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Injuries and Fatigue
Injuries and fatigue are unavoidable parts of any baseball player's career. Players can be injured on or off the field, and can suffer illnesses as well. As GM, you will need to deal with these injuries, making roster moves or lineup changes as necessary to keep things rolling. Thisscreendeals with the mechanics of injuries in OOTP. See Dealing with Injuries for more information on what to do when you have an injured player.

There are many different aspects to dealing with injuries and fatigue in OOTP:


Note: The above links will not work within the in-game help. However, they all simply link to sections lower in this page, so if you are reading this in-game, just scroll down to find the appropriate section!

Injury Notification
As GM, you often need to react to injuries. If you are playing out games, you will be notified in-game when a player gets injured. When you are auto-playing games, by default the game will interrupt auto-play any time a player on your team is injured and out for at least three days:

You can customize these settings in the Exit Auto-Play section of the Manager Options page.

Note: Be careful about disabling these notifications. If you haven't delegated roster moves to your staff (from that same page), your staff won't be able to adjust when players get injuries, which could really hurt your team's chances of winning games!

Viewing Injury Information
Injury information is visible in a number of different areas in OOTP:


Injury information on the Player Profile looks like this:

Player Injuries Generally
Injuries occur randomly in OOTP, both during games and between games. Players in OOTP have a hidden injury proneness rating that affects how likely they are to get injured. Injuries in OOTP can be illnesses, or they can be related to one of three different areas of the body: arms, legs, and back. Players who experience injuries to certain areas of the body may become more prone to future injuries in that area. For example, a player who suffers a major knee injury will be much more likely to experience future knee or leg problems than a player who has never been injured before. Having a good team trainer can be a huge advantage in dealing with injuries. Commissioners can also edit the injury proneness of players using the Player Editor.

Pitcher Injuries Specifically
Pitcher injury chance is influenced by the following factors:
  • Past usage (Pitcher Abuse Points (PAPs) - a system developed by Baseball Prospectus)
  • Rust (i.e. after an injury or at the start of spring training
  • Injury proneness rating
  • Pitch count in the current game

The AI now limits minor league starters to:
  • Triple A - 110 pitches
  • Double A - 100 pitches
  • Single A - 95 pitches
  • below - 90 pitches
  • (No limit for feeder leagues, eg college and high school)
These numbers get adjusted by the league strategy setting if it is not default, i.e. for historical minor leagues.
OOTP Injury Categories
When a player becomes injured (or ill) in OOTP, the injury falls into one of three categories:

OptionDescription
Day-to-day Day-to-day injuries don't prevent players from missing games, but they reduce a player's effectiveness by a certain percentage. Additionally, a player who plays with a day-to-day injury is at greater risk for additional injury, particularly in that area of the body. For example, a player playing on a sprained ankle is more likely to suffer a foot injury. Day-to-day injuries are represented on player lists with a yellow cross icon () and by listing the player's name in orange.
Out These are injuries that force a player out of the lineup. These injuries can last anywhere from a few days to almost a year. These injuries are represented on player lists with a red cross icon () and by listing the player's name in red.
Career-ending Some injuries are career-ending. When a player suffers a career-ending injury, they are usually placed on the 60-day disabled list, where they remain until the end of the season. Players with career-ending injuries will always retire at the end of the season in which they are injured, relieving you of their contracts. These injuries are represented on player lists with a red cross icon () and by listing the player's name in red.

Injuries can immediately affect a player's current and potential baseball ratings. The more severe an injury is, the more likely that the player's ratings will suffer. It's quite possible for a severe injury to turn a great player into an average one. Ratings changes can be temporary (for the duration of the injury, for example), or permanent.

Disabling or Adjusting Injury Frequency
Injuries can be turned off completely, or the frequency adjusted. This can be done during game creation in the Suspension, Injury, and Fatigue Options section of the Game Options page. After game creation, this can be changed at any time by navigating to OOTP Menu >> Game Setup >> Global Setup tab. Disabling injuries part-way through a game will not un-injure any currently injured players.

Fatigue / Rest Status
Players also accumulate fatigue as the season goes on, displayed as percentage "Rest Status" in the Health Status section of anyscreenin the Player Profile. Each time a player participates in a game, he gains a certain amount of fatigue, reducing his Rest Status. Each day off restores Rest Status. Once a certain amount of fatigue has been accumulated, the player becomes tired. Tired players don't perform as well, and are also more prone to suffering injuries. Pitchers are often very tired or even exhausted immediately after pitching. It's also important to note that fatigue can accumulate over time and have long-term adverse impact on players. So, be careful how hard you work that young ace in AA!

Players who are tired are represented on player lists with an orange, half-full battery icon (), with the player's name in yellow. Players who are exhausted are represented on player lists with a red, almost-empty battery icon (), with the player's name in yellow. Fatigue for pitchers is driven primarily by the number of pitches thrown in the past five days, together with the pitcher's Stamina rating. Position player fatigue is driven primarily by games played.

Fatigue for position players (non-pitchers) can be adjusted or turned off completely. This can be done during game creation in the Suspension, Injury, and Fatigue Options section of the Game Options page. After game creation, this can be changed at any time by navigating to OOTP Menu >> Game Setup >> Global Setup tab.

Customizing Injuries
OOTP's injury database can also be customized!