Cure disease, naturally


4th Edition


Hello there.

I'm still unfamiliar with D&D 4E rules (I'll be running my first combats this week) and, looking at the disease entry for the dire rats, wondered how could someone who got to the final state could get rid of the disease naturaly?

Example :

Filth Fever
Final Effect: The target takes a –2 penalty to AC, Fortitude defense, and Reflex defense. The target loses all healing surges and cannot regain hit points.

That would take a level 1-5 character out of the game, no? Is the "Cure disease" ritual the only solution?


There is an Endurance DC that indicates you move left along the disease axis, although some diseases "lock" you in place once you reach the end, I think, unless you get a Cure Disease Ritual.

At least, that's how I believe it works.

Cheers! :)


Once a disease hits the final state, you cannot make Endurance or Heal checks to improve your condition. At that point, its "often" gonna require Cure Disease to remedy.

Of course, by often, I mean always, since none of the diseases in the DMG mention any method of removal at that point. However, all of the diseases in the DMG are set at level 9 or higher, meaning that the player's are generally well within their ability to use Cure Disease if thats the only option left.

If your group has a hard time dealing with the lower-end diseases, such as those contracted from dire rats (level 1 brute), then you would do well to recommend that someone takes training in the Heal skill. I dont mean the cleric, just ANYONE.
At 1st-level training in Heal can give about a 50:50 shot of at the least stabilizing it: a cleric will have a pretty good chance of keeping it from getting worse, if not removing it altogether (and Skill Focus can virtually guarantee it).

If there is STILL a problem, then the easiest houserule is to just keep allowing checks every extended rest (or just once per day) to improve the condition.


Hehe, whoops! Looks like I was slightly wrong then. Good fixes from Antioch if you're having problems though. :)


David Marks wrote:
Hehe, whoops! Looks like I was slightly wrong then. Good fixes from Antioch if you're having problems though. :)

Thanks, man. As always glad to help, though from the sounds of it you had the right idea as well.

One other thing I will mention is that if no one in the party can use Cure Disease, that its perfectly feasible for a NPC to have access to if, even if they are seemingly too low in level to cast it (for example, there is a cleric in Keep on the Shadowfell that can cast Raise Dead).


Antioch wrote:
David Marks wrote:
Hehe, whoops! Looks like I was slightly wrong then. Good fixes from Antioch if you're having problems though. :)

Thanks, man. As always glad to help, though from the sounds of it you had the right idea as well.

One other thing I will mention is that if no one in the party can use Cure Disease, that its perfectly feasible for a NPC to have access to if, even if they are seemingly too low in level to cast it (for example, there is a cleric in Keep on the Shadowfell that can cast Raise Dead).

Even better, since NPCs don't need to explicitly have levels, you can just give the ritual to a personality and a name. 4E is teh cool, as the young 'uns say.


Its not l33t, or r0xx0rz? :-(


Antioch wrote:
Its not l33t, or r0xx0rz? :-(

Hehe, it r0xx0r my b0xx0r! :P


If your party is hit with disease, your campaign is immediately paused until the PHBII comes out. Sorry for the inconvienence. :)

(Kidding, but a lot of the disease effects and their removal used to be part of the Druid's nature abilities.)


David Marks wrote:
Antioch wrote:
Its not l33t, or r0xx0rz? :-(
Hehe, it r0xx0r my b0xx0r! :P

I'm sorry Dave, but I cant let you do that.

Scarab Sages

Antioch wrote:
I'm sorry Dave, but I cant let you do that.

I concur. This is oh so very, very wrong.

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