kaze950 Posted October 29, 2025 Posted October 29, 2025 This perk is bugged in multiple ways. One, sometimes when killing unaware humans, a heart is not harvested. Two, even when a heart is harvested, HP does not always increase. This may be related to the Treacherous flaw, which reduces Base HP by 25% (which should not affect Max HP, but this may just be bad wording), but in that case the heart should still give +1.5 HP instead of 0.
kaze950 Posted October 30, 2025 Author Posted October 30, 2025 Update: I don't know if related, but after the patch I actually LOST HP after collecting a heart - from 678 to 677. What's going on?
Redbrit Posted November 1, 2025 Posted November 1, 2025 Playing it now and Treacherous negated Serial Killer as soon as I got it. I'd never have taken Serial Killer if I knew it would be a waste.
jk2l Posted November 3, 2025 Posted November 3, 2025 +1 i think i have this issue too. trying to start a psychopath stealth build and my hp don't seem to increase but decreased
andy15givingup Posted November 6, 2025 Posted November 6, 2025 The Serial Killer perk is bugged for me in the same way. Having taken a total of -40% base health in anticipation of this perk, this bug breaks my character and I am going to wait for this bug to be fixed before continuing to play.
PowerPrinny Posted November 10, 2025 Posted November 10, 2025 I am having the same kind of bugs with the serial killer perk. It went up by 2 , then back down by 2 after two kills. Then it seemed to be working for about 6 kills in a row, I saved ,re-loaded the save file, and it reset my max health back to the starting point as if I had not made those kills. Obsidian please fix this bug. I made an account just to request this bug fix.
jacob.watson1845 Posted November 10, 2025 Posted November 10, 2025 Also does this for me. The unaware enemies part doesn't work at all. I did the math. I have a friend who has a character at the exact same level with both treacherous and sickly. I have 230 hearts. Are hp is practically identical. Just a few points different. The math simply does not check out.
acosmichippo Posted November 21, 2025 Posted November 21, 2025 Same here. just picked up the perk, killed at least a dozen humans with sneak attacks. completely stealth, no engagement. I have only two hearts in my inventory.
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