published · approved · 205 MiB
Workshop mod by Berliner19
ACMS Arma Reforger Mod
ACMS – Advanced Combat Medical System | Alpha
6A90FC76568129CD
Ranking
Popular#310686.0Falling#117681.0
21Serversrunning this mod
8Observed players nowon servers reporting this mod
1.4kEstimated player-hours (7d)7-day data
DeploymentTop 8%91.6ahead of 92% of tracked mods by servers running it
ActivityTop 23%77.4ahead of 77% of tracked mods by play on those servers
Popularity86.0deployment and activity combined
How those 21 installs happen100% traced
- Not identified as a dependency20
- Required by another mod1
Last 30 days
21 latest22 peak, 16 Oct0 low, 8 Oct
Servers reporting the mod in each hourly observation. Covers 11 days of the last 30 days.
Daily values
| Day | Last | Peak | Low | Obs. |
|---|---|---|---|---|
| 8 Oct | 0 | 1 | 0 | 7 |
| 9 Oct | 8 | 9 | 0 | 24 |
| 10 Oct | 10 | 13 | 8 | 24 |
| 11 Oct | 12 | 15 | 10 | 24 |
| 12 Oct | 19 | 19 | 10 | 24 |
| 13 Oct | 19 | 21 | 18 | 24 |
| 14 Oct | 21 | 21 | 17 | 24 |
| 15 Oct | 20 | 20 | 18 | 24 |
| 16 Oct | 18 | 22 | 16 | 24 |
| 17 Oct | 18 | 18 | 16 | 24 |
| 18 Oct | 19 | 20 | 17 | 24 |
| 19 Oct | 21 | 21 | 18 | 15 |
8 latest39 peak, 17 Oct0 low, 8 Oct
Sampled player counts on servers reporting the mod; not unique players. Covers 11 days of the last 30 days.
Daily values
| Day | Last | Peak | Low | Obs. |
|---|---|---|---|---|
| 8 Oct | 0 | 1 | 0 | 7 |
| 9 Oct | 0 | 8 | 0 | 24 |
| 10 Oct | 2 | 7 | 0 | 24 |
| 11 Oct | 0 | 13 | 0 | 24 |
| 12 Oct | 12 | 18 | 2 | 24 |
| 13 Oct | 5 | 27 | 0 | 24 |
| 14 Oct | 2 | 33 | 0 | 24 |
| 15 Oct | 4 | 12 | 0 | 24 |
| 16 Oct | 15 | 16 | 1 | 24 |
| 17 Oct | 2 | 39 | 0 | 24 |
| 18 Oct | 6 | 30 | 1 | 24 |
| 19 Oct | 8 | 16 | 0 | 15 |
Calculated Oct 19, 2026, 2:03 PM UTCDerived from observed server and mod activity. Trend positions describe recent observed change, not future adoption.
Summary
ACMS – Advanced Combat Medical System | Alpha
Official Workshop description
ACMS expands medical gameplay in Arma Reforger with an integrated system for injuries, blood loss, airways, circulation and resuscitation. From quickly applying a tourniquet to treating a critically wounded teammate, assessment, appropriate equipment and teamwork are at the heart of casualty care.
Treatment follows the MARCH approach. An intuitive treatment wheel provides access to available procedures. Three configurable profiles accommodate everything from accessible gameplay to demanding MilSim medical care.
Features
Wounds and bleeding: Capillary, venous and arterial bleeding, treated with bandages, hemostatic gauze and tourniquets.
Examination and patient card: Findings on consciousness, breathing, pulse and injuries, alongside a treatment log.
Airway management: Head tilt, recovery position, nasopharyngeal airway, suction and intubation.
Breathing and chest injuries: Oxygen therapy, chest seals and decompression of tension pneumothorax.
Circulation and blood supply: IV/IO access, infusions, blood group compatibility, blood donation and blood bag refrigeration.
Medications: Painkillers, ketamine/esketamine, TXA, calcium, epinephrine, amiodarone and atropine, with delayed effects and possible side effects.
Monitoring and resuscitation: AED/monitor, ECG, oxygen saturation, blood pressure, chest compressions and defibrillation.
Casualty transport: Drag casualties or carry them over your shoulder.
Clothing and equipment: Wounds concealed by clothing depending on settings, plus visible tourniquets and IV cannulas.
Paramedic role: Optional qualification checks for advanced procedures, assigned by the Game Master or through a persistent server registry.
Controls
Self-treatment: Press Comma (,) by default, then select the body region and treatment. You can rebind this key under ACMS in the control settings.
Treating other players: Aim at the patient's torso and select “Start treatment”. Choose the category, body region and procedure in the treatment wheel. Suitable supplies from your inventory are automatically placed in your hand.
Complete each treatment and check its effectiveness afterward. Multiple wounds may require multiple applications. Bleeding control, a clear airway and stable circulation remain essential after administering medication.
Server Configuration
The Normal, Advanced and FullMilSim profiles control treatment success rates, medication timing and qualification checks, among other settings. Individual values can be adjusted through overrides.
Settings: $profile:ACMS/ACMS_Settings.json
Paramedic registry: $profile:ACMS/ACMS_Medics.json
Settings reference: $profile:ACMS/ACMS_Settings_Reference.txt
These files are created automatically. Settings and the paramedic registry are reloaded during gameplay at 60-second intervals. The Game Master can grant or revoke paramedic qualifications through the ACMS attributes of a player character.
Alpha Status and Feedback
This is the first alpha release. Features, controls and balancing may change with future updates. Bugs and unexpected behavior are possible in this early version.
When reporting bugs, please include the mod version, server profile, other active mods and detailed steps to reproduce the issue. Relevant logs help with troubleshooting.
ACMS is a medical gameplay simulation for Arma Reforger and is not a guide to real-world medical care.
Servers running this mod
2121 currently listed servers report ACMS in its mod list. Showing the 5 with the most players.
- CamorraLifeRP/FR/discord.gg/V8q2qKyWyOnline · CamorraLifeRP6 / 40players
- TFSOnline · Camp Neptune Training Complex TFS Version2 / 64players
- [GER/DE] PzGrenBtl24-Bundeswehr / MilSim PVE Public Server #1Online · COE2 - Merak Island1 / 64players
- DESKTOP-2DMQ0FR Capture & Hold – Almara-FabrikOnline · JW Bakhmut AI War1 / 10players
- 3SFG-Grimstone | Training Server | discord.gg/3sfg-grimstoneOnline · Camp Neptune Training Complex0 / 64players
Versions
101.0.11Game 1.8.0.13 · 205 MiB · Oct 18, 2026
Dependencies: 0Scenarios: 0PublishedApproved
**ACMS – Update**
**New: treatment menu look**
• The radial menu has a new look: the selected entry grows and the neighbours make room, with a smooth animation. Controller and mouse work as before.
• Patient overview in the middle of the menu: a body diagram that shows where the casualty is hurt (wound type per zone), where tourniquets and dressings are, the name of the patient, the zone you point at and the recent treatment log. With a pulse oximeter on, it also shows pulse and SpO2.
• 69 new white action icons (IV/IO, dressings, pulse oximeter, stretcher and more); drug icons carry a short drug label.
• The menu names who you are treating ("Treating: Name"), and the key opens the menu for the casualty you are looking at, not just the nearest one.
**New: fingertip pulse oximeter**
• Attach it at the arm (left or right hand). It stays on the index finger and shows live SpO2 and pulse on its own screen. No signal in cardiac arrest, with very low blood pressure or with a tourniquet on that arm. An awake casualty can take it off themselves from the self-treatment menu.
**Changed**
• The red screen edge only pulses while you have an untreated bleed. Pain and blood loss show a calm, steady edge instead.
• "Get medical advice" names the real cause when air cannot get in (blocked or partly blocked airway, blood in the airway, wrong tube position, chest injury, drugs slowing the breathing) instead of just "too much CO2".
**Fixed**
• Waking up as a player: the player's machine re-checks consciousness when the state arrives, and "Get medical advice" lets an awake-but-stuck casualty up again. Still being investigated: some players may stay down, please send logs (search for `ACMS_WAKEDBG`).config.json entry
{
"modId": "6A90FC76568129CD",
"name": "ACMS",
"version": "1.0.11"
}Use ACMS on your server
Add ACMS to the game.mods array of your server config.json. The config generator builds the full file, the mod manager keeps the mod list and its dependencies organized, and the config validator checks an existing config. The adding mods guide and mod dependencies guide walk through it step by step.
Fetch this mod from the API
The same metadata is available as JSON. See the API quickstart, the V2 reference, or the V1 reference.
GET https://api.reforgermods.net/v2/mods/6A90FC76568129CD
GET https://api.reforgermods.net/v2/mods/6A90FC76568129CD/versionsData is cached from Arma Reforger Workshop metadata and may be stale. reforgermods.net is independent and is not affiliated with Bohemia Interactive.