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Chapter 1: Running the Game / Special Considerations / Characters with Disabilities

Missing Limbs and Mobility

Source GM Core pg. 22
Some magic items require certain limbs or other body parts. It's fine to allow an alternative form of the item, turning boots into bracers for a character without legs, for example.

A character with a missing hand or arm might need to spend 2 actions to Interact with an item that requires two hands, or otherwise compensate. Using a two-handed weapon is not possible. Someone missing a foot or leg might take a small penalty to Speed, and if they have no legs or are unable to walk, they might use a wheelchair, a trained mount, or flight magic. Characters can typically acquire prosthetics in most cities or settlements, which, through advanced crafting, magic, or clockwork, can provide various levels of assistive function. Many assistive devices appear on page 293 of Player Core.