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Even in the modern world, it's common for soldiers to receive wounds that cause them to be permanently unfit for duty without being fatal. A moderate advancement in cybernetics would have them back to near 100% in only a few years. With Alien Magic Sufficiently Advanced Technology, that time can be reduced to the amount appropriate for gameplay, and costs set at whatever is balanced. Something like a broken ankle, that currently has a recovery time of a few months, can instantly incapacitate someone as a soldier for the duration of a mission. (Maybe some of them can still shoot while immobile, but even trained soldiers won't be very accurate when dealing with that amount of pain). Fallout's level of abstraction assumed that almost all bullet "hits" were grazes or deflected by armor. Based on the ease of recovery, a 'crippled' leg was barely a flesh wound.