masterwork-dwarf-fortress
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Coal dust kills instantly
So it appears that the issue is probably due to too high of a severity on the black lung. The original mod had to reduce the severity, because if a miner contracted it multiple times, it compounded the syndrome and they'd near instantly suffocate.
Here's an explanation from the original mod.
The solution would be to either lower the severity, or make creature who already have the syndrome immune to contracting it again (I think that's possible?).
Can't you have the syndrome apply a SYN_IMMUNE_CLASS
?
I think that pertains to a creature class, and not a syndrome class?
Can the syndrome apply a Creature class that makes the dwarf immune to the syndrome?