Extreme consequences introduce an optional fourth severity of consequence to your game: something that permanently, irrevocably changes a character.

Taking an extreme consequence reduces stress taken by 8. When taken, you must replace one of your character’s existing aspects (other than their high concept, which is off-limits) with an aspect that represents the profound change to the character resulting from the harm they’ve taken.

By default, there is no option to recover from an extreme consequence. It has become a part of the character now. At your next breakthrough you may rename it to reflect how you’ve come to terms with it, but you can’t go back to the original aspect.

Between breakthroughs, a character may only use this option once.