FiveM Health System

FiveM Health System - Advanced Medical Mechanics for Realistic Roleplay

Transform your FiveM server from basic health bar gameplay into a sophisticated medical simulation with this comprehensive health system. Designed for serious roleplay communities that want authentic injury mechanics, this script introduces realistic damage systems, detailed injury tracking, medical treatment gameplay, and emergency response scenarios that elevate EMS roleplay from press E to heal to genuine medical procedures. Whether you're running a hardcore survival server where injuries have lasting consequences or a roleplay community focused on EMS department immersion, this health system delivers the depth and realism your players crave.

What This System Changes

Standard FiveM health is simplistic—damage depletes a health bar, healing restores it instantly, and there's no distinction between a gunshot wound and a car crash. This health system replaces that arcade-style approach with medical simulation mechanics. Players suffer location-specific injuries (head, chest, arms, legs) with unique consequences, experience bleeding that requires treatment before healing, deal with fractures that impair movement, and need appropriate medical care rather than magical instant healing. The result is gameplay where injuries matter, medical professionals have purpose, and combat has real consequences beyond quick respawning.

Core Features & Mechanics

• Location-Based Injury System - Damage is tracked per body part rather than just overall health. Gunshot wounds to the head cause critical trauma and vision impairment, chest injuries affect stamina and breathing (reduced sprint capability), arm injuries reduce weapon accuracy and reload speed, and leg injuries cause limping and reduced movement speed. Players must consider injury locations, not just health percentage.
• Bleeding & Critical Status - Severe injuries trigger bleeding mechanics where health slowly drains until treated. Light bleeding requires bandages or basic first aid, heavy bleeding needs advanced medical intervention quickly, and critical bleeding can down players within minutes without emergency care. Creates urgency in medical response and makes EMS calls actually time-sensitive.
• Fractures & Broken Bones - High-impact damage from falls or vehicle crashes causes fractures. Broken legs prevent running and require crutches, broken arms disable two-handed weapon use, and fractured ribs cause periodic pain effects. Fractures heal over time (hours, configurable) or can be accelerated with medical treatment at hospitals.
• Pain & Status Effects - Injuries generate pain that affects player performance including screen effects (blurred vision, color desaturation), audio effects (heartbeat, labored breathing), movement penalties, and accuracy reduction. Pain can be temporarily managed with painkillers but true healing requires proper medical treatment.
• Medical Treatment Gameplay - EMS players get sophisticated treatment options including bandaging to stop bleeding, splinting for fractures, administering painkillers for pain management, defibrillation for cardiac arrest, stitching for wound closure, and surgical procedures for critical injuries. Each treatment has requirements and animations.
• Hospital & Clinic Integration - Full integration with medical facilities where players check in for treatment, undergo diagnostic procedures, receive surgery for critical injuries, stay for observation periods if badly injured, and get discharge with medication prescriptions. Supports passive income for hospital ownership.
• Emergency Response Mechanics - 911 call system for medical emergencies with GPS location marking, status reporting for EMS triage decisions, ambulance spawn and routing, on-scene stabilization procedures, patient transport to hospitals, and treatment handoff to hospital staff.
• Medication & Pharmacy System - Prescription medications with actual gameplay effects including painkillers (reduce pain, slight stamina boost), antibiotics (prevent infection from wounds), sedatives (reduce anxiety effects), and adrenaline shots (temporary performance boost). Pharmacies fill prescriptions creating legitimate business opportunities.

Perfect For These Server Types

• Serious Roleplay Servers - Enhance immersion with realistic injury consequences that affect character capabilities. Medical scenes become genuine roleplay rather than quick healing animations.
• Hardcore Survival Servers - Make injuries meaningful threats in survival gameplay. Players must prepare medical supplies, avoid risky situations, and manage health strategically.
• EMS-Focused Communities - Provide EMS departments with complex, rewarding gameplay. Paramedics diagnose injuries, perform field medicine, make transport decisions, and work with hospital staff.
• Military/Tactical Servers - Simulate combat medicine with field injuries, medic roles, casualty evacuation, and combat surgical procedures. Realistic consequences for firefights.
• Economy Servers - Create medical economy with hospital bills, medication costs, medical supply trading, ambulance service fees, and insurance systems.
• Whitelist RP Communities - Support deep character development where injuries have lasting impacts on character stories, creating memorable roleplay moments and consequences.

Framework Compatibility & Integration

✅ ESX Framework - Complete ESX compatibility with all versions (Legacy and 1.9.x). Integrates with esx_ambulancejob for EMS job mechanics, supports esx_society for hospital business management, works with esx_billing for medical invoicing, and connects to ESX database for persistent injury tracking.

✅ QBCore Framework - Full QBCore integration including qb-ambulancejob compatibility for EMS systems, works with qb-management for hospital operations, supports qb-phone for emergency calls, and integrates with QB inventory for medical items and medications.

Database Support: Compatible with all major MySQL implementations:

• ✅ oxmysql - Recommended for best performance and modern async queries
• ✅ ghmattimysql - Full compatibility with legacy servers using ghmatti's library
• ✅ mysql-async - Works with older async MySQL implementations

Injury Types & Treatment Protocols

The system simulates diverse injury categories requiring different medical approaches:

Traumatic Injuries (Gunshots, Stabbings):

• Immediate bleeding requiring hemostatic pressure or tourniquets
• Wound cleaning and sterilization to prevent infection
• Surgical extraction of projectiles if embedded
• Stitching or stapling for wound closure
• Post-treatment antibiotics and pain management

Blunt Force Trauma (Fights, Falls):

• Concussion diagnosis and monitoring for head injuries
• Internal bleeding requiring imaging and surgical intervention
• Fracture identification via examination or X-ray
• Splinting and casting for broken bones
• Physical therapy for recovery (optional roleplay element)

Vehicle Accidents:

• Multi-system trauma requiring triage and priority treatment
• Spinal injury protocols with movement restrictions
• Airbag deployment burns and lacerations
• Whiplash and soft tissue damage
• Extended hospital stays for severe crashes

Environmental Injuries:

• Drowning with lung damage and oxygen therapy
• Burns from fires or explosions requiring specialized treatment
• Hypothermia from cold exposure
• Heat stroke from desert environments

EMS & Hospital Staff Gameplay

Medical professionals get engaging, skill-based gameplay rather than simple healing commands:

• Paramedic Field Work - Respond to emergency calls, assess patient status on arrival, stabilize critical patients for transport, perform emergency procedures in ambulances, communicate with hospital staff about incoming patients, and manage medical supply inventory.
• Emergency Room Doctors - Triage incoming patients by severity, diagnose injuries through examination and tests, perform emergency surgeries for critical cases, prescribe medications and treatments, and discharge patients with care instructions.
• Nurses & Support Staff - Monitor patient vital signs, administer medications on schedule, assist with procedures and surgeries, manage patient records and billing, and provide post-treatment care.
• Surgeons - Perform complex surgical procedures with mini-game mechanics (optional), specialize in trauma surgery vs orthopedics vs neurosurgery, and handle critical cases that field medics can't treat.

Installation & Configuration

1. Download & Extract - Place the health system resource into your server's resources directory.
2. Install Dependencies - Ensure your framework (ESX or QBCore) is running and one of the supported MySQL resources (oxmysql recommended) is active.
3. Import Database Schema - Run the included SQL file to create tables for injury tracking, medical records, prescriptions, and hospital data.
4. Configure Framework - Edit config.lua to select your framework (ESX/QBCore), set database connector type, and enable/disable optional features.
5. Customize Medical Settings - Adjust injury severity scaling (more/less realistic), bleeding rates and lethality, fracture healing times, pain effect intensity, and medication effectiveness.
6. Set Hospital Locations - Configure hospital coordinates where players can receive treatment, set ambulance spawn points, and define EMS station locations.
7. Configure EMS Job - Integrate with your ambulance job script, set required job ranks for different procedures, and configure emergency call routing.
8. Customize Medical Items - Add medical supplies to your item database (bandages, splints, medications), set prices and availability, and configure crafting recipes if applicable.
9. Test Thoroughly - Verify injuries trigger correctly from different damage sources, test EMS treatment procedures, confirm hospital interactions work, and validate database persistence.
10. Train Your EMS - Educate EMS players on new medical procedures, provide documentation on treatment protocols, and establish department procedures for realistic medical roleplay.

Customization Options

Server administrators can tune the system for their community's preferred realism level:

• Realism Slider - From arcade (quick healing, minor penalties) to hardcore (permanent scars, realistic healing times) with multiple preset configurations.
• Death & Respawn - Integrate with permadeath systems, configure respawn penalties (memory loss, item loss), or enable full resurrection mechanics for casual servers.
• Insurance Systems - Optional medical insurance that covers treatment costs, create insurance companies as businesses, and vary coverage based on plan tiers.
• Psychological Effects - Enable PTSD from traumatic events, addiction mechanics for painkiller overuse, and mental health treatment roleplay.
• Advanced Diagnostics - Add mini-games for medical procedures (surgery, CPR), require diagnostic equipment for accurate diagnosis, and enable medical skill progression systems.

What Makes This Health System Stand Out

Many FiveM health scripts add visual effects and minor debuffs but maintain fundamentally simple healing mechanics. This system completely reimagines health gameplay with true medical simulation depth. The location-based damage isn't cosmetic—it creates tactical decisions in combat (aim for legs to slow enemies, protect your head, retreat if critically wounded) and strategic resource management in survival scenarios.

The multi-stage injury progression from initial trauma to bleeding to critical status to death creates natural medical emergency scenarios. EMS calls aren't arbitrary—they're genuinely urgent when a player is bleeding out with minutes to live. This urgency makes EMS work exciting and meaningful.

The treatment complexity gives medical professionals actual skill-based gameplay. Diagnosing injuries, choosing appropriate treatments, managing medications, and performing procedures requires knowledge and decision-making rather than pressing a single heal button.

Performance & Optimization

• Resource Usage: 0.01-0.03ms typical (very efficient for complexity level)
• Database Impact: Optimized queries with proper indexing, minimal writes (only on injury events)
• Client Performance: Visual effects are GPU-friendly, no significant FPS impact
• Network Sync: Efficient injury state synchronization prevents desync issues
• Scalability: Tested on 128+ player servers without issues

Support & Documentation

Comprehensive documentation includes installation guides, configuration references, medical procedure tutorials, integration examples with popular scripts, troubleshooting common issues, and roleplay guidelines for EMS departments. Support provided through standard channels with responsive developer assistance.

Requirements

• FiveM Server (artifact 4700+ recommended)
• ESX Framework (Legacy/1.9.x) OR QBCore Framework
• MySQL Database (oxmysql, ghmattimysql, or mysql-async)
• EMS/Ambulance job script (optional but recommended)
• Hospital MLO for enhanced medical roleplay (optional)

Elevate your server's medical roleplay from arcade healing to authentic emergency medicine—FiveM Health System.

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