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Inflicts continuous pain on the user. Mindscrews are used by some authorities as a long-term punishment. Some even install them voluntarily as a demonstration of ideological or religious devotion.

Base Stats

Medical ItemsBody Parts
Tech Level
Market Value
210 Silver
4 kg


Crafted At
Machining table
Required Research
Brain wiring Techprint
Skill Required
Crafting 5
Work To Make
15,000 ticks (4.17 mins)
Resources to make
Steel 15 + Component 4

The Mindscrew is an implant that permanently inflicts Pain to a pawn.


Mindscrews can be crafted at a Machining table once the Brain wiring research project has been completed. The required techprint can be obtained either by trade or completing quests for the Empire. They require Steel 15 Steel, Component 4 Components, 15,000 ticks (4.17 mins) of work, and a Crafting skill of 5.


The mindscrew is installed in the brain. Once installed, it adds +20% Pain to the pawn. This directly gives a −4% Consciousness malus, which itself reduces many stats, and the pain brings a pawn closer to the Pain Shock Threshold.


Installing the part requires 2,500 ticks (41.67 secs) of work, 2x medicine of ?? quality or better, and a Medical skill of 5.

If the operation fails, the part has a chance[What Chance?] to be destroyed.

Once installed, it cannot be traditionally removed from a living pawn.


May be useful on masochists to give a permanent mood boost (+10) to them, making them slightly less effective for work and combat. Followers of an ideoligionContent added by the Ideology DLC with the Pain is Virtue meme also benefit (+5 mood). On non-masochist pawns, the pain from the mindscrew gives a −10 mood penalty.

The faster Pain Shock can be somewhat useful, as a downed pawn is taken out of combat. Pain can also be useful for psycastersContent added by the Royalty DLC, as each 1% of pain linearly improves neural heat dissipation by 3%, providing a permanent 60% bonus at 20% pain.

There is also potential synergy with the psychic harmonizer when used on prisoners, as psychic harmonizers only affect pawns of the implantee's faction.


While you cannot traditionally remove the mindscrew, it is possible to remove it indirectly by destroying the head of the implanted pawn and then resurrecting the pawn using a resurrector mech serum.

This is not without issues however. First, consistently destroying the head can be difficult. With the Ideology DLC, extracting the skull from a dead pawn will do this reliably and safely, but without it, the best way is allow colonists to eat sections of the corpse, at the risk of consuming the entire body and permanently losing the pawn. Furthermore, no matter how successful the head removal, there is always the risks normally associated with resurrection, including dementia, blindness, and resurrection psychosis.

Alternatively, the effects of the mindscrew can be mitigated through the use of either a painstopper or pain-reducing drugs such as go-juice, with the usual downsides associated with those options.