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Appetite for despair was more literal than I expected, all around super cool!  Loving especially the red highlights, they are scarce enough to be effective. 

Question on the intended design: Does the melaphage self-harm take up a turn from the character? And can multiple melaphages cause multiple instances of self-harm? Trying to intuit how deadly the melaphages are. 

They do have a super interesting gameplay balance, as the most "effective" characters are also the ones at most risk of dealing damage to themselves. Love it.

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Thank you!

Uses up a turn: Yes. However I am not always so strict with turn order myself when running MoSh so being a little loose and letting players have "extra actions" would probably be fine if that keeps the pace up and makes things interesting.

More melaphages causing multiple instances of harm: no. I might go back and edit it so that you get [-] on the save if you have more than 1 attached though.

(When I ran the game, there was 1 incredibly well equipped Marine with a bunch of guns while everyone else only had nominal weaponry. I ended up ruling that everyone Close who got melaphage'd would just try and get in front of the Marine's gun barrel and wrestle him to  force him to pull the trigger haha)

Thanks! I think that's more dramatic that way, makes sense.