Direct Answer
Mental state, fear, despair, and madness are part of the survival design, but their complete effects and recovery rules are not public.
Reported
Confirmed Behavior
A developer update says alcohol can lower mental stress while causing intoxication; it is not a confirmed cure for every mental condition. 1 2
Known Stress Effects and the Alcohol Tradeoff
Official development material places fear, despair, madness, and a broader mental state alongside the game's physical survival pressures. One disclosed interaction allows alcohol to reduce mental stress while also producing intoxication, so the benefit carries a separate impairment rather than functioning as a universal cure. Exact thresholds, penalties, recovery speed, stacking behavior, and treatments for each condition have not been published and can change as the system develops. 3 4
Current Limits
Only announced or observed pre-release behavior is covered. Unpublished values, final Early Access scope, and later balance changes remain unconfirmed.
Sources
- 1.God Save Birmingham on Steam — Steam · August 21, 2026
- 2.God Save Birmingham and Lost Eidolons: Veil of the Witch PAX East Demo Impressions - Raider King — raiderking.com · August 21, 2026
- 3.God Save Birmingham - Dev Update 3 (June 2026) — YouTube · August 24, 2026
- 4.This Game Needs To Succeed | God Save Birmingham 2026 Playtest Review — YouTube · August 24, 2026
