QUICK ANSWERThe game deliberately gives no painless answer: healing keeps the crew member; extraction turns that person into Elios and removes them as a living roster asset. Start with role scarcity. If losing the unit breaks a role your limited-seat caravan cannot replace, preserving them has strategic value beyond raw fuel.
01

Decision tree

1. Is this crew member covering a role you cannot currently replace?
If yes, favor healing unless the caravan cannot continue without fuel.

2. Would extraction merely make the run more comfortable?
If yes, do not treat a permanent roster loss as a convenience purchase.

3. Is the caravan otherwise unable to keep moving?
This is the situation the official description frames as desperation. Extraction becomes a genuine survival option, not a routine optimization.

Decision tree field illustration
Official Steam gameplay screenshot.
02

What is verified

FactStatus
The choice appears after battle takes its tollOfficial Steam description
Healing uses the infirmaryOfficial Steam description
Extraction produces Elios and leaves the person a huskOfficial Steam description
Exact best numeric thresholdNot established — do not invent one
What is verified field illustration
Official Steam gameplay screenshot.
Release facts checked 2026-09-24 against official Steam and developer news. Pre-release video observations are labeled where used.
03

Patch 22 Sep — what changed for healing decisions

Hot Springs spawn less often across runs since the 22 September patch, which pushes extract-or-push calls further toward extracting when the squad is already hurt: the next healing tile is less likely to be waiting. The Medbay now unlocks from the very first run, so an early run has a recovery option it previously had to earn. Elios rewards for both Breaking and Converting a character were reduced in the same patch.