Guides

Hospitals and medicine

Seeing a doctor at a hospital, what treatment costs, prescriptions and repeat prescriptions, the Paleto Bay Pharmacy, the conditions and allergies you choose in character setup, the Health app, plastic surgery and what happens to a body. For anyone with a character.

Updated 30 September 2026

What it is

Every hospital in the city has a desk where you can check in for treatment or see the duty doctor. The doctor asks what brings you in, examines you, treats what is really wrong and can write a prescription for antibiotics, pain relief or a regular medicine. Prescriptions are real records with your name on them: you collect them in person with your ID card, controlled medicines are logged in a register, and long-term conditions get a repeat prescription every week without you asking.

Your character can also live with a condition from day one. Character setup has an optional health step where you pick conditions and allergies, and from then on the city treats you accordingly: your repeat medicine is issued automatically, pharmacists will not sell you anything you are allergic to, and doctors see your record when they treat you.

How to start

Walk into any hospital and press E at the desk ("to see the hospital desk"). The hospital panel opens with your triage badge, your active injuries, a Medicines tab and a "See a doctor" button. Every character starts with an ID card in their inventory; keep it, because you cannot collect a prescription without it.

Paleto Bay Medical Center-251.64, 6322.75

Both servers. The desk has moved to the new hospital entrance

Paleto Bay Pharmacy-265.63, 6317.81

English server. Next to the Medical Center: shelf medicines and prescription collection

Sandy Shores Medical Center1759.82, 3626.58

Both servers

Pillbox Hill Medical Center308.99, -592.25

Both servers, Los Santos

Mount Zonah Medical Center-496.00, -338.00

Both servers, Rockford Hills

On the English server, anyone who wakes up in hospital after going down in Los Santos wakes at Paleto Bay Medical Center instead while the evacuation order is in force (until 2 October 2026 unless extended). See Los Santos evacuation.

A consultation with the duty doctor is charged by what you came in for. The fee arrives as a medical invoice, which you can pay from the Invoices tab of the hospital panel. If the doctor finds nothing wrong with what you described, you pay the smaller "nothing found" fee.

You came in with	Fee
A check-up	$100
Bad headaches	$120
A medication review	$120
Something else, referred to a doctor	$120
A cold or flu	$150
A condition you think you have (diagnosis)	$150
A stomach bug	$180
Migraine (with a migraine diagnosis on record)	$200
An infected wound	$220
Bruises and scrapes	$120
A head or neck injury	$240
An arm or leg injury	$380
A chest or stomach injury	$460
Nothing found	$60

Step by step

Walk in and see a doctor
Press E at the hospital desk and choose "See a doctor". One of the duty doctors greets you and reads your vital signs out loud.
Say what brings you in
Pick an answer: you have been hurt, you are not feeling well, you keep getting headaches, it is about something ongoing, or just a check-up. The doctor asks a follow-up question, such as which part of your body hurts.
Get examined
The doctor examines what is really there. Only real injuries are treated, and only the part of the body you named. Claim an illness you do not have and you pay the "nothing found" fee.
Treatment and the invoice
Wounds are cleaned and treated on the spot. The summary tells you what was found and what was done, and the fee is invoiced to you. A check-up that finds nothing wrong also tells you your blood type.
Any prescription
If you need medicine, the doctor writes a prescription: antibiotics for an infected wound, codeine for a moderate injury (unless you are allergic), sumatriptan for a diagnosed migraine. The prescription goes on your record straight away.
Wait for the notification
When a prescription is ready you get a notification on your phone and on screen naming the medicine and where to collect it.
Collect it with your ID
On the English server go to the Paleto Bay Pharmacy and press E "to speak to the pharmacist", then open the Prescriptions tab. On the Balkan server open the hospital desk and use "Open the counter" on the Medicines tab. Only the named patient can collect, and the ID card must be yours.
Repeats look after themselves
If the prescription is for a long-term condition, the next supply is issued automatically a week later and the notification comes again.

Prescriptions and repeats

A prescription is either acute (a one-off course, such as antibiotics) or a repeat for a long-term condition.

	Acute prescription	Repeat prescription
Issued by	The duty doctor or a player doctor	Automatically, every 7 days for most conditions
Collect within	7 days	14 days of each supply
Price	The medicine's pack price, for example amoxicillin $35 or codeine $25	First supply free, then a flat $10 charge. Characters on the Homeless / Welfare tier pay nothing
Review	None	A medication review is due every 56 days

Supplies never pile up. If you miss a week, the next supply replaces it rather than stacking.
Missed doses only bring mild roleplay reminders, such as feeling anxious, low, shaky or short of breath. They never hurt you or knock you down.
The medication review is due every 56 days, with a reminder each week once it is due. Your repeats carry on meanwhile. See a doctor and choose "Review my existing condition and medication" to renew it.
Once-a-day medicines such as antidepressants, insulin and blood pressure tablets count one dose a day, so a double click never wastes tomorrow's dose.

Controlled medicines

Some medicines are controlled: methylphenidate (Ritalin), mixed amfetamine salts (Adderall), alprazolam (Xanax), clonazepam (Klonopin), diazepam, zolpidem (Ambien), gabapentin, tramadol, codeine and oral morphine. They carry extra checks:

Your ID is checked every time you collect.
Collections of the same controlled medicine are at least 6 days apart.
Every collection is written into a controlled drugs register.

For doctors. Player doctors prescribe from the Emergency Services Portal with /esp: a searchable formulary, conditions and repeat prescriptions, allergy clash warnings, cancelling with a reason, and a controlled drugs register tab. Only senior doctors can prescribe controlled medicines. See Factions and the MDC for how the emergency services work.

The Paleto Bay Pharmacy

The pharmacy is on the English server only, next to Paleto Bay Medical Center. Press E at the counter "to speak to the pharmacist". The panel is signed by the duty pharmacist, Maya Castell, although nobody stands behind the counter. It has three tabs: Shop, Prescriptions and Advice.

The Shop tab stocks 33 over the counter lines from $3 to $35: pain relief (paracetamol, ibuprofen, aspirin, naproxen, ibuprofen gel, co-codamol), melatonin and a night-time sleep aid, cold and flu sachets, decongestants, nasal spray, cough mixtures, lozenges, hay fever tablets, stomach remedies, plasters, bandages, first aid pouches and creams, eye drops, nicotine patches and gum, vitamins, a pregnancy test and a thermometer.

Medicines carry no sales tax. Pay by cash, card or bank.
A basket holds up to 12 lines, and each line has its own limit per sale.
Some lines have an age limit of 12, 16 or 18.
Anything you are allergic to is marked "Not suitable for you" and the pharmacist will not sell it.

Three pharmacist medicines are limited to one pack per person every 24 hours:

Medicine	Price	Age
Co-codamol 8/500 tablets	$12	18 and over
Night Rest tablets (a night-time sleep aid)	$8	18 and over
Decongestant tablets (pseudoephedrine)	$6	18 and over

On the English server, 24/7 stores no longer sell antibiotics. They are prescription only: see a doctor, then collect them here.

Conditions and allergies from character setup

When a new character first arrives in the city, character setup walks through their background, personality, health, finances, citizenship and chat. The health step is optional: pick up to 5 conditions, each with the date the character was diagnosed in their story (typed as DD/MM/YYYY), and up to 4 allergies, each with a severity of mild, moderate or severe. If your character has none, press "Skip: no conditions or allergies"; that button only shows while nothing is picked.

Each condition shows what it means in play and its regular medicine. A controlled medicine is marked Controlled.

Condition	Category	Repeat medicine
ADHD	Mental health	Methylphenidate 10 mg tablets (controlled)
Depression	Mental health	Sertraline 50 mg tablets
Generalised anxiety	Mental health	Buspirone 10 mg tablets
PTSD	Mental health	Sertraline 50 mg tablets
Bipolar disorder	Mental health	Lithium carbonate 300 mg tablets
Panic disorder	Mental health	Sertraline 50 mg tablets
OCD	Mental health	Fluvoxamine 50 mg tablets
Social anxiety	Mental health	Propranolol 20 mg tablets
Insomnia	Sleep	Trazodone 50 mg capsules
Chronic pain	Pain	Gabapentin 300 mg capsules (controlled)
Asthma	Breathing	Salbutamol 100 mcg inhaler
Type 1 diabetes	Diabetes and blood pressure	Rapid-acting insulin pen
Type 2 diabetes	Diabetes and blood pressure	Metformin 500 mg tablets
High blood pressure	Diabetes and blood pressure	Amlodipine 5 mg tablets
Migraine	Neurological	Sumatriptan 50 mg tablets
Epilepsy	Neurological	Levetiracetam 500 mg tablets
Severe allergy	Allergies	Adrenaline auto-injector 300 mcg, a new pen every four weeks
Hay fever	Allergies	No regular prescription: buy allergy relief at the pharmacy

The allergies you can record are penicillin, anti-inflammatory painkillers (NSAIDs), opioid painkillers, latex, peanuts, shellfish, bee and wasp stings, and pollen.

Conditions you pick here are on your medical record from day one, and their repeat prescriptions start automatically with the first supply free.
If your character's conditions were recorded before this system existed, their repeats start too, but a controlled medicine is swapped for an uncontrolled alternative where there is one, or left for a doctor to start.
A severe allergy is roleplay only. Nothing in the city triggers a reaction automatically.
The duty doctor can also diagnose some conditions later: depression, generalised anxiety, PTSD, panic disorder, OCD, social anxiety, insomnia, migraine and hay fever. A new diagnosis books a free follow-up appointment two weeks later.

Your hospital visit

Triage. The hospital panel shows a triage badge from Immediate to Non-urgent, based on your injuries.
Medicines tab. Your prescriptions, what is ready to collect and where, with a button to set your GPS to the pharmacy on the English server.
Discharge summaries. After treatment you get a summary of what was done. After a severe injury it includes a fit note of 2 days off work and no strenuous activity; after a critical one, 3 days.
Free follow-up. Serious treatment or surgery books a free follow-up appointment two days later, and it appears in your phone calendar.
Ambulance handovers. When paramedics hand you over at a hospital you are admitted with an invoice, not left at the door.
Refunds. The hospital only charges for treatments it offered you, and switching character or leaving mid-treatment refunds you.

On the English server, hospital charges, invoices, consultations, booking fees and pharmacy sales go to the medical faction's bank.

The Health app

The Health app on your phone shows your prescriptions with their status and where to collect them, your repeat prescriptions, your allergies and your recent visits. See The phone for the rest of the apps.

Plastic surgery

Plastic surgery changes your character's face and appearance in the character creator. Stand at a clinic and press E "to change appearance". It is refused while you are in a vehicle, injured or jailed.

Clinic	Server
Eclipse Medical Center	Both
Mount Zonah Medical	Both
Central LS Medical	Both
Paleto Bay Cosmetic Surgery	English only

Paleto Bay Cosmetic Surgery-256.97, 6321.63

English server. Next to the Medical Center

Bodies

A dead character leaves a body that is an exact copy of them: the same face, clothes and pose where they fell. Walk up to it and press E "to examine the body" to see the cause of the injuries and roughly how long ago it happened.

A body can be searched with /lootbody from within 3 m, but only once it has been there for five minutes; until then you are told the body is still warm. Each search takes one stack of items and everyone nearby sees you rummage through the corpse. Emergency services and the coroner can collect a body; otherwise it is removed after two hours.