Chirurgeon

Combat surgeon and augmentation specialist.

The Chirurgeon is the person who keeps you alive when the medic has given up and the Sawbones is still ten minutes away. In the Nine's corporatocracy, the body is capital -- depreciating, repairable, insured capital -- and the Chirurgeon is the field maintenance technician who performs emergency repairs under conditions that would make a hospital surgeon weep. They operate in shaking dropships, on the hull-side of a breech, in the mud of a Rim colony that does not have a medical bay. Asset Realisation books Chirurgeons as "asset maintenance personnel" -- the line item that keeps the Legion's personnel investment from writing itself off. The Kadiss grid tracks their medical licenses, surgical certifications, and the bodies they have operated on; a Chirurgeon with a high patient survival rate gets better contracts and a larger operating budget. They operate on the Creed chassis (d8 HD, 3/4 BAB, Fort/Will good, Ref poor) because the role requires steady hands and iron nerves, not acrobatic reflexes. Light armour -- surgical precision demands dexterity. The Will good save is not optional; a Chirurgeon who flinches when the patient screams loses the patient. Prime requisites: WIS and DEX.

Rules Reference

Field	Value
Armor Allowance	Light
Bab Tier	three-quarters
Base Skill Points	4
Hd	d8
Hd Sides	8
Max Level	20
Multiclass Notes	Chirurgeons can multiclass with Sawbones and Medic archetypes. Non-humans use simultaneous multiclassing rules.
Primary Abilities	WIS, DEX
Prime Requisites	WIS, DEX
Save Tiers / Fortitude	good
Save Tiers / Reflex	poor
Save Tiers / Will	good
Weapon Allowance	Pistol, Knife, Surgical tools (1d6 melee)

Notes

Archetype Niche: The Chirurgeon is the party's critical-care specialist. Field Surgery provides the highest single-target healing in the game (3d8 → 9d8 + WIS) but with a meaningful failure cost (damage on complication). Pain Suppression keeps allies fighting through conditions that would disable other characters. Field Amputation is the ultimate emergency button: it saves limbs from being lost, saves lives from being ended, and turns 'you're dead' into 'you're stable at -5.' The Chirurgeon's niche is the last resort -- when the Medic and Sawbones can't fix it, the Chirurgeon cuts it out.

Level Table

Surgical Intern

Field	Value
bab	0
fortitude	2
level	1
reflex	0
skillPoints	16
title	Surgical Intern
will	2
xp	0

Resident

Field	Value
bab	1
fortitude	3
level	2
reflex	0
skillPoints	4
title	Resident
will	3
xp	2000

Chirurgeon

Field	Value
bab	2
fortitude	3
level	3
reflex	1
skillPoints	4
title	Chirurgeon
will	3
xp	4000

Senior Chirurgeon

Field	Value
bab	3
fortitude	4
level	4
reflex	1
skillPoints	4
title	Senior Chirurgeon
will	4
xp	7500

Master Chirurgeon

Field	Value
bab	3
fortitude	4
level	5
reflex	1
skillPoints	4
title	Master Chirurgeon
will	4
xp	15000

Grand Chirurgeon

Field	Value
bab	4
fortitude	5
level	6
reflex	2
skillPoints	4
title	Grand Chirurgeon
will	5
xp	30000

Surgical Chief

Field	Value
bab	5
fortitude	5
level	7
reflex	2
skillPoints	4
title	Surgical Chief
will	5
xp	60000

Grand Surgical Chief

Field	Value
bab	6
fortitude	6
level	8
reflex	2
skillPoints	4
title	Grand Surgical Chief
will	6
xp	120000

Flesh-Crafter

Field	Value
bab	6
fortitude	6
level	9
reflex	3
skillPoints	4
title	Flesh-Crafter
will	6
xp	240000

High Flesh-Crafter

Field	Value
bab	7
fortitude	7
level	10
reflex	3
skillPoints	4
title	High Flesh-Crafter
will	7
xp	480000

Life-Sculptor

Field	Value
bab	8
fortitude	7
level	11
reflex	3
skillPoints	4
title	Life-Sculptor
will	7
xp	720000

High Life-Sculptor

Field	Value
bab	9
fortitude	8
level	12
reflex	4
skillPoints	4
title	High Life-Sculptor
will	8
xp	960000

Death-Defier

Field	Value
bab	9
fortitude	8
level	13
reflex	4
skillPoints	4
title	Death-Defier
will	8
xp	1200000

High Death-Defier

Field	Value
bab	10
fortitude	9
level	14
reflex	4
skillPoints	4
title	High Death-Defier
will	9
xp	1440000

Flesh Artisan

Field	Value
bab	11
fortitude	9
level	15
reflex	5
skillPoints	4
title	Flesh Artisan
will	9
xp	1680000

High Flesh Artisan

Field	Value
bab	12
fortitude	10
level	16
reflex	5
skillPoints	4
title	High Flesh Artisan
will	10
xp	1920000

The Unkillable

Field	Value
bab	12
fortitude	10
level	17
reflex	5
skillPoints	4
title	The Unkillable
will	10
xp	2160000

High Unkillable

Field	Value
bab	13
fortitude	11
level	18
reflex	6
skillPoints	4
title	High Unkillable
will	11
xp	2400000

The Last Cut

Field	Value
bab	14
fortitude	11
level	19
reflex	6
skillPoints	4
title	The Last Cut
will	11
xp	2640000

Supreme Chirurgeon

Field	Value
bab	15
fortitude	12
level	20
reflex	6
skillPoints	4
title	Supreme Chirurgeon
will	12
xp	2880000

Special Abilities

Field Surgery

Field	Value
level	1
name	Field Surgery

description: The Chirurgeon gains Medicine as a class skill with a +3 competence bonus. As a full-round action, the Chirurgeon can perform emergency surgery on an adjacent creature. Make a Medicine check (DC 20). On success, the target heals 3d8 + WIS modifier HP and one condition (bleeding, stunned, dazed, or 1 point of ability damage) is removed. On failure by less than 5, the target heals 1d8 HP but no condition is removed. On failure by 5+, the target takes 1d4 damage from surgical complication (the Chirurgeon stabilises them immediately but the procedure fails). The Chirurgeon can perform Field Surgery a number of times per encounter equal to 1 + half Chirurgeon level. At level 7, healing increases to 5d8. At level 13, 7d8. At level 19, 9d8. The failure damage is not carelessness; it is the reality of cutting into a body while the walls are shaking and the air is full of shrapnel.

Pain Suppression

Field	Value
level	3
name	Pain Suppression

description: The Chirurgeon can suppress pain and shock in a creature as a standard action -- a field injection, a nerve block, a tourniquet applied with practiced speed. The target ignores the effects of one condition (stunned, dazed, nauseated, or Fatigued) and gains +2 to Fortitude saves for 1 minute. The Chirurgeon can maintain Pain Suppression on a number of targets equal to WIS modifier simultaneously. At level 9, Pain Suppression also grants the target +10 temporary HP that last for the duration -- the body running on chemicals and willpower. At level 15, Pain Suppression can be applied to unconscious or dying creatures (they regain consciousness at 0 HP and can act normally for 1 round before the suppression effect ends and they return to their previous state). One more minute. That is what the Chirurgeon buys: one more minute of function from a body that should have stopped.

Field Amputation

Field	Value
level	5
name	Field Amputation

description: When a creature would suffer a critical injury (limb loss, organ damage, massive trauma), the Chirurgeon can perform a Field Amputation as an immediate action. The target takes 2d6 damage but the critical injury is downgraded to a lesser condition: limb loss becomes a broken limb (disadvantage on STR/DEX checks, healable), organ damage becomes internal bleeding (1 HP/round, stabilisable), massive trauma becomes severe wound (healable). The Chirurgeon can attempt to save a creature that has died within 1 round: Medicine check DC 25, on success the creature returns at -5 HP and stable. Usable a number of times per day equal to CHA modifier (minimum 1). At level 13, the Chirurgeon can save a creature that died within 3 rounds. The name is honest: sometimes the only way to save the patient is to cut off the limb that is killing them. The Chirurgeon does not hesitate.