cheezeofages
@cheezeofages.bsky.social
Pathfinder 2e Stan, arch-nemesis of the Assurance (Medicine) feat.
Pinned
Since Paizo saw fit to errata "when/if you roll" to work with Assurance I feel a need to remind all of you #pathfinder2e players out there when Assurance in Medicine is good & when it is bad and why.
So you will know that you should usually not take it on a dedicated medic build.
So you will know that you should usually not take it on a dedicated medic build.
Let me put this another way since I have gotten more feedback that doesn't seem to get my point about Assurance Medicine in #pathfinder2e
Best case scenario for Assurance, no WIS but you put Expert in so Assurance can actually work. No Item
Lv6 you have a 50% chance to succeed. Both crits are 5%
Best case scenario for Assurance, no WIS but you put Expert in so Assurance can actually work. No Item
Lv6 you have a 50% chance to succeed. Both crits are 5%
Reminds me of the worst kind of nightmare.
Doesn't even have to be a trauma thing but dreaming you are back at a point in life where you were unhappy is a jarring dream that does that kind of dull but deep pain to your heart.
Doesn't even have to be a trauma thing but dreaming you are back at a point in life where you were unhappy is a jarring dream that does that kind of dull but deep pain to your heart.
February 14, 2026 at 5:24 AM
Reminds me of the worst kind of nightmare.
Doesn't even have to be a trauma thing but dreaming you are back at a point in life where you were unhappy is a jarring dream that does that kind of dull but deep pain to your heart.
Doesn't even have to be a trauma thing but dreaming you are back at a point in life where you were unhappy is a jarring dream that does that kind of dull but deep pain to your heart.
Looking at some of the stuff i am so gonna try and making a guardian daredevil combo.
February 14, 2026 at 2:46 AM
Looking at some of the stuff i am so gonna try and making a guardian daredevil combo.
I'm glad they put what I liked about Swashbuckler back in the game after Swash kinda lost it a bit in the remaster.
Reddit will be mad and go "Why isn't this a Class Archetype?".
Reddit will be mad and go "Why isn't this a Class Archetype?".
February 14, 2026 at 1:50 AM
I'm glad they put what I liked about Swashbuckler back in the game after Swash kinda lost it a bit in the remaster.
Reddit will be mad and go "Why isn't this a Class Archetype?".
Reddit will be mad and go "Why isn't this a Class Archetype?".
What's that you say? Two new Pathfinder classes being playtested live?? Say hello to the new daredevil and slayer classes for Pathfinder 😈 Join us on Twitch RIGHT NOW!
Watch the stream: buff.ly/kbNt4wm
Watch the stream: buff.ly/kbNt4wm
February 14, 2026 at 12:17 AM
Me (falls down every flight of stairs in the universe due to surprise): Say what?!?
February 14, 2026 at 12:16 AM
Me (falls down every flight of stairs in the universe due to surprise): Say what?!?
Seriously though I am dropping that.
February 13, 2026 at 11:11 PM
Seriously though I am dropping that.
After all i said I would stop talking about that. I wouldn't break a promise just to point out other useful Medicine feats it is keeping you from having.
a close up of a stuffed monkey wearing a green shirt and a green jacket .
Alt: a close up of a stuffed monkey looking awkwardly back and forth.
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February 13, 2026 at 11:10 PM
After all i said I would stop talking about that. I wouldn't break a promise just to point out other useful Medicine feats it is keeping you from having.
The Medicine feat "Acupuncturist" is one of the few non-item ways to get a bonus to a Downtime activity because you normally can't use Fortune effects or bonuses with a duration on those.
Totally just bringing this up cause it's interesting; not cause I am still fixated on Assurance
#pathfinder2e
Totally just bringing this up cause it's interesting; not cause I am still fixated on Assurance
#pathfinder2e
February 13, 2026 at 11:10 PM
The Medicine feat "Acupuncturist" is one of the few non-item ways to get a bonus to a Downtime activity because you normally can't use Fortune effects or bonuses with a duration on those.
Totally just bringing this up cause it's interesting; not cause I am still fixated on Assurance
#pathfinder2e
Totally just bringing this up cause it's interesting; not cause I am still fixated on Assurance
#pathfinder2e
Reposted by cheezeofages
🚨‘Knights of Guinevere’ has officially been greenlit at Glitch Productions.
Their first 2D animated show is now in full production for the first season.
Their first 2D animated show is now in full production for the first season.
February 13, 2026 at 8:12 PM
🚨‘Knights of Guinevere’ has officially been greenlit at Glitch Productions.
Their first 2D animated show is now in full production for the first season.
Their first 2D animated show is now in full production for the first season.
February 13, 2026 at 8:28 PM
I will now shut up about this and be more positive about the otherwise actually decent Spring Errata.
February 13, 2026 at 6:43 PM
I will now shut up about this and be more positive about the otherwise actually decent Spring Errata.
If you take it for the pretty good 2-5 benefit and arguable still okayish 6th level benefit, retrain it as soon as you can the moment it utterly tanks.
Keep an eye on your odds.
If you are that afraid of 5%, sure. Go ahead.
BUT MAKE SURE THAT ALLY IS SAFE BEFORE YOU ASSURANCE THEM FFS
Keep an eye on your odds.
If you are that afraid of 5%, sure. Go ahead.
BUT MAKE SURE THAT ALLY IS SAFE BEFORE YOU ASSURANCE THEM FFS
February 13, 2026 at 6:43 PM
If you take it for the pretty good 2-5 benefit and arguable still okayish 6th level benefit, retrain it as soon as you can the moment it utterly tanks.
Keep an eye on your odds.
If you are that afraid of 5%, sure. Go ahead.
BUT MAKE SURE THAT ALLY IS SAFE BEFORE YOU ASSURANCE THEM FFS
Keep an eye on your odds.
If you are that afraid of 5%, sure. Go ahead.
BUT MAKE SURE THAT ALLY IS SAFE BEFORE YOU ASSURANCE THEM FFS
Don't hurt your build to avoid a 5% chance of something happening in a situation that isn't common, especially when hurting your ally in this situation isn't even always lethal a hero point could avert that.
PLEASE. I'm begging you. Don't make yourself a worse healer to dodge 5% odds.
PLEASE. I'm begging you. Don't make yourself a worse healer to dodge 5% odds.
February 13, 2026 at 6:43 PM
Don't hurt your build to avoid a 5% chance of something happening in a situation that isn't common, especially when hurting your ally in this situation isn't even always lethal a hero point could avert that.
PLEASE. I'm begging you. Don't make yourself a worse healer to dodge 5% odds.
PLEASE. I'm begging you. Don't make yourself a worse healer to dodge 5% odds.
... it takes Assurance until level 14 to upgrade the DC it can hit.
So as levels advance locking to Success makes it more likely less significant threats can drop you, potentially with a crit right to Dying 3.
DON'T HEAL LESS JUST TO AVOID A 5% CHANCE.
So as levels advance locking to Success makes it more likely less significant threats can drop you, potentially with a crit right to Dying 3.
DON'T HEAL LESS JUST TO AVOID A 5% CHANCE.
February 13, 2026 at 6:43 PM
... it takes Assurance until level 14 to upgrade the DC it can hit.
So as levels advance locking to Success makes it more likely less significant threats can drop you, potentially with a crit right to Dying 3.
DON'T HEAL LESS JUST TO AVOID A 5% CHANCE.
So as levels advance locking to Success makes it more likely less significant threats can drop you, potentially with a crit right to Dying 3.
DON'T HEAL LESS JUST TO AVOID A 5% CHANCE.
You have a way higher chance to crit and heal more if you roll.
"Won't a crit down them either way?"
At 7th significant threats deal more average damage than you heal. But that's averages. The more you heal the better the odd hits or crits won't drop you.
Also...
"Won't a crit down them either way?"
At 7th significant threats deal more average damage than you heal. But that's averages. The more you heal the better the odd hits or crits won't drop you.
Also...
February 13, 2026 at 6:43 PM
You have a way higher chance to crit and heal more if you roll.
"Won't a crit down them either way?"
At 7th significant threats deal more average damage than you heal. But that's averages. The more you heal the better the odd hits or crits won't drop you.
Also...
"Won't a crit down them either way?"
At 7th significant threats deal more average damage than you heal. But that's averages. The more you heal the better the odd hits or crits won't drop you.
Also...
Bounce back up to that math for a sec. Back? Ok
Around 7th your average Success on a DC Assurance heals less than many average damages from single instances of damage
So you heal a down ally, they are prone and need to pick things up. If you lock to Success it's a high chance of 1 hit dropping 'em
Around 7th your average Success on a DC Assurance heals less than many average damages from single instances of damage
So you heal a down ally, they are prone and need to pick things up. If you lock to Success it's a high chance of 1 hit dropping 'em
February 13, 2026 at 6:43 PM
Bounce back up to that math for a sec. Back? Ok
Around 7th your average Success on a DC Assurance heals less than many average damages from single instances of damage
So you heal a down ally, they are prone and need to pick things up. If you lock to Success it's a high chance of 1 hit dropping 'em
Around 7th your average Success on a DC Assurance heals less than many average damages from single instances of damage
So you heal a down ally, they are prone and need to pick things up. If you lock to Success it's a high chance of 1 hit dropping 'em
This errata makes Risky Surgery complaint with a feat that not only doesn't benefit it much at all but also probably kicks it out of the build and hurts the build even more if it doesn't.
DO NOT COMBINE THESE FEATS IN A BUILD
Assurance Medicine helps from 2 or 3 to 6th, where it begins to rot you.
DO NOT COMBINE THESE FEATS IN A BUILD
Assurance Medicine helps from 2 or 3 to 6th, where it begins to rot you.
February 13, 2026 at 6:43 PM
This errata makes Risky Surgery complaint with a feat that not only doesn't benefit it much at all but also probably kicks it out of the build and hurts the build even more if it doesn't.
DO NOT COMBINE THESE FEATS IN A BUILD
Assurance Medicine helps from 2 or 3 to 6th, where it begins to rot you.
DO NOT COMBINE THESE FEATS IN A BUILD
Assurance Medicine helps from 2 or 3 to 6th, where it begins to rot you.
Look at the math from before, then look me in the eyes.
Can you tell me honestly Assurance doesn't become obsolete or harmful to a build and is worth taking if you can't be sure you can Retrain it away in a timely manner?
Can you tell me honestly Assurance doesn't become obsolete or harmful to a build and is worth taking if you can't be sure you can Retrain it away in a timely manner?
February 13, 2026 at 6:43 PM
Look at the math from before, then look me in the eyes.
Can you tell me honestly Assurance doesn't become obsolete or harmful to a build and is worth taking if you can't be sure you can Retrain it away in a timely manner?
Can you tell me honestly Assurance doesn't become obsolete or harmful to a build and is worth taking if you can't be sure you can Retrain it away in a timely manner?
Barring retraining away Assurance for it of course. So you are probably trading Risky Surgery for Assurance in builds.
Then to keep Assurance at 8th and get RS you trade away every other possible skill feat like Innoculation, Medical Researcher, Godless Healing, or non-Medicine options.
Then to keep Assurance at 8th and get RS you trade away every other possible skill feat like Innoculation, Medical Researcher, Godless Healing, or non-Medicine options.
February 13, 2026 at 6:43 PM
Barring retraining away Assurance for it of course. So you are probably trading Risky Surgery for Assurance in builds.
Then to keep Assurance at 8th and get RS you trade away every other possible skill feat like Innoculation, Medical Researcher, Godless Healing, or non-Medicine options.
Then to keep Assurance at 8th and get RS you trade away every other possible skill feat like Innoculation, Medical Researcher, Godless Healing, or non-Medicine options.
If you didn't get Expert at 2nd & wanted your skill feat to actually function for that level you would need to take Assurance at 4th, so now you don't have Ward Medic or Continual Recovery until 6th.
So, least intrusive scenario that lets you Battle Medicine + Assurance results in you no RS 'til 8.
So, least intrusive scenario that lets you Battle Medicine + Assurance results in you no RS 'til 8.
February 13, 2026 at 6:43 PM
If you didn't get Expert at 2nd & wanted your skill feat to actually function for that level you would need to take Assurance at 4th, so now you don't have Ward Medic or Continual Recovery until 6th.
So, least intrusive scenario that lets you Battle Medicine + Assurance results in you no RS 'til 8.
So, least intrusive scenario that lets you Battle Medicine + Assurance results in you no RS 'til 8.
So at 4th you take Ward Medic, Continual Recovery. No biggie?
Well the more common feat to get from medical background is Risky Surgery, so if you took those you don't have Battle Medicine.
Better(?) case scenario you took the other & you have Battle Medicine but not Risky Surgery.
Well the more common feat to get from medical background is Risky Surgery, so if you took those you don't have Battle Medicine.
Better(?) case scenario you took the other & you have Battle Medicine but not Risky Surgery.
February 13, 2026 at 6:43 PM
So at 4th you take Ward Medic, Continual Recovery. No biggie?
Well the more common feat to get from medical background is Risky Surgery, so if you took those you don't have Battle Medicine.
Better(?) case scenario you took the other & you have Battle Medicine but not Risky Surgery.
Well the more common feat to get from medical background is Risky Surgery, so if you took those you don't have Battle Medicine.
Better(?) case scenario you took the other & you have Battle Medicine but not Risky Surgery.
If your background is medical you have either Battle Medicine or Risky Surgery from it.
Then most classes get a skill feat at 2nd, which will in this case be Assurance that does nothing for you this level if you didn't go for an archetype that can bump Medicine up a rank.
Then most classes get a skill feat at 2nd, which will in this case be Assurance that does nothing for you this level if you didn't go for an archetype that can bump Medicine up a rank.
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Alt: spongebob and patrick from spongebob squarepants happily shout Hurray!
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February 13, 2026 at 6:43 PM
If your background is medical you have either Battle Medicine or Risky Surgery from it.
Then most classes get a skill feat at 2nd, which will in this case be Assurance that does nothing for you this level if you didn't go for an archetype that can bump Medicine up a rank.
Then most classes get a skill feat at 2nd, which will in this case be Assurance that does nothing for you this level if you didn't go for an archetype that can bump Medicine up a rank.
No, it's actually less than worthless. Because you have a feat that most of the time either does nothing or hurts you instead of a feat that does something.
Assurance in Medicine is a feat that at a point actively lowers your power level.
Let's look at exactly what this cleaves off a medic build.
Assurance in Medicine is a feat that at a point actively lowers your power level.
Let's look at exactly what this cleaves off a medic build.
February 13, 2026 at 6:43 PM
No, it's actually less than worthless. Because you have a feat that most of the time either does nothing or hurts you instead of a feat that does something.
Assurance in Medicine is a feat that at a point actively lowers your power level.
Let's look at exactly what this cleaves off a medic build.
Assurance in Medicine is a feat that at a point actively lowers your power level.
Let's look at exactly what this cleaves off a medic build.
and WIS +2 to the WIS +4 math. But since the check crits it doesn't have the "set you back" range
So no WIS at 6th is 35% of the time it does something good, 65% it did nothing. And WIS +2 is 25/75. And it rots away 5-15 at 7th, then 5 more per level, being down to 5/95 by 9th.
This is worthless.
So no WIS at 6th is 35% of the time it does something good, 65% it did nothing. And WIS +2 is 25/75. And it rots away 5-15 at 7th, then 5 more per level, being down to 5/95 by 9th.
This is worthless.
dipper from gravity falls is holding a dollar bill in his hand and says this is worthless
Alt: dipper from gravity falls is holding a dollar bill in his hand and says this is worthless. The person that gives it to them says that it's less than worthless
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February 13, 2026 at 6:43 PM
and WIS +2 to the WIS +4 math. But since the check crits it doesn't have the "set you back" range
So no WIS at 6th is 35% of the time it does something good, 65% it did nothing. And WIS +2 is 25/75. And it rots away 5-15 at 7th, then 5 more per level, being down to 5/95 by 9th.
This is worthless.
So no WIS at 6th is 35% of the time it does something good, 65% it did nothing. And WIS +2 is 25/75. And it rots away 5-15 at 7th, then 5 more per level, being down to 5/95 by 9th.
This is worthless.
Friends, this feat is usually bad past 6th. It's a fact.
Let's look at Risky Surgery + Assurance. As you might guess getting +2 hurts the chances Assurance does something, but the dealing does make the 5% more deadly.
That aside the +2 naturally bumps the best use case to the same as WIS +2
Let's look at Risky Surgery + Assurance. As you might guess getting +2 hurts the chances Assurance does something, but the dealing does make the 5% more deadly.
That aside the +2 naturally bumps the best use case to the same as WIS +2
February 13, 2026 at 6:43 PM
Friends, this feat is usually bad past 6th. It's a fact.
Let's look at Risky Surgery + Assurance. As you might guess getting +2 hurts the chances Assurance does something, but the dealing does make the 5% more deadly.
That aside the +2 naturally bumps the best use case to the same as WIS +2
Let's look at Risky Surgery + Assurance. As you might guess getting +2 hurts the chances Assurance does something, but the dealing does make the 5% more deadly.
That aside the +2 naturally bumps the best use case to the same as WIS +2