The Mad Doctor's Formulary (PFRPG)

5.00/5 (based on 3 ratings)
PZOPDFLDGCC13LE

Landscape PDF

PZOPDFLDGCC13E

Portrait PDF

Add Landscape PDF $4.99

Add Portrait PDF $4.99

Facebook Twitter Email

Mad scientists are a classic horror trope, and the Mad Doctor's Formulary brings them to life in an terrifyingly evocative way, focusing on all the awful possibilities of non-magical yet murderous medicine, sadistic surgery, and gruesome grafting. There are echoes of magic within these pages, as we explore how the cruel science of chirurgery and replicate or counter more common magical means of corrupting or altering body and mind alike with procedures like Implant Psychic Trigger, Lobotomize, Stimulate Adrenal Cortex, and Install Kill-Switch. Included within is a grimoire-tome, Regarding the Clockwork of Capillaries, explicating the application of chirurgical techniques not only to surgery with or without anesthetic, but also to the creation of chirurgical constructs. Implant a cyberphrenic tadpole and establish a subtle telepathic relay with your victim's mind, or simply command your cranial dissectibot to strap them down and have them open wide; each construct's vividly horrific illustration stands alone on its own page for optimal player display. Tell them not to worry; it won't hurt... much...

Designed by Jason Nelson and Clinton J. Boomer with the Legendary Games design team of Liz Courts, Crystal Frasier, Matt Goodall, Jim Groves, Tim Hitchcock, Neil Spicer, Todd Stewart, Russ Taylor, Greg A. Vaughan, and Clark Peterson, with amazing illustrations by Tim Kings-Lynne and Frank Hessefort. Who better to provide you with creepy constructs and alternate rules for creating and using them in your Adventure Path campaign than the very writers of those adventures themselves? Answer: no one. Legendary Games' Adventure Path Plug-Ins supplement and enrich your campaign experience, offering adventures and supporting products that incorporate and expanding upon unique concepts, themes, and rules subsystems introduced in the Adventure Paths while filling in the background characters, items, and locations that make those adventures come alive in delightful (and often dangerous) detail. Legendary Games combines stellar writing talent with innovative layout and product design and top-notch artistic values that we think will bring you back again and again.

Download includes TWO files: a full color version AND a stripped printer-friendly version, both versions extensively hyperlinked internally and to online Pathfinder resources for easy interactive reference.

Check out this 16-page gothic-themed accessory and Make Your Game Legendary!

Product Availability

Fulfilled immediately.

Are there errors or omissions in this product information? Got corrections? Let us know at store@paizo.com.

LGP018CC13PFE


See Also:

Average product rating:

5.00/5 (based on 3 ratings)

Sign in to create or edit a product review.

An Endzeitgeist.com review

5/5

This pdf is 16 pages long, 1 page front cover, 1 page editorial/SRD, 1 page introduction,1 page back cover, leaving us with 12 pages of content, so let's take a look!

The pdf kicks off with rules for chirurgery, which is portrayed as an unpleasant ability to modify bodies in ways they were not meant to be modified in a world where magical healing is the default. Basically, it requires the skill focus (heal)-feat or at least 5 ranks in Craft (alchemy). If you meet either prerequisites, you may learn chirurgical procedures in a way similar to spells - upon learning them, though, you can use them at will. Studying from a book or another practitioner is possible and learning from corpses is harder than from live subjects. The procedures also feature a chance that you learn an imperfect version of the respective procedure, imposing a permanent malus on your check to perform it until you manage a perfect success. These procedures do spend your kits, though. When using the madness-rules used by the Gothic Grimoire-series and first introduced in Tomes of Ancient Knowledge, these procedures might drive a recipient of the chirurgical procedures insane - a rule I suggest you drop when not using these in the context of a fantasy world where magical healing is readily available.

Now how are procedures handled rules-wise? Essentially, 3 skill-checks are required: Disable Device, Craft (Alchemy) and Heal. 3 successful checks mean a complete success, whereas two are a partial success and 1 means a failure - and there is the potential for catastrophic failures as well. Interactions with skill mastery and similar abilities as well as a lack of assistants is covered as well and beyond even that, the respective procedures have an associated synergy-skill that provides a +1 bonus to all skill-checks for every 3 ranks the practitioner has in the respective synergy skill.

A total of 11 such procedures are covered with DC, the amount of days it takes and the amount of healer-kit uses the procedure expends per ongoing day. It should also be noted that there are possibilities to reverse these respective procedures. At the very latest when reading the respective procedures, one realizes that Hippokrates would not smile upon these procedures since they indeed have a very sinister tint to them: Whereas changing the appearance might still be moderately common and neutral (though terrible things can be done with this), implanting phobias and multiple identities of your choice (including a list), enhance non-lethal damage healing, grafting vestigial or functional fins and wings, implanting suggestions, modify memories or erase memories of class abilities and similar tricks via Induce Amnesia, or get REALLY nasty. Want to implant drug reservoirs, lobotomize victims (though the repercussions of this one are not severe enough for my tastes) or even implant instant-kill-switches? Yeah, you can do that. You could of course also use these for healing purposes via the general surgery, but where's the fun in that? "White" surgery to get rid of blindness/deafness, attribute damage and drain etc. are btw. not covered in here - while they wouldn't fit with the theme, I maintain that more procedures in future supplements would help to make the complex subsystem more relevant.

After that, we are introduced to a beautiful full-color one-page artwork of a new grimoire, On the Clockwork of Caterpillars, a grisly tome that includes the procedures featured in this book as well as access to two new feats as well as the pieces of information to create a variety of constructs. The Anatomical Precision-feat allows the character to use his anatomical knowledge to study foes and help criting/sneaking them. Anesthetist allows the user to improve unconsciousness-poisons or use your antidote/healer's hits to ameliorate pain - either fast or slowly.

The final pages of the product are devoted to two new creatures - the first being the Cyberphrenic Tadpole (CR 1/3) that can invade others and telepathically manipulate those invaded by it and relay the creator's commands - like in the Construct Codex, we get a one-page glorious full-color artwork of the critter, easily producible as a hand-out to players. Beyond this, there is the CR 5 Cranial Dissectibot (CR 5) - essentially an operating table with saws etc. that can drill into the skulls of helpless creatures and restrain patients - a perfect companion for mad doctors who don't want the clichéd Igor and rather make their own friends when operating.

Conclusion:

Editing and formatting are top-notch, I didn't notice any glitches. Layout adheres to Legendary Games' 2-column, drop-dead-gorgeous full-color standard and the pdf comes in two versions, one slightly more printer-friendly than the other. The pdfs come fully bookmarked and the original pieces of full color artwork are legendary indeed and rank among the finest pieces one can find in any roleplaying product out there.

The Mad Doctor's Formulary provides a complex, yet easy to grasp non-magical system for surgical procedures of the more sinister kind and offers some really nasty options. That being said, they are not perfect. Perhaps due to the brevity or for playability's sake, the potential for relatively simple reversal of the procedures means also that the procedures lack a bit of the gravitas they otherwise would have - catching characters alive is hard enough and being subject to such an operation should have characters steaming and the mad doctor cackling - since the procedures not even require a caster-level check versus the doc's surgical skill to be reversed, they at least in my opinion lose some of their threat-potential and "we're screwed/what have you monster done"-mentality.

There is a second thing you should be aware of when getting this - while the rules presented herein work as a rudimentary alternative to magical healing, this is not the liberating strike for non-magical healing it could have easily been, were this a longer book with benevolent surgery included. While I won't hold that against the pdf, I still feel that this book's potential transcends greatly its rather tight focus.

That being said, for what it is, for its tight focus on disturbing medicine, it works exceedingly well and rating it instead as a book that makes non-magical healing valid is simply not fair. Still, a sense of a missed opportunity, at least for now, suffuses my reception of this otherwise stellar offering and hence my final decision of settling on a verdict of 4.5 stars -still rounded up to 5, but short of the seal of approval. If evil medicine only moderately interests you as a concept, I still wholeheartedly encourage you to check this out.

Endzeitgeist out.


a true nugget.

5/5

one of my players showed me this today. I said I'd have a look, and I write this an hour later. This document is pretty, the content sparks the imagination, and it provides a lot of very interesting, scary ideas that would fit the theme of Way of the Wicked and Carrion Crown perfectly.

Yeah, it's scary - but with style, not at all gross. The high level of creepy is not suitable for everyone, but that's why paizo didn't dare include stuff like this in the original carrion crown adventure path. You wouldn't want to play Carrion Crown without this!

In my Way of the Wicked Game (Fire Mountain Games) the alchemist is making this his life's work. His legacy. every level, another 'discovery' is made, and another page added to his Mad Doctor's Formulary.

This is $5 well spent.


Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

Woo, first post! Come and get it.. if you dare!

(No, really, you should dare. It's awesome.)


Great to see tbis here! Just dropping this comment as a reminder, I'll have the time to do a (hopefully memorable) review of this astounding tome later.

Suffice to say for now that this could be called "The Essential Alchemist (Vivisectionist) Sourcebook" with no hyperbole. I mean, rules for giving lobotomies?

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

I look forward to it. But come on, lobotomies are the least of your worries! If the good doctor is really hardcore he'll be implanting a couple of entirely new personalities!


Just posted my review here, and I'll be off to stick it up on RPGNow too. I just hope it's good!

EDIT: Ach, I forgot, I'd have had to buy it there to post my review! Sorry about that.


Say, is anyone else buying this one? Because it really is something good for fans of less-mystical horror in their games.

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

Somebody is; 30+ copies in two days - not too shabby. :)

Keep on coming and getting it!

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

Landscape version of The Mad Doctor's Formulary now available by direct email order at makeyourgamelegendary at gmail dot com as well as for download on the d20pfsrd webstore and at DrivethruRPG, and submitted on Paizo.com and should be approved and ready for download by the end of the day.


Jason Nelson wrote:
Landscape version of The Mad Doctor's Formulary now available by direct email order at makeyourgamelegendary at gmail dot com as well as for download on the d20pfsrd webstore and at DrivethruRPG, and submitted on Paizo.com and should be approved and ready for download by the end of the day.

NOOOOOOOOO!!! (he said, dramatically)

Is there a way to upgrade to landscape if you've already purchased the portrait? I much prefer your landscape format!

Webstore Gninja Minion

Landscape version now available here!

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

Joseph Wilson wrote:
Jason Nelson wrote:
Landscape version of The Mad Doctor's Formulary now available by direct email order at makeyourgamelegendary at gmail dot com as well as for download on the d20pfsrd webstore and at DrivethruRPG, and submitted on Paizo.com and should be approved and ready for download by the end of the day.

NOOOOOOOOO!!! (he said, dramatically)

Is there a way to upgrade to landscape if you've already purchased the portrait? I much prefer your landscape format!

Sure, it's called "email Jason at the above address and he'll send you the landscape version." :)

You've certainly been a loyal enough fan of LG for us to take care of you!

In return... write us a review!


Eric Hinkle wrote:
Say, is anyone else buying this one? Because it really is something good for fans of less-mystical horror in their games.

Hehe yeah I buy everything Legendary Games produce. Fortunately, there's just so much gaming goodness coming out these days and so I haven't had a chance to dive into the latest offerings yet. They've been purchased and downloaded but they're currently in my to-read pile. :)


If you're using the Mythos madness rules... I really think "surgery" should be exempted from that.

As painful as it may be in a setting where anaesthesia is highly dubious, actually operating on someone to remove a tumor or stitch up a wound really, really shouldn't inherently expose them to Lovecraftian cosmic horror.

Dark Archive

Should a Vivisectionist be able to use Skill Focus (Knowledge (Nature)) as a prerequiste for Anatomical Precision?

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

Evil Midnight Lurker wrote:

If you're using the Mythos madness rules... I really think "surgery" should be exempted from that.

As painful as it may be in a setting where anaesthesia is highly dubious, actually operating on someone to remove a tumor or stitch up a wound really, really shouldn't inherently expose them to Lovecraftian cosmic horror.

Well, sure, if you learn it from a reputable medical practitioner maybe. You learn it from the deranged scrivenings of generations of mad scientists, you're taking your chances even if you're only removing infected hangnails! :)

Seriously, though, it's entirely reasonable to exempt Surgery from the Madness-potential of the other chirurgical procedures in the product.

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

Jadeite wrote:
Should a Vivisectionist be able to use Skill Focus (Knowledge (Nature)) as a prerequiste for Anatomical Precision?

I think I'd stick with Skill Focus (Heal) as being the most generally applicable thing to learning the best ways to focus on the helping or hurting process of anatomies of all kinds.

Dark Archive

But Heal is useless for Vivisectionists, considering they get the ability to use Knowledge (Nature) instead.

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

I suppose it's mostly true. Any viv likely to learn the feat is probably at least 3rd level, and while a viv isn't required to ever take ranks in Knowledge (nature), why wouldn't they? Int is their main stat and why not double-dip on the skill bonus?

I suppose it's fair to give vivisectionists a special exemption and let them use Skill Focus (Knowledge (nature)) instead of SF (Heal).

The fluff on the viv is somewhat odd to me, I must admit; I always thought of a vivisectionist as someone who vivisected PEOPLE, not animals, so I would have expected Knowledge (local), but I suppose it's equally fair to assume they are slicing up animals for practice. In any case, we do try to keep our products abreast of archetypes, feats, and other newer rules, though there are so many corner cases for any potential rule the occasional one is bound to crop up. Alas for growing complexity (to which, of course, we are contributing by making MOAR PRODUKKKTT!!!!).

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

Just wanted to pass along a little fun nugget from getting to use this product in my own home game. I am running Haunting of Harrowstone, and when the PCs were investigating the infirmary I thought it would be fun to drop in a cyberphrenic tadpole. The reaction on the faces of my slightly jaded group of players (plus my 15-year-old son who started playing with the group last year) was VERY satisfying, as was their abject horror when it tried crawled up the leg of my son's gunslinger character and attached and started burrowing inside him. Fortunately for him, the party barbarian managed to rip it off of him and the party smashed it before it could do any lasting harm, but it was very entertaining seeing a hint of real horror in their eyes! :)

Just for kicks, I also showed them the cranial dissectibot issue. They resolved as one to stay far, FAR away from anything that looked like that. I may have to find a way to slip one into Trial of the Beast. :)


Why is there a separate charge for each version? Other downloads from the same company have included both. I will be skipping this one just out of principal.

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

PathfinderFan64 wrote:
Why is there a separate charge for each version? Other downloads from the same company have included both. I will be skipping this one just out of principal.

Actually, there's always a separate charge if you want the landscape or portrait version; each version is sold and tracked as a separate SKU. We have been doing this since we introduced the first double-format product last August with Under Frozen Stars; before that, all of our products were landscape-only, with the exception of Gothic Heroes, which was portrait only.

Most companies produce documents only in portrait format. Our original thought was to produce ours in landscape for greater readability on computer screens. However, some folks early on asked for portrait versions as well and we decided to start offering both, in part as a convenience to customers who liked to choose which version they wanted, and in part as a test-marketing program to let people vote with their wallets as to which format they would buy when given the choice. As it turns out, most people prefer the portrait format, generally by a ratio of between 2.5:1 and 3:1. However, a significant minority (like Joseph Wilson who posted upthread) still prefer and buy the landscape versions. Even though we know they don't sell as well overall, out of consideration for customers like him we still have our layout person do the conversion to provide most of our more recent products in both formats (our "Heroes" pregen products and smaller Gothic Grimoires products are and will remain portrait-only).

What might be causing the confusion is that all purchases do come with two versions of the same document, one in full color, including background textures, and another stripped-down "printer-friendly" version without some of the visual ornamentation of the full-color version that will save you on ink or toner if you print the PDF at home. That's an extra value-added piece we include for the convenience of customers who print vs. those who use our products purely electronically. Still, this is not the same as offering both formats (landscape and portrait) as part of the same download; check our product page here at Paizo and you'll see separate listings for landscape and portrait versions of all of our products that offer both formats.

We would love to have your business and we think this is a great product. If you want to skip this one because you're not interested, I hope our next offering will be more to your liking, but I'd encourage you to give it another look if the separate downloads for each format were the only thing keeping you from it.

Happy gaming, whatever you choose!


Thanks for the reply. I went and looked at my downloads from LG and you were right. I mistook the printer friendly version for the landscape. I somehow thought you included both versions before. I have bought all the others so I will go ahead and buy this one as well. Sorry for the mistake.

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

PathfinderFan64 wrote:
Thanks for the reply. I went and looked at my downloads from LG and you were right. I mistook the printer friendly version for the landscape. I somehow thought you included both versions before. I have bought all the others so I will go ahead and buy this one as well. Sorry for the mistake.

No problem! I'm happy to clear up the confusion and happier still to hear that you're a fan of our products. Hope you like this one as well as the others you've bought from us!

If I may be so bold, I'd also suggest picking up the new Cultic Cryptomancia, available NOW on our website (and qualifying for our 10 for 10 promotion), and available later this week at Paizo as well as shop.d20pfsrd.com and DrivethruRPG/RPGNow. Viva la Cult! :)


Reviewed first on Endzeitgeist.com, then submitted to NErdtrek and GMS magazine and posted here, on OBS and d20pfsrd.com's shop. Cheers!

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

1 person marked this as a favorite.

Thanks for the review!

In response to your comment about magically removing the effects of chirurgical procedures, that is always a tough spot to navigate between what magic can and can't do vs. what mundane operations can and can't do. In the end, we decided to go with the notion that magical remedies would work to fix chirurgical procedures, though you had to use the right one.

If you'd like to go the other route, however, and make them more difficult to fix, I think a simple rule addendum might be this:

If you wish to make chirurgical procedures more difficult to remove by magic, and more reliant on finding a helpful chirurgeon to repair the horrors wrought by a mad doctor using chirurgery to harm, you may use the lowest result of the three skill checks used to complete the procedure as the target DC for a caster level check when using the appropriate spell to remedy the procedure. If the caster level check fails, the magical remedy fails as well.

A grimoire or tome detailing the more beneficial side of nonmagical medicine in a fantasy world is on the drawing board, but in our current focus on launching our Kingbreaker AP products it's uncertain when we'll have time to bring it to completion. It's on the list!


Nice solution and analogue to what I would have used as a handwave solution. :)

Cultic Cryptomancia is LG's next one on my list - oh my, I've fallen behind... ._.


As always, End, that's one great review. I'm just glad I got mine in before you wrote yours, else I wouldn't have seen the point in writing one.


I always enjoy your well-considered reviews Eric - they actually belong to the rare ones I actually give credence to and provide often valuable feedback. So never let one of mine be a deterrent for writing your own! :)

RPG Superstar 2009, Contributor

Agreed. We get a lot of our most valuable feedback and customer insights from both of you guys. So, keep the reviews coming. You know we're paying attention.


Thank you very much, both of you. I'm quite flattered by the praise.

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

What Neil and Endy said. Not just the more the merrier, but with our sincere appreciation for every thoughtful review. People do care and pay attention, sometimes a thoughtless review can turn people off to a book or movie or restaurant or gaming product just because they see one star next to it, even if all the review says is "Not What I Wanted!"

The fact that reviews of that sort exist out there in the universe make us appreciate the thoughtful, insightful, and well-reasoned interviews all the more. So, high five to the both of you, and anybody and everybody who takes the time to write one!


I just purchased this and took a look at it, and I quite like it; however, I noticed under the Insert Limbic Reservoir procedure, under Failure, my copy reads:

The Mad Doctor's Formulary wrote:
Failure: The implantation process damages the target's brain, dealing 2 points of Intelligence and Wisdom damage. The limbic reservoir also begins to leak, delivering a dose of the drug every 1d6 hours even when not triggered. If triggered, there is a 50% chance that all remaining contents of the reservoir are released at once. If this occurs,

And it just cuts off there and moves onto the Malpractice section. I checked both the printer friendly copy of the pdf and my own, and it reads the same for both. Is it only my copy that has this minor issue?

That said, beyond that, it seems very well-written, and I particularly like the concepts of the Adjust Appearance, Graft Flesh, and Surgery procedures. Might have to consider a shackleborn tiefling who uses these concepts...


Huh, I never noticed before, but my copy also does that. I think I assumed that Malpractice happened at that point.

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

I'll look into the source docs after work tonight, but it looks like a little oops that slipped through editing. Thanks for bringing it to my attention!


No worries. I noticed a few other minor errors, but that was the only one that seemed a missed step in how an aspect of the system actually functions...

If you're interested, the other things I noticed were:

Spoiler:
Under Graft Flesh:

"Complete Success: You can replace a creature's natural weapon
with a different one suited for the same limb (bite or gore for
head; claw, slam, or wing buffet for arm; claw or hoof for leg;
sting or tail slap for tail). You can instead add a prehensile hand
in place of a claw on an arm)."

Not sure where you actually wanted to have the end parentheses, or if you intended to have another beginning one somewhere, but.

Under Insert Limbic Reservoir:

"Complete Success: You can insert up to ten doses of any drug,
most often scour or zerk. which then can be infused directly into
the patient's subdural spaces for faster absorption and intensified
effect."

...which should be...

"Complete Success: You can insert up to ten doses of any drug, most often scour or zerk, which then can be infused directly into
the patient's subdural spaces for faster absorption and intensified
effect."

Under Stimulate Adrenal Cortex:

"Malpractice: The exhausted, fatigued, or staggered patient gains
the benefits of a complete success but heals no nonlethal damage.
In addition, she gains the benefits of haste for a number of
rounds equal to her Constitution modifier (minimum 1 round).
However, once the effects of haste expire any effects previously
removed return the patient becomes exhausted takes 1d6 points
of nonlethal damage and 1 point each of Strength and Dexterity
damage for each round spent hasted."

...which should be...

"Malpractice: The exhausted, fatigued, or staggered patient gains
the benefits of a complete success but heals no nonlethal damage.
In addition, she gains the benefits of haste for a number of
rounds equal to her Constitution modifier (minimum 1 round).
However, once the effects of haste expire, any effects previously
removed return, the patient becomes exhausted, takes 1d6 points
of nonlethal damage, and 1 point each of Strength and Dexterity
damage for each round spent hasted."

Or at least some form of punctuation breaking that up a bit.

...but like I said, those are very minor errors, so I apologize if I come off as nitpicking.

Scarab Sages RPG Superstar 2008 Top 4; Contributor; Publisher, Legendary Games

Only 427 errors left before I have to hit the suicide machine. I'd better tighten it up over here! :)

Seriously, glad you are enjoying the product and hope you continue checking out the other cool stuff we have ramping up. We do have a few more horror products coming this October, for fans of the genre. More previews on that to come!

Community / Forums / Paizo / Product Discussion / The Mad Doctor's Formulary (PFRPG) All Messageboards

Want to post a reply? Sign in.