From publisher blurb:
The Last Hope in the Final Frontier
Space does not care if you live or die. It is a cold, silent void where the smallest failure—a torn suit, a cracked visor, a moment of hesitation—can end a life in seconds. There are no hospitals, no paramedics racing through the streets, no second chances. When disaster strikes in orbit or on a distant colony, there is only one person who can make the difference: the Space Medic.
A broken bone is a minor injury on Earth, but in microgravity, it can leave a person permanently crippled. A tiny puncture in a spacesuit isn’t just painful—it’s immediate death without intervention. Cosmic radiation does not cause a slow sunburn; it mutates cells and rewrites DNA. The Space Medic is the only line of defense against these dangers, the last hope for those who find themselves on the brink.
They are not just doctors—they are survivalists, crisis responders, and innovators, forced to work under conditions where even the most basic procedures are life-threatening. Every moment matters. Every decision is critical. There is no higher calling than keeping humanity alive beyond Earth.
A New Kind of Medicine
Healing in space is nothing like healing on Earth. Blood does not pool, wounds do not close the same way, and gravity is no longer on your side.
Zero-G Trauma Care – Performing emergency procedures while floating, securing patients in rotating harnesses to simulate gravity when necessary.
Vacuum Trauma & Decompression Sickness – Treating those exposed to the void, their lungs shredded by rapid pressure loss, their blood fizzing with nitrogen bubbles.
Radiation Exposure & Genetic Damage – Mitigating cosmic ray burns, administering countermeasures, and stabilizing long-term cellular deterioration.
Psychological Stability – The void is not just a physical threat—it wears away at the mind. The Space Medic must keep their crew from falling apart under isolation and stress.
Improvised Medicine – A Space Medic does not have a hospital’s resources. They use what they have, turning defibrillators into makeshift surgical tools, reprogramming diagnostic scanners, and adapting every piece of equipment for survival.
Their job is to be prepared for everything. To save lives when no one else can.
First on the Scene, Last to Leave
When the emergency alarm blares through the ship, when the comms burst with a distress signal from a failing station, when the oxygen levels start dropping with no explanation—the Space Medic is the first to move.
Some are assigned to orbital research stations, managing long-term health in microgravity. Others work on mining outposts, stabilizing injuries caused by industrial accidents or lunar cave-ins. Then there are the deep-space mission medics, who accompany crews on interplanetary journeys, the sole medical expert on a ship millions of miles from Earth.
And then there are the responders—the ones who rush into disaster zones, who answer distress calls from dying colonies and crippled freighters. They board failing ships, patching up survivors even as the hull groans under pressure. They move through burning stations, carrying injured workers to the last evacuation shuttle.
The only thing faster than death in space is a Space Medic on a mission.
This is a full 5e Class, with a description, Unique Abilties and Level progression up to 20th Level, for a Near Future Scifi setting.