diff --git a/addons/field_rations/functions/fnc_handleEffects.sqf b/addons/field_rations/functions/fnc_handleEffects.sqf
index 6987074227..980454cac7 100644
--- a/addons/field_rations/functions/fnc_handleEffects.sqf
+++ b/addons/field_rations/functions/fnc_handleEffects.sqf
@@ -27,14 +27,24 @@ if ((_thirst > 99.9 || {_hunger > 99.9}) && {random 1 < 0.5}) exitWith {
 // Exit if unit is not awake, below are animation based consequences
 if !(_player call EFUNC(common,isAwake)) exitWith {};
 
-// Set unit unconscious with 45s cooldown (chance based on how high thirst/hunger are)
+// Trigger high thirst/hunger consequence
 if (
     GETEGVAR(medical,enabled,false) && 
-    {(CBA_missionTime - XGVAR(lastUnconEvent)) > 45} && 
-    {(_thirst > 85 || {_hunger > 85}) && {random 1 < linearConversion [85, 100, _thirst max _hunger, 0.05, 0.1, true]}}
+    {(_thirst > 85 || {_hunger > 85})}
 ) exitWith {
-    [_player, true, 5, true] call EFUNC(medical,setUnconscious);
-    XGVAR(lastUnconEvent) = CBA_missionTime;
+    if (XGVAR(nearDepletedConsequence) == 1) then { // Set unit unconscious with a 45s cooldown
+        if (
+            (CBA_missionTime - XGVAR(lastUnconEvent)) > 45 && 
+            {random 1 < linearConversion [85, 100, _thirst max _hunger, 0.05, 0.1, true]}
+        ) then {
+            [_player, true, 5, true] call EFUNC(medical,setUnconscious);
+            XGVAR(lastUnconEvent) = CBA_missionTime;
+        };
+    } else { // Add pain
+        if (ACE_Player getVariable [QEGVAR(medical,pain), 0] < 0.1) then {
+            [ACE_Player, 0.1] call ace_medical_fnc_adjustPainLevel;
+        };
+    };
 };
 
 // Make unit fall if moving fast
diff --git a/addons/field_rations/initSettings.inc.sqf b/addons/field_rations/initSettings.inc.sqf
index 16e2d4eb2d..173d5aec16 100644
--- a/addons/field_rations/initSettings.inc.sqf
+++ b/addons/field_rations/initSettings.inc.sqf
@@ -45,6 +45,15 @@
     true
 ] call CBA_fnc_addSetting;
 
+[
+    QXGVAR(nearDepletedConsequence),
+    "LIST",
+    [LSTRING(NearDepletedConsequence_DisplayName), LSTRING(NearDepletedConsequence_Description)],
+    LSTRING(DisplayName),
+    [[0, 1], [LSTRING(NearDepletedConsequence_Pain), LSTRING(NearDepletedConsequence_Unconsciousness)], 1],
+    true
+] call CBA_fnc_addSetting;
+
 [
     QXGVAR(waterSourceActions),
     "LIST",
diff --git a/addons/field_rations/stringtable.xml b/addons/field_rations/stringtable.xml
index 2b443ccc3c..180dcd80b4 100644
--- a/addons/field_rations/stringtable.xml
+++ b/addons/field_rations/stringtable.xml
@@ -115,6 +115,21 @@
             <Spanish>Tiempo sin agua</Spanish>
             <Turkish>Susuz Kalma Süresi</Turkish>
         </Key>
+        <Key ID="STR_ACE_Field_Rations_NearDepletedConsequence_DisplayName">
+            <English>Consequence of extreme thirst/hunger</English>
+            <German>Folge von extremen Durst/Hunger</German>
+            <Italian>Conseguenze di sete/fame estrema</Italian>
+        </Key>
+        <Key ID="STR_ACE_Field_Rations_NearDepletedConsequence_Pain">
+            <English>Pain</English>
+            <German>Schmerzen</German>
+            <Italian>Dolore</Italian>
+        </Key>
+        <Key ID="STR_ACE_Field_Rations_NearDepletedConsequence_Unconsciousness">
+            <English>Fainting</English>
+            <German>Ohnmacht</German>
+            <Italian>Svenimenti</Italian>
+        </Key>
         <Key ID="STR_ACE_Field_Rations_TimeWithoutWater_Description">
             <English>How long should a person be able to go without water (hours).</English>
             <Chinese>一個單位脫水之前能支撐多久（單位為小時）。</Chinese>