Antewise

Darkest Dungeon Heart Attacks and Afflictions — The 200 Threshold and How to Manage a Broken Hero

Updated 26 Oct 2026 Source Heart attack and affliction mechanics verified against darkestdungeon.wiki.gg (Stress and Virtue pages), October 2026 By
Data status: The facts on this page were checked against the source named above. Game values can still shift with a patch, so re-check anything that looks off.

The threshold is 200, not 100

A persistent myth says a hero at 100 stress dies to the next hit. That is false. The actual rules:

  • 100 stress: resolve tested → Afflicted (usual) or Virtuous (small chance). No immediate death.
  • 200 stress: heart attack → Death’s Door, or death if already there.

So the kill line is 200. Treat 100 as the warning, 200 as the cliff.

Virtue is the escape hatch

A Virtuous hero who reaches 200 stress does not heart-attack. They lose the Virtue and reset to 0 stress. This is why a Virtuous hero can be pushed deeper than an Afflicted one — the 200 hit only strips their buff.

Affliction is the real danger

Most heroes who cross 100 become Afflicted, and affliction is random:

  • Act-outs happen on their turn and can stress or damage the party.
  • Two heroes cannot act out back-to-back, and the same hero cannot act out twice in a row, but you cannot choose or predict it.
  • The only reliable counter is not letting stress reach 100.

Back in town, the Abbey and Tavern remove afflictions (for gold and a week of the hero’s time). An afflicted hero should not be sent back in until cured.

Field management

  1. Watch the bar, not the HP. Stress climbs quietly; HP drops loudly.
  2. Camp before a boss when the party average is high — camping skills like Encourage and Pep Talk cut stress before the fight.
  3. Bring a Jester. Inspiring Tune is the party-wide stress heal that keeps everyone off the 100 line.
  4. Retreat before 200 for any Afflicted or untested hero. There is no second chance at the cliff.
  5. Rotate. A hero who hit 100+ rests in the Abbey/Tavern while a fresh one delves.

Frequently asked questions

Is 100 stress a heart attack?

No. At 100 stress the hero is tested and becomes Afflicted or Virtuous. The heart attack triggers at 200 stress. The common '100 stress plus a hit kills you' claim is wrong; only 200 forces the heart attack (or Death's Door).

Can a Virtuous hero die to a heart attack?

No. A Virtuous hero at 200 stress loses the Virtue and resets to 0 stress instead of suffering the heart attack. That is why pushing a Virtuous hero is far safer than pushing an Afflicted one.

What do I do with an Afflicted hero?

Affliction act-outs are random and can stress or harm the party, so pull the hero from the front line, use Abbey/Tavern healing back in town, and avoid sending a 100+ hero back into the dark. Prevention beats cure: keep stress under 100.

Should I retreat at 150 stress?

If the hero is Afflicted (or untested and already high), retreat before 200 — there is no saving throw at 200. A Virtuous hero can be pushed further because 200 just strips the virtue.

More Darkest Dungeon guides

Sources

Figures and item data on this site are read from the game’s own reference wiki before publishing. Where a value could not be confirmed there, the page says so instead of filling the gap.