Casualties Unknown L.R.D., Braingrow and Mindwipe

These are among the most searched items in the game: casualties unknown lrd has about 1,123 monthly searches and Braingrow 585 (third-party estimates). Official patch notes say little about their numbers, so most detail here is reported by players, and the in-game item text should always win if it differs.

What does L.R.D. serum do in Casualties Unknown?

L.R.D. is a serum players rely on after major injuries. On the Steam forum, one player says plain and makeshift L.R.D. “save runs”, and that you can get them within the first two layers if you are lucky or craft the makeshift version. reported Forum posts group it with other brewable drugs such as antidepressants, fentanyl and procoagulant. reported

Community pages say L.R.D. and procoagulant together are used for severe internal bleeding, with side effects that those two partly offset. unverified See bleeding first if you are stacking it for that purpose.

Where do you find L.R.D.?

• Medical crates. A popular guide opens one and finds L.R.D. in it. confirmed
• Traders. Recordings show it for sale. confirmed
• Crafting, for the makeshift version. reported

What does Braingrow do in Casualties Unknown?

Braingrow is the go-to item when a stroke or brain damage happens. A co-op recording shows a player point out that a stroke will kill you unless you have Braingrow. confirmed Another, mid-crisis, says simply “I need a Braingrow”. confirmed

Community pages list a quick cure for strokes and some brain health back, but with a chance of vomiting and a mood penalty. unverified Since 7.0, stroke-reducing items no longer repair your vision as well. confirmed

What does Mindwipe do?

Mindwipe is what you take if you have nothing else. In one recording, a player with a stroke says all they have to cure it is a Mindwipe, and treats that as a terrible option. confirmed Players also joke about what happens when someone drinks one by mistake. confirmed

Questions like what does mindwipe do are common, because the name suggests something frightening and the item is often found in loot. We cannot confirm exact effects from an official source. Assume you will lose something valuable, and only use it when the alternative is death. unverified

What is a neural booster?

A late-game medical item. It can be crafted, and a recording shows a group excited to find the recipe. confirmed Community pages list it as stopping strokes, granting wide buffs and restoring some brain health the first time. unverified They also say that using one too soon after another brain drug carries a heavy penalty, so read the warning below.

How do Casualties Unknown crystals compare?

Crystal shards offer passive benefits while carried, which is useful if you do not want to spend drugs. Players search for several by name. Reported effects include: unverified

Shard	Reported effect
Blood crystal	Slows blood loss
Digestion crystal	Slowly reduces sickness
Emissive crystal	Bright light while carried
Oxygen crystal	Helps with oxygen
Relief and soothing crystals	Mood or pain relief

Which should you save, and which should you use?

Situation	Best choice	Why
A stroke, any time	Braingrow	Few other treatments stop it
A big internal bleed	L.R.D. plus procoagulant	Players use the pair together
Small brain damage	Rest	Save your Braingrow
Dying with no options	Anything left	The run is ending anyway
Low on trade goods	Sell spares	These items have high trade value

Can you make these in Casualties Unknown?

Players report that bio-chem fluid, the game’s general crafting liquid, can produce several drugs, including L.R.D. serum, depending on your recipes and Intelligence. reported Recipes and their requirements appear in your crafting window, and blueprints unlock more, as the crafting guide explains. Because the full game brings “a truckload of balance changes”, check recipes in your own game.