Shambler – official darkest dungeon wiki diffuse hypoxic ischemic brain injury

It is said that since the dawn of time mankind has been born with an instinctive fear of the darkness; a fear of the stalking predators in the night, a fear for the poisonous and bloodsucking horrors that crawl in the deepest darkness; and a fear for the unknown and unseen things that dwell in the darkest shadows, just out of sight of human eyes. These primordial fears are justified, for there is a creature, a predator that not only haunts the collective nightmares of mankind, but patiently waits until the last glowing embers of light have died and the deep, suffocating darkness claim dominion before it strikes.

A predatory nightmare summoned from the darkest recesses of the unknown, a star-spawned horror, an infinite malignity of the stars that inhabits the void between worlds that was never meant to be seen by mortal men.


The shambler is a truly nightmarish beast that lurks within every shadow, waiting until all forms of light are extinguished so that it is able to enter in our world, hunt its favorite prey and feed its spawn. Anoxic encephalopathy emedicine this monstrous thing is capable of warping the fabric of space and time and pulling its prey into the void between worlds. The only way to escape the endless darkness of the abyssal void is to kill this nightmare and its spawn. The few who have survived an encounter with this nightmarish beast would dismiss the encounter as a fever dream, if not for the corpses of their companions and the twisted pile of tentacles and claws that is the corpse of the shambler.

A predatory nightmare summoned from the darkest recesses of the unknown, the shambler is an eldritch mini- boss that lurks in blackest pitch, dropping ancestral trinkets when killed. When traveling with your torchlight at 0, the shambler will rarely appear in any location as a hallway fight (apprentice level – 1%, veteran level – 8%, champion level – 12%) or when a torch is used on a shambler’s altar (which instantly reduces light to 0).

The party will always be surprised when encountering a shambler. If summoned from an altar, the shambler will automatically bring the torchlight down to 0 and will prevent the party from lighting torches while fighting it. The light level will also stay at zero if using a hero’s ability that would normally increase light levels. If summoned but then run away from, the shambler will appear again as the next encounter. Don’t summon it unless the party is ready to kill it.

Due to a very low speed, it will most likely act last, using its bleed or blight attack and summoning 2 tentacles. Unlike the shambler itself, tentacles have a very high speed; they are very likely to take actions before the party, applying a strong buff to themselves. If one or both of the tentacles are killed, the shambler will re-summon them. Anoxic brain injury mayo clinic if both are left alive, the shambler has a chance to use stentorious lament, which will shuffle your party’s formation.

The main reason for hunting down this monstrous creature is because it carries with it ancestral trinkets, items once carried by the ancestor that contain terrible power. Every time a shambler is slain it will drop one of the 5 trinkets below. However, since only one of each trinket can exist in the player’s inventory, when they are all obtained shamblers will no longer drop ancestral trinkets unless one of the trinkets is lost, and will instead drop a random rare trinket.

The shambler is very strong, stronger than some bosses. Severe anoxic brain injury prognosis most of the time, it is wise to pass up the opportunity to fight him. Nevertheless, if you decide to summon him, it’s better to do so after you’ve completed the quest objective, as your party will most likely be in no condition to continue the expedition after the encounter with the shambler.

When dealing with the shambler it’s important to finish the fight as soon as possible. The general strategy is to kill tentacles and stun the shambler to prevent him from re-spawning them. If you don’t have enough damage or reliable stun to do that, you may leave 1 tentacle alive and hope the shambler uses stentorious lament. Hipoxia anoxia it will shuffle your party but not summon a tentacle. A variation of the marking party, however, can ignore the tentacles and finish the shambler in 2-3 turns. High bleed and blight resistance is encouraged. Consider bringing/using holy water to buff these resistances at the start of battle.

When assembling a party to hunt the shambler specifically, consider the following classes: abominations, with their high speed, can kill both tentacles with rake before they buff themselves; crusaders can also take care of tentacles with zealous accusation; hound masters can reduce the shambler’s PROT; plague doctors and bounty hunters can land stuns (but only reliably if they have suitable trinkets); occultists deal increased damage vs. Eldritch and have a +20% damage buff camping skill for your heavy hitters. All of them and the arbalest have a marking synergy. The jester can function as a utility class, he can move 3 spaces in either direction to combat shuffles, and spamming battle ballad can let your team move before the tentacles. Man-at-arms works well due to the shambler and its tentacles having low accuracy and both of his amazing party buff camping skills.

The shambler applies a bleed or blight to your entire party when he spawns tentacles. If you focus down his tentacles , he will apply many dots on you which all stack endlessly and the tentacles will just spawn again. But, if his tentacles are already spawned, he stop applies dots and instead does a very low damage attack that applies 10 stress to every party member. The tentacles can only hit one person per turn and their damage is not amazing. Anxiety attack symptoms mayo clinic I recommend tanking the damage the tentacles do and focus down the boss before your heroes hit 100 stress. The shambler can also be in any position and will shuffle your entire party every turn that he does not spawn tentacles. Do not attempt to fight this boss by tanking the tentacles if you do not have heroes that can reliably attack any position from any position. Make sure you party is at very low stress before the fight starts.

• the shambler features in two journals that can be found in the game. The first, "journal of darius, highwayman", ends with darius’ party being ambushed and slaughtered by a shambler. Social anxiety disorder nhs the other one, "the blackest of fates", documents the fate of a party whose occultist, "thrice damned mizir", activated a shambler altar and unleashed a shambler upon everyone.

• the name "shambler" likely comes from the "dimensional shambler", one of HP lovecraft’s creation. The dimensional shambler is a creature that comes from another dimension and attacks its prey by using a form of hypnosis to make the victim believe they’ve been dragged into another plane of existence. However the appearance of the shambler does not match the description given of the dimensional shamblers, as they are mostly humanoid. Rather the shambler’s appearance closely resembles the description given of the shoggoth, said to be "vaster than any subway train— a shapeless congeries of protoplasmic bubbles, faintly self-luminous, and with myriads of temporary eyes forming and un-forming. [1]"