Chest pain dizzy tired

An evening calm, somewhere unknown, illuminated by fireworks.
“Four years, huh…” Paz sighs, pondering over the nostalgic scenes of the once known as the Paznation minecraft realm.
Throughout the past years, Paz has acquired a new penis after brutally being sliced off by Gabowski. This time the pazzness of trapness effect has doubled alongside its girth.
Every stride Paz takes across the crimson lit desert his heart sinks deeper. As the setting sun falls deeper into darkness, the evening chilliness worsens. Consequently shrinking his two incher.
The beautiful server was once brimming with life. However, now only echoes of laughter remain. As Paz readies his elytra, he plants his last step before taking off. Chasing the persisting rays.
After a long trip, Paz returns to the savanna, where it all started. He checks the chest where the nostalgic memories were once stored.
“Hello there.” A familiar voice approaches from Paz’s six.
Instantly popping a semi, Paz turns towards the doors. A 250lbs 6’7 black man was standing by the door frame. Standing equally as erect as his cock, Silly “Gabowski” Phillius, menacingly enters the building.
“Uh, uwu…” Paz utters, glancing at his past lover’s bulging 8 inch crotch shadow. “Gabey, I thought you went to Vietnam”.
In complete silence, Gabowksi’s gaze falls. “I’m sorry Pazzy.” he mutters, “I’m sorry, I’m sorry.” He repeats over and over again. Until a sudden burst, “We lost. I couldn’t spread the word of our lord and saviour CBT… Aspire will never be again”. Instantaneously white tears burst from his third leg.
“Gabey, it’s fine. As long as you got me.'' Paz’s pearly green eyes shimmer with a hint of purple as Gabowski further gets enraptured by the pazzness of trapness. “Come here and let me comfort you.” says the waving man.
This time I got you. 2 years of grooming to get you back just where I wanted. Paz thinks to himself, as Gabowski’s distance closes with each step. Eventually reaching Paz’s lap. “Sit my Gabey” says Nathan to lure the absolute stature of Gabowski.
Gabowski’s plump ass cheeks contacts Paz’s little pebble. However, Gabowski’s warlord instincts return. Using his right pinky, Gabowski propels himself 3 yards away from Paz, drawing his night’s edge once more.
“You devil. You have tricked me, again!” Shouts Gabowski as he takes his battle stance. “You witch, any last words?”
“No… You will join Akame and the others in my SEX DUNGEON!” exclaims Paz, as he draws his wand.
“龍神の剣を喰らえ!” Gabowski yells as the green dragon exits his penis hole and engulfs his body.
With one dash, one slash, after one second Gabowski sheaths his blade, as the cockless body of PazSwagger falls to the body.
In excruciating pain Paz utters “You bastard, once more you have taken my 2 incher, my power, my pazzness of trapness.” As a singular red tear falls down his face he continues “Why you? I already finished everyone else; Quakian, Akame, Masked, Magia, Lupa. EVERYONE FELL VICTIM. Why must you prevail from my curse? Why can’t you just accept my cock.
Without any reaction Gabowski asks “Where are the others? They are still alive. I can hear the blood flow of their cock veins. They must be close.
“Fine, take my keys. They’re in my sex dungeon behind the nether portal.” Paz says before sneakily casting a lurk spell and disappearing into smoke. Also taking his severed 2 incher and leaving no trace.
THE END

i woke up 3 days ago with chest pain , not chronic sometimes i have it , and after 3 days tonight i started to feel some small pains at my left rib , + i have back pain , i play games like 3/4 hours daily and my when i sit on the chair im in a position who makes me feel some back pain , and a burning sensation under my neck . can anyone help me

So I’ve had TERRIBLE gallbladder attacks this past year. Had 3 attacks which at the time genuinely thought it was just trapped gas but it clearly wasn’t. My last gallbladder attack was so bad that I had to wake my spouse up because of how much pain I was in. Which I don’t know how she didn’t hear me given I was moaning and groaning and throwing a tantrum and throwing my heating pad on the ground along with also having two baths in the middle of the night.
Anyways. It was 3:30am when we finally arrived to the hospital. I’ve never been in such immense amount of pain in my life. Finally checked in and registered. Didn’t get an IV until half an hour after. Which finally relieved some of the pain thankfully. The doctor came by and had an ultrasound and she found a gallstone and she said that it was in one of the worst places. It was trying to push its way out but my gallbladder kept sucking it back in. I was also lowkey kind of blacking in and out because of the morphine in my IV. The doctor leaves and I’m okay until I’m not, I got another attack where I’m at this point just asking the nurses to sedate me, the pain was that unbearable. My spouse said it looked like I was trying to escape my body. My spouse had to go to the nurse and ask for heavier dosage, turns out my IV was twisted so the medication wasn’t going into my system. But honestly great timing because then the doctor came back and saw me having my gallbladder attack and said she is setting me up for ultrasound and for a general surgeon to chat with me. While I was waiting for all of that I was knocked out. A porter woke me up to take me to get another ultrasound and I threw up because the medication makes you all foggy and dizzy. Of course I have a gallstone. The general surgeon put me on the top of the emergency list. I got released, finally ate, I was okay thankfully.
Two days rolled around and I got a call saying I can eat not having a surgery. Two hours later I get a call that I’ll be having surgery the following morning.
The following morning it was kind of quick, however I have shitty fucking veins like nearly impossible to find them. I didn’t get my IV in until they brought me to the OR where they had to freeze my arm and stabbed me so many times, didn’t love that.
The surgery was a success, post op wasn’t a great experience though. As soon as I woke up I had a phantom gallbladder attack where again they had to medicate me. They never helped me get dressed either so, I have 5 incisions on my stomach and the got me bending up and down. It made me overheat and sweat and I was like “I need to get out of here, I do not feel well at all!” My spouse had to wheel me around to the main entrance of the hospital, got my fresh air but I was so out of it my wife said I looked like a drooler.
Managed to get home, and then I threw up in my apartment hallway (I had a cardboard looking bucket that the hospital gave me). I had to take off my sweater because it had some vom on it. And that’s when I saw my bloody bandages, which I was surprised with.
I’m 2.5 weeks post op, the first week and a half were rough not gonna lie. My body had to get used to life without a gallbladder and also heeling. However now, I’m all good. My incisions don’t even hurt, they honestly just look like cat scratches at this point. I’m able to eat whatever still. The first week I was shitzilla but not as bad anymore. Im still a bit sensitive when I first wake up in the morning but that’s literally it. I’m taking my dog for his walks now, I’m doing my regular duties and going back to work on Monday!

TW for mentions of throwing up.
I (25f) have never really been a healthy person but my health has really been on the decline since I graduated college in 2021. I had to have a blood transfusion and 12 iron infusions in January / February of 2022 after lab work for a job interview came back abnormally. It was suspected endometriosis but the gynecologist I was sent to didn’t want to do the testing for it because she claimed it required surgery (?). February of 2023 I was taken to the ER for chest pain that was causing my throat to tighten and my jaw to go numb.
From there my doctors also started to suspect different GI diseases but no matter how many tests they’ve done no one can find answers. Tests have indicated that I have an absorption issue when it comes to fats and last year my gallbladder was observed at functioning at only 2 percent. I had it removed hoping that would help but it honestly hasn’t.
Recently I’ve had the issue of smelling / tasting sulphur (sometimes accompanied by throwing up a brownish sludge), easy bruising, wooziness, a pain / popping sensation in my left abdomen, and my stomach constantly hurts. A recent ultrasound showed potential liver damage and an enlarged spleen. I was sent to a specialist for the liver and spleen and he asked me to my face, “what are you doing here?”
I don’t know I feel like I’m being pulled around in so many different directions and no one knows how to help. Recently blood work results came back abnormal, surprise surprise, so maybe they’ll take me more seriously soon. Sorry for the long rant I just had to yell about it somewhere.

I’m a 22-year-old male, and I used to smoke from ages 14 to 20 but stopped. About a year and a half after quitting, I was full of energy and enjoying life, staying active with lots of sports. However, things took a turn when I started experiencing unexplained health issues.
It all began one day at a coffee shop with friends when I suddenly had shortness of breath. I found myself having to manually open my nostrils to breathe properly. Not long after, I started experiencing headaches. Initially, I thought it might be a cold or something minor, but the symptoms persisted and worsened.
As days went by, I began to experience extreme bouts of fatigue. I would feel fine in the morning, but by the afternoon, I would be overwhelmingly exhausted, as if I were about to collapse, then it would pass, and the cycle would repeat. Alongside this, I’ve had persistent left chest pain lasting for about six months and an ongoing dry sensation in the middle of my throat that’s incredibly irritating.
I’ve visited numerous doctors and undergone a full range of tests including blood work and scans, but everything comes back normal. Despite these results, I live with some form of symptom every day – either a recurring issue or something new. It’s visibly taking a toll on me; I have dark circles under my eyes and just look like I’m suffering.
Three doctors have suggested I start taking antidepressants, although I don’t feel depressed; I’m just frustrated and upset by these relentless symptoms that interfere with my work and studies.
Has anyone here experienced something similar? Any advice will be appreciated please 🙏🏻! Im suffering to the max guys i swear god.​⬤

before this I want to say I don’t regret getting top surgery at all I needed it so bad. I had top surgery in november 2020 at the gender confirmation center with dr facque. i had double incision and everything went perfect and my pain was surprisingly minimal. I was so happy and grateful to get it as I would bind 24/7 and my dysphoria was horrific. my reveal went great and it looked so good but as soon as I started scarring over the scars were unbelievably thick and raised. (i’m not going to post a picture because i’m afraid of terfs) the doctor confirmed I had hypertrophic scarring ‘beyond the normal limits’ :( now it’s almost 4 years later and a part of my left scar is so stretched and dark it looks like a third nipple. the scars haven’t faded at all and have only gotten a little flatter. they’re so dark and red it makes me so uncomfortable because I can’t wear a white tank top, which was always my dream before surgery, without the scars showing through, go swimming, or go to the beach with no shirt. I feel like I was a much better candidate for keyhole as my chest was very small. I was supposedly on the verge between keyhole and double incision but I went with double incision because I wanted everything to be very flat and even. my nipples feel so strange and weird and I can’t even scratch my ribs because the scars are so thick and block so much of my chest. i’m not blaming the gender confirmation center as they are awesome. my body just scarred really bad. i want to get a revision but i’m afraid it will look worse. Ive seen people get revisions for way less. I don’t know what to do

I posted this a few years ago after it happened and had another redditor reach out recently who saw the post and avoided a potentially very bad situation as a result. So, I thought it’d be worth reposting.
The symptoms and signs may not be what you expect. You also don’t need to be what people stereotype as the ‘high-risk’ category or have had indicators or warnings that you could be at risk.
The chest pain, arm pain, shoulder pain were there BUT it may not be the “type” of pain you expect. I had waves of tightness dead center in my chest that would come and go every few minutes. It was a burning feeling. It was lower on my sternum than I’d have thought. I had never had a heart attack nor indigestion so naturally, I assumed it was the latter and my research online convinced me it was.
I assumed it would have been a sharper pain on my upper arm/shoulder and a sharper, more acute pain closer to where we mistakenly generalize our heart to be...upper left chest. In fact, my symptoms were almost line-by-line identical to that of heartburn or indigestion ... it wasn’t, and the difference can be life or death.
My arms hurt but it was more of a burning pain on the back of both arms. Maybe felt more like a pinched nerve. They say that it’s predominantly in one arm. I felt some in both and because I didn’t clearly have pain in one arm more than the other, I downplayed the possibility of it being cardiac.
Vomiting and sweating followed a few hours into it which was the big red flag...the ambulance not far behind the vomiting. The rest was a blur until the ICU but I do remember some of it.
I made the common mistake of equating the symptoms to heartburn or indigestion and should have gone to the ER 10 hours sooner and therefore found myself VERY lucky to have made it through.
PLS don’t fuck around. I’m not an older guy, I’m not in bad shape and had never had indicators that I was high risk.
A friends mother passed away a few years ago from a heart attack and by all accounts, it seemed to be a stomach bug. Nausea, hot spells and general stomach issues. Went to bed and never woke up, and in hindsight, if I knew then what we know now, we would have called for medical attention and possibly changed the outcome. She too wasn’t at the age you’d expect nor was she overweight or the typical high-risk category. Entirely different from what I experienced or would have expected from a cardiac event.
If you suspect a heart attack, do yourself and your loved ones a favor and treat it as such.
Better to be safe and be in the ER than be stubborn and wind up in the morgue.
TLDR - Symptoms and signs of a heart attack can vary from person to person and can be very different men to women.
WHY YSK - *IT COULD BE YOU. IT COULD BE YOUR LOVED ONE. YOU DON’T HAVE TO BE ELDERLY, OVERWEIGHT OR PREDISPOSED. JUST BECAUSE IT DOESN’T FEEL LIKE WHAT YOU MAY EXPECT, DOESN’T MEAN YOU SHOULDN’T TAKE IT VERY SERIOUSLY. *
——————-
EDIT - A lot of people ask about how I knew it wasn’t anxiety. I didn’t. I’ve had several pretty overwhelming anxiety attacks, in fact one that took me to the ER because I thought it was a heart attack ironically. This was different. *** Something was very clearly happening, my mistake was attributing it to the wrong thing *** and mistakenly thinking I was clear because it didn’t ‘look like’ a heart attack.
The other astonishing thing is to look at the ages of other people in this thread who have had heart attacks. 21, 36, 30’s, low 40’s and more. Happens to a lot of people who are in a lower age bracket than we traditionally expect.
https://www.mayoclinic.org/diseases-conditions/heart-attack/in-depth/heart-attack-symptoms/art-20047744

Has anyone noticed soreness in the chest area or any time of pain from being overly compressed?

I’ve been waiting to see this movie and I’m super excited! I don’t like movie theaters. I only go if it’s a movie I can’t wait to be released digitally and physically. I feel trapped in theaters and get a wave of anxiety during the movie. The anxiety is even worse leading up to the movie. I don’t know if it’s social anxiety from being around a bunch of people in a dark room or if it’s the loudness and big screen or both but either way, I’m going and I’m taking my little sister with me. I took her to her first horror movie in theaters to see Scream 6 and now I’m doing it for this one. The severity of my anxiety is different every time. Sometimes I get a dry mouth and find it hard to swallow. Sometimes my eyes feel tired or dry. Sometimes I get a little dizzy and my legs feel wobbly. And sometimes it’s a combination of multiple, if not all of those things. Is there any advice on how to calm my nerves?

Hey all,
I'm so tired of reporting stuff on this subreddit that break the rules especially rule 3, 5, 8, 9 and 10.
I understand any userbase will evolve over time and I'm not trying to be too "old Asmon" vs "new Asmon. I think the rules should reflect 2024 Asmon viewerbase, and since the mods don't seem to enforce their own rules anymore because Asmon actually needs all that ~~trash~~ material for content. It's ok, i promise I've made my peace with it even though it pains me as a long time subscriber.
This sub is now mostly a "weeman bad" "D.E.I. bad" with sprinkles of weeb coommer stuff subreddit, and it's fine, i believe in democracy. Just please, lets update the rules and be honest with ourselves.
I hope this post will at least get some of conversation going.

Hi
I’ve a painful and itchy rash on arms , hands , neck and chest. I’m on antihistamines and steroid cream but it doesn’t seem to be helping . It seems to be spreading . My throat is quite scratchy as well as my face . Should I be concerned or does anyone know what it is

Umm hello, please don't judge me harshly, I'm seeking advice. I am aware I'm fucked up badly. I will not be using real names in this. My cousin (M22) and I (F20) have been through a lot together. From abusive parents to being SA'd by another relative of ours. If my parents were abusing me he'd step in and fight them off or take the punishment with me. Not long he started lashing out at everyone and he became a trouble maker so they shipped him off to a military boot camp, that was the moment I knew I loved him. It was when I thought I'd never see him again. When he left my family used me as their punching bag, mentally and sometimes physically. So without his uplifting words or his distractions I started to find different alternatives to cope with the adjustment of his departure and the cruel things that continued to happen to me. In the span he was gone I tried attempting to off myself 7 times before I just called it quits (because I gaslit myself into him getting out and thinking we would runaway together)and started cutting and burning myself instead. Needless to say when he got out he changed so much. He didn't smile, he didn't look at me, I ran up and hugged him and he didn't react at all. He picked up habits like smoking and drinking. His physical appearance changed. He was stronger, buffer, and he had a sharper jawline. The man was handsome. After a week of him being back home he didn't come to see me and he didn't allow me to see him. If he did he'd be around the cousin he knew hurt me sexually. If he saw me get hit or degraded he wouldn't do anything but stare at them while I stared at him. What hurt most is when my mother made us all go to church and the pastor called me out because I wrote suicide notes to each of them and I had a failed attempt to off myself through her diabetic medication but for some reason I lived again. I remember taking the whole bottle and still waking up the next morning by my mother yelling at me for being depressed and tired. Anyway she took us to church and the pastor read the letters out loud and I was forced to kneel in front of the entire church and beg for an apology. My cousin just stood there staring at me again. He didn't react until my rapist started laughing under his breath so he let out a laugh that didn't sound like his regular laugh. This day I never forgot, the embarrassment the humiliation I felt. So I decided to run away that same day but didn't make it far because I got caught by my cousin, he didn't tell anyone but he made sure to keep a close eye on me. Half my family decided to move to California including his immediate family but he decided to stay I still don't know why. Years later (today's time/2 weeks ago) he confesses to me he is in love with me and he has loved me since we were children. For some stupid reason I believed him because those were words I've wanted to hear all my life. Even from back then he changed, he no longer looked at me, he just laughs or join in with their criticisms or insults. But at least no one hits me now. I decided to give this relationship thing a try and it was great, he even started to stick up for me again a little but he doesn't want to get me in more trouble with us being related and in love with each other. Or so I thought. He has a high sex drive and I thought it was normal because he is a guy and according to my mother men in this family does. The first time we had sex together he was rough, he didn't listen to my request or if I yelled at how painful it was, and I didn't even want to finish due to how much pain he left me in. I'm pretty sure it's my fault because I believed his lies still hold on to who he was before he was forced to leave all those years ago. He also didn't use a condom when I asked him to bring them. We got in a argument after and he said something that I don't believe he would ever do. The argument was because my guy friend from college texted me hey (despite me finding over 5 women in his phone) and I never answered him back because I know this guy friend wanted more than to be friends. So after he threw my clothes at me, called me a whore despite him being my first, and stormed out of my room I followed him to clear up what was going on. The words stung but I brushed them off. He was sitting in the living room and I sat beside him trying to get my point across until he said "We are fucking related, its not like we are in a real relationship anyway." That shut me up completely. My heart hurt and I cried on the spot. So I yelled at him for the first time (I said: What do you call this then, this was your first and last time with me you will never have access to me or my heart again) and he got madder. I have never seen him move so fast it was scary. He got on top of me and pinned my hands above my head and slapped me. The look in his eyes terrified me he said I belonged to him and he didn't need my permission to have his way with me. After he said that he kissed me roughly when I didn't respond to his kiss he bit my lip hard and I screamed in pain while he inserted his tongue in my mouth. The only reason he left me alone was because my phone started ringing and it was my mother who was calling to see if I cleaned her house, after I hung up the phone he started crying and begging for me to forgive him. I did. He still reminds me of who he was until he went to that boot camp. I still see it in him. Now its been a week since this happened and he has went back to his old ways of a high sex drive. He still doesn't like wearing condoms so he doesn't. He doesn't pull out though I tell him to and sex is still painful for me. After sex today he told me that I wanted it. He wanted me to have a baby for him, he wanted to trap me with him. I don't understand. I feel disgusted, used, and heart broken. I watched him get dressed and walk out the door with a smile on his face. I'm afraid if I resist his advances he'll take it without my consent and I'd see him just like every other abuser in my family. I'd rather it this way then seeing him as an evil person. I don't want to see him differently he's the only one I have. Is there any advice you can help me with? I'm almost done with my degree and it's not even in a career I want this is my mothers dream job. But I'm going to use it because I worked for it. At the moment I have no job and I don't think going to the police would help anything. What should I do here?

I have been fighting a chronic disease for the past 15 years. Think "long covid meets brain damage". There's no cure, no therapy besides adapting to the limits dictated by this disease.
I know for a fact that i've come a long way and made some impressive improvements. I'm highly functional compared to other patients. Very highly even. In some regards my life actually has improved. Not in the area's that really matter to me but nevertheless.
More often than not, when the evening comes, i know i should be proud of how i handled myself during the day. That i did what i had planned to do and even a small task or chore extra. That i actually had fun too. I should be, but i am not.
You see, what i do on a good day still is about only 65% of what a "normal" person does. Because that's what my disease grants me. Nothing more, nothing less. I do my parttime job (a mere shadow of my 6 figure former job), i walk the dog and i do some household chores. That's all. After that i'm exhausted. Exhausted and dizzy after that, can you imagine?
Everything i do, every step, every small chore, is a struggle. Physically and mentally. Literally everything is about me pushing myself to my limits while carefully preventing crossing them. Because next time i cross the line i might be thrown back a couple of months or a new symptom pops up. I already lost a chunk of my cognitive abilities, my concentration, my memory and i have trouble findimg words. I can't risk losing more.
I literally need my spirit to force my mind to force my body. I'm so tired of fighting and forcing every single second.
I know i should be proud but i'm not. My wife has to supervise everything of any importance. She works double as hard as i do. I feel like a burden, an anchor dragging her down. When she goes out with her friend i'm afraid of her meeting a man who's "whole", normal, and sees what she's missing out on. Sometimes i wish for her that she does but frankly i'd be lost without her.
I know i should be proud. But i'm not. I feel useless and only half human.
Anyway, just venting.

Trying to clear my backlog of unredeemed stuff and make some money for an upcoming trip, so looking to hopefully clear this list down some, and honestly for most titles on the list I'd be willing to take $1-3 dollars for.
Here is my SteamRep page
And SteamTrades page
And links to Previous Posts I've made since I'm not sure how to update my flair to correctly show the number of trades I've completed.
I also have the Humble Choice coupons for the DLC for Pathfinder: Wrath of the Righteous, Victoria 3, and Symphony of War: The Nephilim Saga, if anyone would be interested in paying for those as well.
ΔV: Rings of Saturn
112 Operator
112 Operator
112 Operator
60 Parsecs!
8Doors: Arum's Afterlife Adventure
911 Operator
911 Operator
911 Operator
A Plague Tale: Innocence
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BPM: BULLETS PER MINUTE
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Lethal League Blaze
Levelhead
LiEat
Life Is Strange 2: Complete Season
Life is Strange: True Colors
Lightmatter
Littlewood
Little Orpheus
Lust from Beyond: M Edition
Lust from Beyond - M Edition
Magicka
Main Assembly
Men of War: Assault Squad 2 - War Chest Edition
Mega Man Legacy Collection
Metro Exodus
Metro Exodus
Merchant of the Skies
Midnight Protocol
Minoria
MirrorMoon EP
Mitsurugi Kamui Hikae
Möbius Front ‘83
MOLEK-SYNTEZ
Moon Hunters
Momodora: Reverie Under The Moonlight
Monaco
Morbid: The Seven Acolytes
MORDHAU
Morkredd
Motorcycle Mechanic Simulator 2021
Mount & Blade: Warband
My Friend Pedro
Narita Boy
NARUTO TO BORUTO: SHINOBI STRIKER
NBA Playgrounds
Nebuchadnezzar
NecroWorm
Necromunda: Hired Gun
Neoverse
Neverout
NeuroVoider
Nex Machina
Nickelodeon All-Star Brawl
Niffelheim
Nimbatus - The Space Drone Constructor
Non-Stop Raiders
Oaken
OlliOlli World Rad Edition
Operation: Tango
Opus Magnum
Orbital Racer
Orbital Racer
Orwell: Ignorance is Strength
Othercide
OTXO
Overload
Overcooked! 2 + Too Many Cooks! + Surf n' Turf Pack
Out of Reach: Treasure Royale
PAC-MAN™ CHAMPIONSHIP EDITION 2
Panzer Paladin
Patch Quest
Pathfinder: Kingmaker - Enhanced Plus Edition
Pathfinder: Wrath of the Righteous
Pathologic 2
Partisans 1941
Party Hard
Party Hard
Path of Giants
Pawnbarian
Paw Paw Paw
PAYDAY 2
PGA Tour 2K21
PGA Tour 2K21
Planet TD
Planet Zoo
Pill Baby
Pikuniku
Pixplode
Pool Panic
Popup Dungeon
Post Void
Prodeus
Project Chemistry
Project Wingman
Project Winter
Psychonauts
Pumpkin Jack
Puss!
Purrfect Date - Visual Novel/Dating Simulator
Quadrata
Quantum Break
Radio Commander
Raiden V: Director's Cut
Railway Empire
Rebuild 3: Gangs of Deadsville
Rebel Inc: Escalation
Red Faction Guerrilla Re-Mars-tered
Relicta
Remnants of Naezith
Remnants of Naezith
Remothered: Broken Porcelain
Regular Human Basketball
Regions of Ruin
Retimed
Retrowave
Revolver 360 Re:Actor
Ring of Pain
Ring of Pain
Road 96
Roadwarden
Roarr! Jurassic Edition
Roguebook
Rollerdrome
Rover Mechanic Simulator
Rustler
Rym 9000
Say No! More
ScourgeBringer
Secret Neighbor
Seven: The Days Long Gone
Shadows: Awakening
Shady Part of Me
shapez + puzzle DLC
Shenmue III
Shing!
Shining Resonance Refrain
Shoppe Keep 2
Shotgun King: The Final Checkmate
Skullgirls 2nd Encore
Sid Meier's Civilization VI : Platinum Edition
Sigma Theory: Global Cold War
SIMULACRA + SIMULACRA 2
Size Matters
Slay the Spire
Sleeping Dogs: Definitive Edition
Slinger VR
Slipstream
Smile For Me
Sniper Ghost Warrior Contracts
Space Crew: Legendary Edition
Speed Brawl
Spirit of the Island
SpongeBob SquarePants: Battle for Bikini Bottom - Rehydrated
Spyro Reignited Trilogy
Soulblight
Soulblight
Soul Searching
Soulstice
Starbound
Stick Fight
stikir
Strange Brigade
Struggling
Stygian: Reign of the Old Ones
Sunset Overdrive
Sunless Bundle (Sunless Sea + Sunless Skies)
Supraland
Super Daryl Deluxe
SUPERHOT
Super Magbot
SUPERHOT: MIND CONTROL DELETE
Superliminal
Surviving Mars
Surviving the Aftermath
Suzerain
Swag and Sorcery
S.W.I.N.E. HD Remaster
Swords and Soldiers 2 Shawarmageddon
Sword Legacy Omen
Syberia 3
SYNTHETIK: Legion Rising
Symphony of War: The Nephilim Saga
System Shock Enhanced Edition
System Shock Enhanced Edition
System Shock 2
Tabletop Playground
Telefrag VR
Temtem
Terraformers
The Amazing American Circus
The Ambassador: Fractured Timelines
The Final Station
The Forgotten City
The King's Bird
The Inner World
The Life and Suffering of Sir Brante
The Long Dark
The Red Lantern
The Occupation
The Outer Worlds: Spacer’s Choice Edition
The Serpent Rogue
The Shapeshifting Detective
The Stillness of the Wind
The Suicide of Rachel Foster
The Textorcist: The Story of Ray Bibbia
The Quarry Deluxe Edition
The Uncertain: Last Quiet Day
The USB Stick Found in the Grass
This is the Police
This is the Police 2
This War of Mine
Through the Darkest of Times
Tilt Brush
TOHU
Tools Up!
Total Tank Simulator
Tooth and Tail
Toejam & Earl: Back in the Groove
Train Station Renovation
Treasure Hunter Simulator
Tropico 4
Tropico 6 - El Prez Edition
TSIOQUE
Turbo Golf Racing
Turok
Turok 2: Seeds of Evil
VVVVVV
Vagante
Valfaris
Valkyria Chronicles 4 Complete Edition
Verlet Swing
Victoria 3
Voidigo
Wandersong
Wandersong
Wargroove
Wargroove
Warhammer 40,000: Chaos Gate - Daemonhunters
Warhammer Age of Sigmar: Realms of Ruin – Ultimate Edition
Warhammer: Chaosbane
WARSAW RISING: City of Heroes
Wasteland 3
We Are Alright
We Need To Go Deeper
West of Dead
West of Dead
Where the Water Tastes Like Wine
Who Pressed Mute on Uncle Marcus?
Windjammers 2
Wingspan
Wizard of Legend
Wizard of Legend
World of Goo
Worms Revolution
Worms Rumble
Worms Rumble + Legends Pack
WRATH: Aeon of Ruin
Wrench
WWE 2K23
WWE 2K Battlegrounds
XCOM 2
XCOM 2 + XCOM 2: Reinforcement Pack and XCOM 2: Resistance Warrior Pack
XCOM: Chimera Squad
X-Morph: Defense Complete Pack
X-Morph: Defense + European Assault, Survival of the Fittest, and Last Bastion DLC
Yakuza Kiwami 2
Yooka-Laylee and the Impossible Lair
Yoku's Island Express
Zombie Driver HD
Zombie Night Terror

Let me share my 3000h of modded wisdom with you, my fellow vanilla comrades. My attempt here is to provide you with as many as possible improvements to the base game while keeping the style, balance, and content as vanilla as possible. As they say, when it works the best is when you don't realize it is there. I guarantee you that after playing for a while with these, you will no longer be able to tell what's from the base game and what's not.
You don't know how to mod? Maybe this very basic guide will help. Please, note that many mods come with options to tune up your experience. It is recommended you give them a look.
You can find the steam collection here. Be aware that some of these mods require the DLCs. You don't have the DLCs? Just don't use the mod.
Dependencies:

• Harmony + Huglibs. Required by so many mods, you may as well be done with it and always have them.
• Vanilla Expanded Framework. While not as radically necessary as the previous ones, it's still a dependency fairly common. And this one actually does cool things on its own, like loading new modded factions without having to start a new game.
• XML Extensions. You won't be able to access the options of some mods without this.

Performance

• Dub performance analyzer. Enable the optimizations and override options, you can ignore everything else. If you want to disable alerts, use rocketman.
• Rocketman. By default, it should be good enough. This mod also allows to disable alerts you may don't care about, like, dunno, tattered apparel or unhappy nudity. It is recommended to run adaptive move occasionally (in stat cache settings).
• Performance Optimizer. More hacker magic. If you don't like the UI changes, you can disable them in the options. This mod does more performance stuff aside from that, so use it anyway!
• Performance Fish. You will have to install this mod manually, since it's not available in the workshop. You will also need to install its dependencies, Fishery and Prepatcher. Please, be aware that at the present there's an issue in which linking storages crashes the game. However, this can be prevented by disabling "TryFindBestBetterStoreCellFor" in the options.

Minor changes

• Optimization Meats. Unless you really want dozens of different meat types for some weird role-play reason, this mod will reduce the bloat on your kitchens.
• Better Animal Tab
• Better Info Card
• Conduit Deconstruct. A button to exclusively dismantle power conduits.
• Disable Automatically Select Travel Supplies
• Improved Need Indicator
• Map Preview. You can reroll as well!
• Prepare Landing. You can search world tiles matching your conditions. Goes great with Map Preview.
• Medical Tab. An easy way to overview your colony health.
• More Harvest Designators! e.g. harvest only fully growth plants.
• ModDiff. Great improvement of the mod mismatch screen.
• Pharmacist Temporary Update. Instead of always using the best medicine, now your pawns can use the appropriate medicine for the situation. No longer will they spent glitterworld meds on scratches!
• Smart Turret Covering. Fixes an issue with turret covers.
• PawnTargetFix. So that the autotarget prioritizes the closest enemy.
• Poisoned Food Stack Fix (Fix). Fixes an issue with meal stacks.
• Priority Treatment Ressurected. Doctors will finally prioritize keeping your pawns alive over taking a nap. Disable the option that prevents injured pawns from performing surgery, it has issues.
• QualityBuilder. You can set up a target level for furniture, and your pawns will reconstruct it until it's achieved. If I remember correctly, it's enabled by default for all new furniture? You can turn that off in options.
• RPG Style Inventory Revamped. Much better looking inventory.
• Replace Stuff. Allows to directly replace buildings, without having to deconstruct first.
• Research Tree. A better research tree.
• RimHUD. The best mod of the whole list, it will save you A TON of clicks.
• RimSaves. Overhaul of the save menu.
• Show Known Techprints on the trade screen.
• Show mechanoid weapons on the info screen.
• Smarter Construction. No more babysitting pawns when building walls.
• Stack gap. By default, pawns constantly refill storages. With this mod, you can configure it so that storages are refiled only when they're empty.
• Sun Lamp Honesty. Fixes an issue with sun lamps
• Just Put It Over There. Traders will deliver the merchandise, instead of dropping it on the ground.
• Trade Ships Drop Spot. Mark the spot in which orbital traders will deliver the merchandise, instead on whenever they feel like it. Doesn't work inside animal pens.
• Trading Options. Configure how frequent you want the traders to be.
• WVC. More work modes for the mechanitor.
• Save Settings. Allows you to save and load storage, production, and clothes settings. Works cross-save!
• No Max Bills. Removes the bill cap on workbenches.
• Better ground-penetrating scanner
• Colored deep resources
• Common Sense. Feel free to configure however you like it. I prefer it like this.
• Dubs Mint Menus. Improvements to a bunch of menus.
• Better Pawn Control. Improved management policies.
• Animals Logic. A lot of useful animal-related improvements. Disable the meat option if you're using Optimization Meats.
• Non uno Pinata. Pawns don't drop items when downed. Configurable.
• Bulk Smelting will save you precious time.
• Stonecutting Extended. The same as the previous mod, but for stones.
• Electric Stonecutting Table. To speed up the stonecutting even more.
• Faster Smoothing, a must for all mountain/underground out there.
• Do Your F****** Research. You can order pawns to research.
• Go the Fork to Sleep. You can order pawns to sleep.
• Meal Radius. Configure how far pawns will search for a table to eat.
• Home radius. Configure the size of the automatic home area.
• Smarter Visitors. Visitors will leave if things get dangerous.
• Custom Guilt Duration. Executions in vanilla are a pain because the guilty status goes away too fast. Now you can configure it.
• Dress Patients. Allows dressing of downed pawns.
• Way Better Romance
• Hunters Use Melee
• Injured Carry. Allows to rescue not downed pawns, no longer you have to wait for the bleeding to down them.
• Not My Fault. The player is no longer responsible for unrelated deaths on the map.
• Deep Storage + Simple Storage. Improves stockpile management.
• Pick Up And Haul. Improved hauling.
• While You're Up. Complement for the previous mod. Keep in mind that these two mods will trivialize part of the challenge by freeing a lot of time from your colonists. Just, dunno, turn up the difficulty a notch or something.
• Trading Spot. Marks where you want traders to stop on your map. It's a must if you use a desired path mod (I don't know if they have been updated to 1.5 yet).
• Vanilla Base Generation Expanded. Improved NPC base generation.
• Cut plants before building
• Psychic Harmonizer Lag Fix
• Fellow Ideology players, you're welcome.
  • Style Change Anytime
  • Persistent Precepts

Mayor changes

• Dubs Bad Hygiene. Plumbing!
• Vanilla Temperature Expanded. Lot of useful temperature-related buildings, as well as proxy heat, a very cool mechanic. Some buildings are redundant with the previous mod, just don't research the ones that you don't want.
• Death Rattle + Biosculpter Patch + Life Support. Changes the behavior of mortal wounds so they're not instakills.
• Dynamic Flooding. Inundations!
• Some Things Float. I recommend disabling the chance of pawns loosing their footing.
• Layered Wall Destruction. Walls aren't just destroyed, they become debris. Note that there's an issue in which the debris will spawn home areas.
• Yayo's Combat. Combat overhaul. You can disable the ammunition system if it's not your thing.
• Character Editor. Allows you to edit and save/load pawns.
• RunAndGun. Allows to use guns while moving, with penalties to accuracy. Don't enable the dual wield or search and destroy modules, they won't work.
• EPOE Forked. Fills in the gaps of surgery content in the base game. I recommend disabling the additional workstations and enabling direct crafting only. Less micromanagement, more fun.

Balance

• Beautiful Jade
• Almostthere1.5. Caravans no longer go to sleep two hours away from their destination.
• Stepping Stones. A more reasonable research path.
• Dubs Break Mod makes it so that severe mental breaks require severe negative thoughts.
• Fists Aren't Made of Steel. Reduces the unarmed melee damage, making prison breaks and tantrums much less frustrating.
• No Burn Metal. Sets the flammability of metal buildings, and others, to zero.
• Prisoners Fear Turrets
• Realistic Rooms Rewritten. Allows to tweak how pawns perceive room sizes.
• Ugh You Got Me. Social fights stop when pawns are sufficiently hurt or in pain. Doesn't affect masochists or psychopaths.
• Better Pyromania. Way less frustrating.
• Mortar Accuracy. Improves mortar mechanics.
• Graze up. Grazing rebalanced.
• Better Camp Loot
• Snap Out! Wardens can try to calm down pawns on mental breaks. "Try" is the keyword here.
• Peer Pressure. Opinions matter when converting someone.
• Better Gene Inheritance
• Vanilla Genes Rebalanced
• Gene Trader. Getting xenogenes it's hard, this should easy the burden a bit.

Content

• Sparkling Worlds. A bit of everything.
• Vanilla Traits Expanded. More traits.
• Vanilla Backstories Expanded. More backstories.
• Vanilla Chemfuel Expanded. Rimefeller but with less bloat.
• Vegetable Garden. More farmable plants.
• Vanilla Persona Weapons Expanded + More Persona Traits. More persona weapon variety.
• More Ideological Words + More Religious Origins. More ideology variety
• Events
  • Factional War
  • Raid Extension
  • Go Explore!
  • Vanilla Events Expanded
• Buildings
  • Blooming hedges
  • Panels & Frames
  • Simply More Bridges
  • Thrones plus
  • Tribal Crib
  • Utility Columns
  • Medieval deathrest coffin
  • Metallic Batteries. You can ignore the error, it'll work anyway.
  • Reinforced Walls
  • ReSplice: Core
• Gear
  • Crowns and Regalia
  • Fallout New Vegas - Elite Riot Gear
  • Maid Outfits :3
  • Wheelchairs

Atmospheric changes

• Interaction Bubbles + SpeakUp. Better social interactions.
• Enemy Self Preservation. Enemies severely hurt may try to flee.
• No One Left Behind. Fleeing enemies try to rescue their downed allies.
• Memorable Auroras. They now have a meaningful -if still small- impact.
• Sand Castles. The snowmen of the beaches. Or the deserts.
• Sandstorms
• Graying Hair. So that hair goes gray gradually with age.
• Childrens Drawings
• ReGrowth. Overhaul of biomes and much more!
• My Little Planet. If you're tired of supercontinents, but still want a smaller board, set planet coverage to 100%, and use the new planet size slider instead.
• Geological Landforms. New map shapes.
• Biome Transitions. More organic border biomes.
• Death Acidifiest. Vanilla death acidifier is lame, this is much cooler.
• Graphics
  • Yayo's Animation
  • Trait and Backstory Icons
  • Vanilla Ideology Expanded - Icons and Symbols
  • Vanilla Ideology Expanded - Relics and Artifacts
  • Vanilla Races Expanded - Custom Icons
  • Bionic icons
  • Spectacular Skullspike. They're rotable now!
  • Muzzle Flash
  • More Mini-Horns
  • Better Explosions
  • Better Vanilla Masking
  • Graphic Chair Overhaul 2
  • Not Overhead Meal
  • Graphics Settings+
  • Show Hair With Hats or Hide All Hats. This one takes a while to set up to your preferences, but oh it's so worth it.
  • Cuter Biotech Cat/Dog Ear Replacer. If you don't like the meat-colored animal ears from Biotech, this is for you!
  • Blood Animations
  • Gunplay. Trails can break some mods. If that happens, disable trails in options.
• Retextures
  • Parka Retexture
  • Retextured Apparel
  • Retextured Sculptures
  • Vanilla Beards Retextured
  • Vanilla Hair Retextured
  • Vanilla Pawns Retextured
  • Marbled Marble
  • Essentials: Stone (the stat changes won't work)
  • Vanilla Textures Expanded - Variations
  • Vanilla Textures Expanded
  • I Hate Daylilies
  • Biotech Mechanoid Retexture
  • Tastier Vanilla Clothes
  • Van's Steel
  • Glowing Healroot
  • More Vanilla Textures
• Audio
  • Ambient Rim
  • Realistic Human Sounds. Not very vanilla, but certainly very funny.
  • Actually Vanilla Music Expansion
  • P-Music
• Hairs
  • Erin's Hairstyles
  • Hard Times
  • Rimsenal Hair + Retextured
  • Roo's Hairstyles
  • Roo's Royalty Hairstyles
  • The Vanity Project
  • Won hair_men + Retextured
  • Won hair_women + Retextured

Bonus: comics! And the occasional animation. I noticed newbies aren't aware of these, so I link the profiles of all the artists I could remember. Sorry if I missed anyone. u/daleksdeservevictory, u/AzulCrescent, u/AetherealVanguard, u/ATTF , u/Aelanna , srgrafo, u/Fonzawa, u/Ivancmedia, u/zyll3, u/meto30, u/AeolysScribbles, u/cavalier753, u/GABESTFY, u/VectorData, u/arxian, u/Nguyenanh2132, u/sorrowful_dance, u/meto30, u/-desdinova-, u/truffli

And yet I know i would've hated nipple grafts. I wouldn't know where they would go. And couldn't ever find the right placement visually. So I opted out of nips. It was a good choice given how I like to dress and my desire to be topless even when dressed en-femme.
I like my flat chest. I think my surgeon understood me perfectly. It has just enough contour to seem natural on me but flat enough that I never see "boobs" in the mirror. Getting top surgery quite literally evaporated all the dysphoria I ever felt about my chest. Scars can and will be covered up in the future with a pretty tattoo.
I am annoyed trying to find clothes for my new body shape. Especially feminine clothing. But 15/10 would do again.
And at the same time. I miss my nips. I really really miss MY nips.
I miss their.....cuteness? I miss the sex appeal of nipples even if I hated nipple play. I miss the playfulness of nipples. I miss making them go flat then hard then flat. It was a very fun stim. And I miss the EXACT fun way I played with them when I was alone that only I could replicate.
It's sad that to get to a body that feels right to me I had to sacrifice my nips. But it was impossible with my chest size (30F) to spare them and get the right shape/contour to my body.
I'm still numb in some places and hypersensitized/painful in others especially near my scars. But transformation has always come with grief for me. And I guess I wanted to share b/c I wanted others to know that it's okay to miss something while still feeling like you made the right choice.

F. 30. 5’3” 160lbs. I’ve been to just about every specialist my doctor will send me to (urology, urogynecology, endocrinology, nephrology, neuroendocrinology) and everyone says I’m fine but I’m not. I’ve tried bladder medications (toviaz, oxybutinin, myrbetriq, gemtessa) I have an interstim implant Done pelvic floor pt Nothing helps
The only time it seemed to get better was after I had my first child for about 2 months I felt normal and could drink normal and was fine
Symptoms
• Urinary frequency past 10 years - If don’t drink anything once per hour - If drinking anything can be every 10-20 minutes • Use to drink medium coffee 64 oz water 16 oz redbull in a day – couple water bottles at night (wake up to drink) • Average 10oz per hour without fluids • 20+ oz per hour with fluids • Get up 1-3 times a night (around 1:30 3:30 5:30) • Always dehydrated / thirsty • When drinking water become more dehydrated than if I don’t drink at all • No pain • No uti • Bladder irritating foods don’t affect it (spicy food, tomato sauce, chocolate, soda ect.) • No caffeine or alcohol • Eating bready and salty foods seems to help • Salad / fruits / veggies make me go more • Pee is pale yellow / clear • Started gaining weight – cannot lose it either • Bad memory • Always tired • No energy • Frequent headaches • Bladder capacity about 10 oz
What happens when I don’t dehydrate myself
• Heart racing (up to 170) • Lightheaded • Dizzy • Headache • Shakey • Bathroom 10-15 min • Nausea

I was on 300 mg per night for about 6 months and in that time I noticed that while it did help my nerve pain I started having allergic reactions to a lot more things and becoming really sensitive to certain smells, which would then cause allergy type symptoms. Nothing changed for me except starting gabapentin so I decided to stop it this past Sunday.
I didn’t realize I maybe should have weaned off but I don’t feel too bad. I’m wondering if anyone has experienced an increase in allergic responses or suddenly being allergic to more things than they used to be from gabapentin?? And if it got better once off? I’ve already consulted an allergist, but thought I’d ask here.
ETA: my allergy symptoms are nasal symptoms, congestion, chest hurting, and burning in my mouth.

17 y.o MALE Never drank Never smoked
i started to have chest pain 1 month after i get reassurance by a cardiologist that my heart is fine , i did also heart visits and blood tests and the hospital in february , if my heart had a problem the doctors and cardiologist would saw it right ? my chest pain is not costant ,im sorry if maybe im sending this message everyday but im living in an anxiety status 24/7