Editing XCOM: At Any Cost (section)

=====Trauma=====
Trauma is long-term Stress. Any time a PC’s Stress is stepped up past d12, they’re Stressed Out of the scene, and they gain d6 Trauma of the same type of Stress that just increased. Trauma functions just like Stress but is much harder to recover.

During any scene in which a character is Stressed Out and has taken Trauma, additional Stress to the character goes directly to Trauma. Once Trauma is stepped up beyond d12, the character is permanently out of options — they’re dead, hopelessly incoherent, lost to their own psyche, or whatever seems most appropriate.

If the next scene is a recovery, transition, or otherwise restful scene in which the PC can be taken care of or allowed to recuperate, the PC’s Stress is stepped down by one, but the Trauma remains at the level it was at the end of the previous scene. Recovering Trauma will require narrative conditions and a rolled Test.