This scenario was my first exposure to the terrifying world of Fear Itself. Invasive Procedures is often touted as one of the scariest and most brutal scenarios ever written for TTRPGs, and one can immediately see why from its subject matter. Hanrahan explicitly wears the inspiration for Invasive Procedures on his sleeve, attributing it to the Silent Hill franchise and Hellraiser (1987). The way that the scenario written is so effective in pacing and content that it even kept me awake at night. Let’s just say I had one eye open on my door, just in case any Night Nurses decided it was time for me to undergo experimental surgery!

Game Masters should be aware of some mature themes in this scenario. There is a lot of body horror, almost all of which is described in grisly detail. The scenario also plays on the theme of imbalanced power dynamics between doctor and patient, and how a position of power may deter the righteous from exploring issues any further. If a player has had a negative and/or traumatic experience in a hospital, it is recommended to steer clear of this scenario unless discussed prior.

Invasive Procedures is available on DriveThruRPG.

Please keep in mind that this resource kit bases Invasive Procedures in Staunton, Virginia. The resources kit (3.85 MB) for Invasive Procedures contains the following:

  • Patient Records (Pre-filled Gavin Langley’s details)
  • Newspaper Clipping
  • Work Order Form for Library Repairs
  • Langley’s Handwritten Notes
  • 1932 Inquest for Dr. Copel
  • An X-Ray Image of a Hand
  • Letters from Dr. Haverly

Header image created by Pascal Quidault, for the Invasive Procedures cover.

This resource kit is for entertainment purposes only. Designed and implemented by Brendan De Pinto © 2021 The Membrane’s Journal for the scenario ‘Invasive Procedures’ © 2011 Pelgrane Press. All rights reserved. Permission is hereby granted for the user to print copies for their personal use in role-playing games. No other permission is granted unless specified in a relevant document, and any commercial or illegal use of the contents therein is ENTIRELY PROHIBITED. Please do not distribute this resource kit. It is available for free.
This is a work of fiction. Names, characters, business, events and incidents that may pertain to any resemblance to actual persons, living or dead, or actual events is purely coincidental.

© 2021 The Membrane’s Journal.

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