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Great responses, thanks to you both! I happen to be in the GM boat. I like the idea of it pairing with the Athletics proficiency to delay the fatigue. I also was not aware that the Everair mask exists even after trying to find items that help with the environment, so this is a great help!

The PCs also are in possession of a Wand of Planar Palace that they’ll use to rest (and likely clear any fatigue by specifying a Golarion-like atmosphere) so it’s really figuring out how to manage the remaining 16 hours… and really for the sole PC without either legendary Athletics or the Breath Control feat.


It sounds like you're saying it's less about the ability to breathe thin air in general and more about acclimation to Akiton's atmosphere as a whole. Sort of like comparing it to high altitude climbing or deep-sea diving, where supplemental oxygen only goes so far. Is that right? (Then again, we are talking about technically-survivable fantasy Mars.)

Thanks for your detailed and logical thought process! I'm curious to see whether other people have different opinions.


The PCs have made an excursion to Akiton, and we ran into a question about the Breath Control Feat. Essentially, we're having trouble determining whether Breath Control can be used to mitigate the penalties of not being acclimated to thin atmosphere. Akiton's atmosphere is indicated as "breathable but thin." See the Breath Control feat:

Player Core pg. 253 wrote:

You can breathe even in hazardous or sparse air. You can hold your breath for 25 times as long as usual before suffocating. You gain a +1 circumstance bonus to saving throws against inhaled threats, such as inhaled poisons, and if you roll a success on such a saving throw, you get a critical success instead.

The mechanical benefits only refer to situations where you're actively holding your breath. However, the first line of the feat says you can breathe in "sparse air". This implies additional, non-mechanical resistance to atmospheric effects. The description of Akiton's atmosphere continues:

minor spoilers, Strength of Thousands Book 5:
Creatures who aren’t acclimated to Akiton’s atmosphere become fatigued after one hour of exposure, unless they have master proficiency in Athletics (in which case they become fatigued after 24 hours of exposure) or legendary proficiency in Athletics (in which case they instantly acclimate and don’t become fatigued). This fatigued condition ends after the character gets a full night’s rest in a familiar atmosphere. Spells like air bubble, items like bottled air, or other effects at the GM’s discretion delay this fatigue as long as the effects persist.

So, is Breath Control limited to intentionally holding one's breath, or could it be used in lieu of acclimation in environments with thin atmosphere?