Eldritch Horror Wiki
See also: Rest

Health Health is the measure of the Investigators physical state and Sanity Sanity is the measure of their mental state.

Health Icon.png
Sanity Icon.png

Each investigator starts with an amount of Health and Sanity equal to his maximum Health and Sanity, respectively; this maximum is between 4 and 8 depending on the investigator and can be increased through some Personal Stories Rewards.

Health or Sanity tokens that are marked with a “3” represent three single Health or Sanity tokens, respectively. Players may swap a “3” token for three single tokens or three single tokens for a “3” token at any time. When an investigator loses Health or Sanity, he returns an equal number of Health or Sanity tokens to the token pool.

Losing and recovering Health & Sanity

An investigator can lose Health and Sanity for any number of reasons, most commonly through Strength checks (for Health) and Will checks (for Sanity) during a Combat Encounter, through a failed Encounter card, or the effect of a Mythos card. If the investigator's Health or Sanity reaches zero for any reason, he is defeated.

An investigator can recover Health and Sanity mostly through the Rest action. However, it may be possible to recover Health and Sanity through other ways, such as an investigator's ability, or a successful Encounter. An investigator cannot recover Health or Sanity beyond his maximum Health or Sanity, respectively.

Spending vs Losing Health & Sanity

Some effects in the game may allow to Spend Health or Sanity (e.g. Agnes Baker Agnes Baker's ability). Effects that prevent this loss of Health or Sanity cannot be used when an investigator spends Health or Sanity. An investigator cannot spend Health or Sanity if doing so would cause him to be defeated (i.e., he cannot spend his last Health or Sanity).

In the other hand, effects that forces an investigator to Lose Health or Sanity, like the back of Spell cards as an example, can be prevented by any effect. Here are some examples to prevent a Health or Sanity loss:


An Investigator is defeated when they lose all of their Health, Sanity, or both, through any means.

When an investigator is defeated, immediately advance the Doom by 1, then move that investigator to the nearest City space, or if the investigator is already on a city, leave them where they are. Turn their standee on it's side, and place a Health token on it if the player lost all of their Health, or a Sanity token if the player lost all of their Sanity. If the player lost all Health and Sanity at the same time, the player may choose which token they wish to place on the card.

Return all Conditions, improvement tokens, or Focus tokens the player might have had to their decks or piles.

As an Encounter, another investigator may resolve the effect on the back of the Investigator card in order to gain that Investigator's Possessions or other benefits. After this is completed, remove the standee from the board.

If a player is defeated and a Disaster strikes the space they are on, remove the investigator from the board.