The primary danger of being injured and having no medical treatment is the risk of infection. In the World of Gaianar, the days of fully staffed hospitals, penicillin, and butadiene are long gone. While bruises cannot become infected, cutting and impaling wounds most certainly can.
To determine if infection sets in, the character must make a successful Body-Mind-Spirit check one day after the initial injury. If successful, the injury recovers at the normal rate. If unsuccessful, the injury recovers for only 1d3 days and then an infection sets in, halting all recovery. The infection counts as a minor disease and is explained later in this section.
In the case of cutting or impaling injuries, the character must, at the end of the recovery period, make a successful save versus system shock or develop scar tissue over the affected area. While this does not impede the character's functionality, it can decrease the character's Comeliness attribute score if the scarring is significant, such as a long cut across the face. Upon developing significant scar tissue, the afflicted character must make a successful save versus system shock at +6 or lose one point of Comeliness permanently.
With enough injuries, it is theoretically possible to have a character's Comeliness value lowered to 1. Once this value has been reached, more scars can still be gained, but the character can't look more disfigured as a result. (By this time, the character is an unrecognizable shambling mound of scar tissue, but at least ugliness isn't fatal.) Bruises, which are the result of damage from bludgeoning weapons, do not scar.