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Steam News24 April 20262mo ago

Hospital Update 0.11 – now live!

The Hospital Update (Version 0.11) is now live! This update further emphasises the focus on the daily lives of soldiers on the Western Front and the dangers they face, even outside of battle.

In this update6

Full notes

Full All Quiet in the Trenches update

Read the full published notes in a cleaner layout. The original post stays linked below.

What changed

11 fixes17 additions6 changes2 removals
  • Gameplay
  • UI and audio
  • Compatibility
  • Balance
  • Maps
  • Events
addedThis update further emphasises the focus on the daily lives of soldiers on the Western Front and the dangers they face, even outside of battle. Injuries can now vary greatly in their progression. Living conditions at the front give rise to all kinds of diseases and their consequences. Doctors and nurses in the field hospital do their utmost to prolong the soldiers’ lives with the few resources at their disposal, only to see the war put those lives at risk again the very next day.
addedNew field hospital system with complications and additional forms of disablement
addedNew game content during and after the battle
addedNew journal entries on death, physical and mental illness, and disablity
addedIn our Dev Diaries, we delve deeper into the new content:
changedFor anyone who still wants to finish their current playthrough: Version 0.10 remains available via Steam Beta. As save files are not compatible across versions, you can continue your current game there.

All Quiet in the Trenches changes

addedThis update further emphasises the focus on the daily lives of soldiers on the Western Front and the dangers they face, even outside of battle. Injuries can now vary greatly in their progression. Living conditions at the front give rise to all kinds of diseases and their consequences. Doctors and nurses in the field hospital do their utmost to prolong the soldiers’ lives with the few resources at their disposal, only to see the war put those lives at risk again the very next day.
addedNew field hospital system with complications and additional forms of disablement
addedNew game content during and after the battle
addedNew journal entries on death, physical and mental illness, and disablity
addedIn our Dev Diaries, we delve deeper into the new content:

The Hospital Update (Version 0.11) is now live!

This update further emphasises the focus on the daily lives of soldiers on the Western Front and the dangers they face, even outside of battle. Injuries can now vary greatly in their progression. Living conditions at the front give rise to all kinds of diseases and their consequences. Doctors and nurses in the field hospital do their utmost to prolong the soldiers’ lives with the few resources at their disposal, only to see the war put those lives at risk again the very next day.

After the battle, combat now transitions into a post-battle phase, during which equipment must be recovered, identity discs of the fallen collected, and further tasks completed. Visual rework and additional content further enhance this experience.

The core features of this update are:

  • New field hospital system with complications and additional forms of disablement

  • Complete reworking of injuries

  • Diseases that can occur in certain game situations

  • New game content during and after the battle

  • New journal entries on death, physical and mental illness, and disablity

  • Redesign of the field hospital’s appearance and further visual adjustments

In our Dev Diaries, we delve deeper into the new content:

view view view view

For anyone who still wants to finish their current playthrough: Version 0.10 remains available via Steam Beta. As save files are not compatible across versions, you can continue your current game there.

We wish you impressive, moving and exciting experiences with the new update!

Your Totally Not Aliens Team

Patch Notes 0.11.0

Features

  • Added new Field Hospital System

    • Introduced complications (e.g. shortness of breath, gangrene, nausea, pain, pneumonia, etc.): their individual recovery times, mortality risk and disability risk now determine the progression of illnesses and injuries

    • Soldiers can now be manually sent to the field hospital and, under certain conditions, discharged early

    • New projects to support soldiers in the field hospital

    • Soldiers can now become unfit for duty due to amputation, blindness, deafness and more

  • Added new Injury System

    • Injuries are now defined by location and type (e.g. gash to the torso or shrapnel wound to the leg)

    • Injuries have varying effects, reduce soldier efficiency and can cause complications

    • Possibility of work-related accidents

  • Introduced Diseases

    • Certain in-game conditions (delayed latrine duty, delayed trench drainage, insufficient supplies, rats, lice, etc.) increase the likelihood of diseases occuring

    • Diseases such as trench fever, tuberculosis, dysentery, minor infections (and trench foot) each have their own course of progression and add different complications

    • Lice and tuberculosis can spread among soldiers

    • Delousing is now a regular part of soldier life

  • Visual improvements and redesign of the field hospital's appearance

    • New assets (e.g. first aid kits, bandages, vials)

    • New layout variations and dynamic visualization of field hospital capacity

    • Additional nurses and doctors

    • New animations

    • Dirt and blood on clothing

  • New gameplay content in the Battle phase

    • After a victorious battle, players remain on the battlefield for several turns

    • Identity discs of fallen soldiers, food supplies and materials can be collected

    • Over 60 new loot spots added

    • New Leutnant tasks: capturing prisoners and driving enemies out of trenches

  • Additional content added

    • 15 new journal entries covering topics such as death, physical and mental illness, disablement and more

    • Additional projects, a new loading screen, and historical tooltips

    • Existing content updated to integrate with the new systems

Improvements

  • New battle behavior feedback from Elisabeth, Laroche, and Karrsbruck

  • Loot spots are now randomized

  • Added more assets for loot spots

  • Minor adjustments to NPC troop logic in battle

  • Removed limitation allowing only one “Memory Event” per fallen soldier

  • Weather can now change during the trench phase

  • Reduced intervals between weather changes

Balancing

  • Rebalanced Physical Condition (formerly Fitness) and Exhaustion

    • Physical Condition can now improve or decline much faster

    • Rested soldiers gain Physical Condition

    • Complications reduce Physical Condition and increase Exhaustion

    • Exhaustion in trenches should now be reduced

    • Consequently, recovery at camp should be a bit slower

    • Weather now affects Exhaustion in trenches as well (previously did not)

    • Exhaustion per turn in battle reduced (to compensate for extended post-victory phase)

  • Reduced chances of injuries in trenches and battle (as injuries are now generally more severe)

  • Revised amount of loot from individual loot spot

  • Increased maximum combat width

  • “Out of Formation” and “Too Far Back” attributes are now inactive after battle

  • Reworked formula for field hospital capacity changes after battle

  • Karrsbruck now grants longer rest periods after heavy losses in battle

  • Karrsbruck now delays or cancels trench rotations if too few soldiers are available

  • Karrsbruck now always allows rest if only three or fewer soldiers are available

  • Removed hidden Trust bonus from double rations

Bug Fixes

  • Fixed a potential error in the “Village Fire” story

  • Fixed issue where “Avenge Comrades” could trigger in battle without available ammunition or visible enemies

  • Fixed inability to hover over tooltip text or names in dialogue windows

  • Fixed minor issues with soldier selection for journal events

  • Fixed minor issues on the battlefield map

  • Fixed some faulty animations

  • Fixed gimbal lock in walk animation caused by IKs

  • Fixed minor issue with the mine launcher asset

  • Fixed map icons not being affected by the Dyschromatopsia setting

  • Fixed typos in German and English localization

  • Fixed minor issues in English localization

Other

  • Removed the “New Soldiers” start option introduced in the 0.10 update

Source

Steam News / 24 April 2026

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