 1350
Locked
Negative:
9000 8100 7200 6300 5400 4500
Lock/Remove
Positive:
13500 12150 10800 9450 8100 6750
Disease: 1350 1170 990 810

Town Event[edit | edit source]

The Sanitarium has 3 Town Events related to it.

Event Image Positive Event Name Description Effect
Caregivers convention.png Caregivers Convention The preponderance of rare and exotic injuries make this place perfect for the study of suffering.

"Among the visiting delegation are experts in corporeal and cognitive disability, as well as several forensic specialists."

Sanitarium is Free
Medical Breakthrough.png Medical Breakthrough Finally the serum is working, and the side-effects are... manageable.

"The time and gold were not spent in vain, however, as today caregivers announced they have succeeded in concocting as effective antidote."

Medical Devices is Free
Town Fair.png Town Fair The town is alive with wild merriment and desperate jubilation!

"The town is alight with a spirit of goodwill and revelry, but this life-affirming attitude is not predicted to last long."

All Stress Relief Activities & Sanitarium Free

Spreading the Curse[edit | edit source]

If you have the Crimson Court DLC added, and you put a hero afflicted with the Crimson Curse in the Sanitarium, they could infect another hero being treated there. If you've defeated the Countess and can treat the Crimson Curse like any other disease, bear in mind that the Crimson Curse can still spread this way, even to other heroes under regular disease treatment.

Achievements[edit | edit source]

Achievements associated with the Sanitarium
Image Name Description
Achievement58.jpg The price we pay for sanity... Remove a Quirk in the Sanitarium
Achievement60.jpg Encouragement... Lock a positive Quirk in the Sanitarium
Achievement50.jpg Restored to its former glory... Fully upgrade the Town


view
Buildings  Abbey MiniScrollpip.png Blacksmith MiniScrollpip.png Guild MiniScrollpip.png Nomad Wagon MiniScrollpip.png Sanitarium MiniScrollpip.png Stage Coach MiniScrollpip.png Survivalist MiniScrollpip.png Tavern
Special  Ancestor's Memoirs MiniScrollpip.png Graveyard MiniScrollpip.png Town Events MiniScrollpip.png DistrictsExclusive to the Crimson Court DLC