Difficulty

Casual
The Commonwealth is no match for the experienced sole survivor.

This difficulty level is recommended to casual players who like all of Horizon's changes, but find the combat too difficult or overbearing. It allows players to enjoy all of the survival mode mechanics, without a brutal combat environment.


 * 1.0x NPC Damage
 * 1.5x Player Damage

Easier medical crafting requirements

Wanderer
The wanderer roams the wasteland in hopes of starting a new life.

This difficulty level is similar to the default difficulty, except it uses a straight 1:1 damage ratio for player vs NPC. Players who find the default difficulty too hard, may enjoy this mode.


 * 1.0x NPC Damage
 * 1.0x Player Damage

Survivor (Recommended)*
Rising out of the ashes of Vault 111, the sole survivor is ready to face the new horizon ahead.

This is the recommended default difficulty. It's balanced so that it's very challenging, but not overly taxing in combat. This is the difficulty level I play myself, so the mod is tuned around it. Take note that "1.0x" player damage does not mean the same thing in Horizon that it did in vanilla FO4.


 * 1.5x NPC Damage
 * 1.0x Player Damage

Veteran
The long road ahead is harsh and unforgiving. The sole survivor is merely an untrained fledgling compared to the hardened denizens of the Commonwealth.

This difficulty mode is not recommended or supported. It's added in for experienced Fallout 4 players who enjoy harsher combat environments.


 * 2.5x NPC Damage
 * 1.0x Player Damage

Outcast
The broken wasteland is a desolate graveyard awaiting the next unwary victim.

This difficulty mode is NOT recommended or supported. It is added in as an option for players who enjoy deadly combat gameplay. Use at your own risk!


 * 3.5x NPC Damage
 * 1.0x Player Damage