Twinking Treatment

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1. Introduction

The Treatment ability is one of the most crucial skills in the game for all professions, except Shades, and maxing it whenever possible is highly recommended. At lower levels, it's easy to acquire a high treatment rating and the limiting factor will be mainly the Attribute requirements for the equipping of symbiants/implants. Once you hit TL5, however, the treatment requirements become a lot more difficult to manage, particularly with the breed caps in effect by this point and the early title caps: it only gets worse from here on until endgame. It's a good idea to get into the habit of hoarding any +treatment items you come across and to keep ahold of any +treatment implants you find or make, for these reasons.

The ability itself is 50% Intelligence, 30% Agility and 20% Sense based. This is important to note for the purposes of trickledown from items/implants/buffs that boost base attributes. Sometimes it's worth equipping something that will give you high attribute boosts over low treatment boosts simply because the trickle will give a greater treatment benefit in the end. It's also worth noting that partial points of treatment from trickle-down are rounded down and ignored by AO, but it can all add up if you have several items that give a trickle - the end result might be a surprise extra point or two of treatment.

It's always recommended that you plan out how much treatment you need to find after your base skill level before you start to unequip gear and reset perks to save wasting time. It's also advisable to check if you honestly need Superior First Aid: a small buff may be easier to find from lower level doctors or adventurers if you only need a few extra points, rather than hunting down a higher level Doctor.

This guide will only deal with Equipment, Perks and Research and not any of the nanos that contribute to your treatment. For that please have a look at the Buffing Guide.

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2. Perklines

Shadowland Perks
Perk Name:	Usable by:	Treatment buffed:
First Aid	Everyone	Level 1: First Aid - Level Req 30 Level 2: First Aid - Level Req 70 Level 3: First Aid - Level Req 130 Level 4: First Aid - Level Req 180
Nano Surgeon	Doctors	Level 1: Nano Surgeon - Level Req 40 Level 2: Nano Surgeon - Level Req 80 Level 3: Nano Surgeon - Level Req 120 Level 4: Nano Surgeon - Level Req 150 Level 5: Nano Surgeon - Level Req 180 Level 6: Nano Surgeon - Level Req 201
Assault Force Medic	Doctors	Level 1: Assault Force Medic - Level Req 60 Level 2: Assault Force Medic - Level Req 80 Level 3: Assault Force Medic - Level Req 100 Level 4: Assault Force Medic - Level Req 120 Level 5: Assault Force Medic - Level Req 150 Level 6: Assault Force Medic - Level Req 190 Level 7: Assault Force Medic - Level Req 200 Level 8: Assault Force Medic - Level Req 204 Level 9: Assault Force Medic - Level Req 208 Level 10: Assault Force Medic - Level Req 212

Alien Invasion Perks
Perk Name:	Usable by:	Treatment buffed:
Combat Knowledge	Everyone	Level 1: Combat Knowledge - Level Req 25 Level 2: Combat Knowledge - Level Req 25 Level 3: Combat Knowledge - Level Req 25 Level 4: Combat Knowledge - Level Req 25 Level 5: Combat Knowledge - Level Req 70 Level 6: Combat Knowledge - Level Req 70 Level 7: Combat Knowledge - Level Req 125 Level 8: Combat Knowledge - Level Req 165

Lost Eden Research
Perk Name:	Usable by:	Treatment buffed:
Sympathy	Meta-Physicist	Level 2: Sympathy - Level Req 50

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3. Armor

Armor Locations
Neck	Head	Back
Shoulders	Chest	Shoulders
Arms	Hands	Arms
Wrists	Legs	Wrists
Fingers	Feet	Fingers

Armor sets
Omni-Med Suit Set
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Omni-Med Suit Boots	Everyone	6 Treatment	Bought from Omni Clothing Terminals or rollable as mission rewards.	-
Omni-Med Suit Gloves	Everyone	10 Treatment	Bought from Omni Clothing Terminals or rollable as mission rewards.	-
Omni-Med Suit Shirt / Omni-Med Female Suit Shirt	Everyone	20 Treatment	Bought from Omni Clothing Terminals or rollable as mission rewards.	-
Omni-Med Suit Trousers / Omni-Med Suit Skirt	Everyone	14 Treatment	Bought from Omni Clothing Terminals or rollable as mission rewards.	-
Omni-Med Suit Sleeves	Everyone	14 Treatment	Bought from Omni Clothing Terminals or rollable as mission rewards.	-
Biomech Armor Set
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Augmented Biomech Armor Cloak	Everyone	Up to 10 Treatment	Buyable from Armor Terminals in Shops as well as rollable as mission rewards from QL75	-
Augmented Biomech Armor Helmet	Everyone	Up to 10 Treatment	Buyable from Armor Terminals in Shops as well as rollable as mission rewards from QL75	-
Augmented Biomech Armor Boots	Everyone	Up to 10 Treatment	Buyable from Armor Terminals in Shops as well as rollable as mission rewards from QL75 NB: Supercedes the Omni-Med Suit Boots at QL123	-

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Back
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Spirit Shroud of the Support Unit	Everyone	20 Treatment	Rare NODROP loot from Notum Scourges in Penumbra Switches between Spirit Shroud of the Artillery Unit, Spirit Shroud of the Infantry Unit, Spirit Shroud of the Control Unit and Spirit Shroud of the Exterminator Unit types in addition. Requires at least level 180.	Shadowlands
Cloak of the Reanimated Healer (5/5)	Everyone	Up to 13 Treatment	A NODROP tradeskill item that exists in 5 stages. NB: Top version has TL6 requirements.	-
Octopus Contraption of the Pisces	Everyone	20 Treatment	NODROP loot from Pisces located in Pandemonium. Requires at least level 175.	Shadowlands
Combat Medic's Light Tank Armor	Doctor	7 Treatment	NODROP loot from Neutralizers in Biomare/Foremans	-
OFAB Doctor Protective Gear	Doctor	50 Treatment	NODROP and buyable with VPs.	Lost Eden
Chosen Doctor Life Support	Doctor	40 Treatment	NODROP tradeskill item. NB: Omni only.	Shadowlands
Faithful Doctor Life Support	Doctor	40 Treatment	NODROP tradeskill item. NB: Clan only.	Shadowlands

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Head
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Physician's Cap	Everyone except Shades	Up to 6 Treatment	Leveling item that is tradeskilled. Requires at least TL3.	-
Stalker Helmet	Everyone except Shades	5 Treatment	Tradeskilled items. Note that it also buffs intelligence by 5.	-
Helmet of Hypocrisy	Everyone	30 Treatment	Drops from The Beast in Pandemonium. Requires at least level 215.	Shadowlands
Cure for Baldness	Doctor	20 Treatment	Drops from Splintered Girders in Elysium	Shadowlands
Fancy Stethoscopic Glasses	Doctor	12 Treatment	Drops from Ris Lee in the Mercenaries camp. Requires at least level 190.	-
Stinging Louse	Enforcer & Shade	12 Treatment	Drops from Syros in Inferno. Requires at least TL6.	Shadowlands
Helmet of Spiritual Rites	Everyone except Shades	10 Treatment	Drops from The One. Requires at least level 170.	-
Omni-Med Battle Helmet	Omni Doctor	10 Treatment	Tradeskilled from Omni-AF Armor. Requires at least TL6.	-
Enhanced Jathos' Molybdenum Plate Helmet	Everyone but Shades and Omnis.	8 Treatment	Tradeskilled from Jathos' armor from the Biodomes. Requires at least TL6.	-
Two-Dimensional Hole	Everyone	6 Treatment	Drops from Anansi's Abettor in Inferno.	Shadowlands
Subspace Meta-Cerebellum Pocket	Everyone	6 Treatment	Tradeskilled from Two-Dimensional Hole.	Shadowlands
Jathos' Molybdenum Plate Helmet	Everyone but Shades and Omnis	4 Treatment	Drops from the Biodomes. Requires at least TL6.	-
Nophex's Molybdenum Crash Helmet	Everyone but Shades and Omnis	4 Treatment	Tradeskilled from Jathos' Molybdenum Crash Helmet.	Alien Invasion
Reactive Helmet	Everyone but Shades and Omnis	2 Treatment	Drops from Swamp Hags. Requires at least TL5.	-
Original Search Glasses	Agents	2 Treatment	Dynaloot	-

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Neck
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Collar of Amplification	Everyone	7 Treatment	Quest reward from Biomare/Foremans.	-
Stripped Merit Board	Everyone	10 Treatment	Drops from Entvined mobs in the Reck. Requires at least TL4.	-
Prototype Cyborg Token Board	Everyone	12 Treatment	Quest reward from Sergeant Marion Sweet. Requires at least level 120.	-
Experimental Cyborg Token Board	Everyone	25 Treatment	Drops from Cyborgs. Requires at least TL6.	-
Anun Tooth Trophy	Shades	30 Treatment	Rare drop from Anuns on Rubi-Ka. Level requirement equal to QL of the tooth (up to 200).	Shadowlands
Sigil of Bahomet	Everyone	30 Treatment	Drops from The Beast in Pandemonium. Requires at least level 215.	Shadowlands
Sigil of Samael	Everyone	50 Treatment	Upgrade for the Sigil of Bahomet from the Pyramid of Home.	Shadowlands

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Shoulders
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Thin Shoulder Pad of Cama Thar	Omni/Neut Crats, Docs, NTs, MPs, Advies	5 Treatment	Drops from Cama in Penumbra. Requires at least TL5.	Shadowlands
Thin Shoulder Pad of Urga Van	Clan/Neut Crats, Docs, NTs, MPs, Advies. Requires at least TL5.	5 Treatment	Drops from Vanya in Penumbra.	Shadowlands
Standard Medical Epaulet	Everyone	Up to 15.	Drops from George the Reet in Greater Tir County in low QLs. Drops from Griefing Uncle Pumpkinhead during halloween in all QLs.	-

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Body
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Fanatic's Jacket	Keepers & MPs	25 Treatment	Drops from Fanatic Spirit Hunter in Inferno	Shadowlands
Second Tier Shade Body Wraps	Shade	Up to 24 Treatment	Tradeskilled armor NB: Supercedes Omni-Med Suit Shirt at QL203	Shadowlands
Chosen Shade Body Wraps	Omni Shade	Up to 36 Treatment	Tradeskilled armor	Shadowlands
Faithful Shade Body Wraps	Clan Shade	Up to 36 Treatment	Tradeskilled armor	Shadowlands
Luxurious Rubber Shirt	Meta-Physicist	20 Treatment	NODROP loot from Patricia Johnson in the Mercenaries Camp.	-
Omni-Med Battle Body Armor	Doctors	20 Treatment	Tradeskilled from Omni-AF Armor. Requires at least TL6.	-

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Arms
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Omni-Med Battle Sleeves	Doctors	14 Treatment	Tradeskilled from Omni-AF Armor. Requires at least TL6.	-
Notum-Threaded Omni-Med Suit Sleeves	Doctors	14 Treatment	Drops from Loren Warr during the Birthday event. Requires at least level 180.	-

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Hands
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Omni-Med Battle Gloves	Doctors	10 Treatment	Tradeskilled from Omni-AF Armor. Requires at least TL6.	-
Gloves of the Caring Capricorn	Everyone	25 Treatment	Drops from Capricorn in Pandemonium. Requires at least level 175.	Shadowlands
Ofab Adventurer Gloves	Adventurer	Up to 30 Treatment	Buyable with VPs NB: Supercedes Omni-Med Suit Gloves at QL100	Lost Eden
Improved Ofab Adventurer Gloves	Adventurer	Up to 35 Treatment	Tradeskilled from Ofab Adventurer Gloves NB: Supercedes Omni-Med Suit Gloves at QL100	Lost Eden
Penultimate Ofab Adventurer Gloves	Adventurer	Up to 35 Treatment	Tradeskilled from Improved Ofab Adventurer Gloves NB: Supercedes Omni-Med Suit Gloves at QL100	Lost Eden
Second Tier Adventurer Gloves	Adventurer	Up to 15 Treatment	Tradeskilled armor NB: Supercedes Omni-Med Suit Gloves at QL193	Shadowlands
Chosen Adventurer Gloves	Omni Adventurer	Up to 30 Treatment	Tradeskilled armor	Shadowlands
Faithful Adventurer Gloves	Clan Adventurer	Up to 30 Treatment	Tradeskilled armor	Shadowlands
Support Unit Crepuscule Gloves	Everyone	Up to 15 Treatment	Tradeskilled armor NB: Supercedes Omni-Med Suit Gloves at QL204	Shadowlands

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Wrists
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Ancient Medical Bracer	Everyone	25 Treatment	Tradeskilled armor. Requires at least level 201.	Shadowlands

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Legs
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Omni-Med Battle Pants	Doctors	14 Treatment	Tradeskilled from Omni-AF Armor. Requires at least TL6.	-
Omni-Armed Forces Pants	Omnis	8 Treatment	Tradeskilled armor. Requires at least TL6.	-
Superior Sentinel Armor Pants	Clans	8 Treatment	Tradeskilled armor. Requires at least TL6.	-
Pants of Azure Reveries	Everyone	8 Treatment	Drops from The Mercenaries. Requires at least level 175.	-

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Fingers
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Visionist Tool	Clan & Neutral	Up to 15 Treatment	Drops from Visionists in the Shadowlands. Requires at least TL6.	Shadowlands
Diviner's Helper	Omni & Neutral	Up to 15 Treatment	Drops from Diviners/Custodians in the Shadowlands. Requires at least TL6.	Shadowlands
Wondrous Gold Ring of Ocra Lux	Omni & Neutral	5 Treatment	Drops from Empath in the Scheol Redeemed Temple. Requires at least TL3.	Shadowlands
Sun Ring of Eckel Roch	Omni & Neutral	5 Treatment	Drops from Patriarch in the Scheol Unredeemed Temple. Requires at least TL3.	Shadowlands
Ring of Presence	Everyone	Up to 4 Treatment	Dynaloot and rare mob loot. Level requirements varies with QL of ring (up to level 180 for QL 200 ring).	-
Band of Dog Molars	Soldiers	Up to 4 Treatment	Quest reward from Captain Lewison. Requires at least level 130.	-
X Ring for the Support Unit	MPs, Advies & Docs	Up to 10 Treatment	Reward from Ergo.	Shadowlands
Spirit Ring of Self-Education	Everyone	Up to 3 Treatment	Leveling NODROP loot from Hiathlins in Elysium	Shadowlands
Silly Ring	Everyone	2 Treatment	Drops from Hollow Island bosses. Requires at least level 200.	-
Docaholic's Ring	Everyone	Up to 15 Treatment	RK mob loot, RK mission chest loot, Medusa Grandmatriarch loot.	-

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Boots
Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Boots of the Imaginative	Fixers	20 Treatment	Drops from Obsolete Soul Dredge in Inferno	Shadowlands
Omni-Med Battle Boots	Doctors	10 Treatment	Tradeskilled from Omni-AF Armor. Requires at least TL6.	-

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4. Weapons

Name:	Usable By:	Benefits:	Notes:	Expansion Required:
OT-Windchaser M06 Quartz	Everyone	10 Treatment	Occasionally Shop-buyable as well as rollable as a mission reward.	-
Doctor - Sugarfree Rum	Everyone	1 Treatment	Sold by weapon vendor NPCs (not general store weapon terminals).	-
Freedom Arms 3927 Chapman	Everyone	25 Treatment	Rare, seasonal (Uncle Pumpkinheads at Halloween, in missions or the Griefing Uncle Pumpkinheads) loot	-
Pistol of Vivacity	Omni Doctor	25 Treatment	Tradeskilled from Inamorta Pistol	-
Pistol of Survival	Clan Doctor	25 Treatment	Tradeskilled from Sacrosanct Pistol	-
High Meibutsu Katana of Celerity	Enforcer	Up to 10 Treatment	Bought from Tsunayoshi Smith in Southern Artery Valley.	-
MTI G-70 Talmo	Everyone	10 Treatment	Rollable as a mission reward.	-
Tsunami BM-302 Bloodletter	Doctor	Up to 8 Treatment	Dynaloot	-

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5. Utils/HUDs/Deck

Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Spiritech Medical Analyzer	Everyone	6 Treatment	Drops from regular mobs in Pandemonium. Requires at least level 200.	Shadowlands
Research Attunement Device - Medical Level Three	Everyone	Up to 100 Treatment	Bought with VPs. Can be upgraded at level 150 and 200 by right clicking it. QL 200 device requires at least level 200.	Lost Eden
Alien Augmentation Device - Medical	Everyone	15 Treatment	Tradeskilled item. Requires at least level 126.	Alien Invasion
Treatment Library	Everyone	Up to 18 Treatment	Tradeskilled item.	-
The Key to XX's Garden/Sanctuary	Everyone	Up to 14 Treatment	Reward from the various Garden/Sanctuary quests in Shadowlands. Level requirements vary with key.	Shadowlands
Yuttos Modified NCU	Everyone	2 Treatment	Sold by Yuttos in Penumbra from QL200-220. You also get a QL160 as a Quest reward in Adonis.	Shadowlands
Spirit Infused Yuttos Modified NCU	Everyone	Up to 10 Treatment	Tradeskilled from Yuttos Modified NCU. NB: does not require Shadowlands.	-
Problem Seeking Device	Advies, Fixers, Docs	4 Treatment	Drops from Spirit Dynas in Elysium. Requires at least TL3.	Shadowlands
Star of Recovery	Doctors	30 Treatment	Quest Reward and/or drops from The Beast in Pandemonium. NB: Upgraded to Stellar Nanodeck it still gives 30 treatment. Requires at least level 200.	Shadowlands
Implant Disassembly Clinic	Fixers (& Agents in FP Fixer)	Up to 20 Treatment	Tradeskilled item.	-
Treatment and Pharmacy Library	Doctors	Up to 36 Treatment	Tradeskilled item.	-

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6. Miscellaneous

Name:	Usable By:	Benefits:	Notes:	Expansion Required:
Guardian Conductor of Juggling	Everyone	Up to 13 Treatment	Tradeskilled items. NB: Minimum QL is 250. Maximum QL is 275.	Notum Wars
Universal Advantage - Medical Expertise	Everyone	Up to 30 Treatment	Bought from the Tower Shops. NB: Maximum QL is 250. Treatment given depends on your own level.	Notum Wars
Stationary Surgery Clinic Effect	Everyone	100 Treatment	Found in shops, Backyards and other random places. You are required to use these (or the Portable Surgery Clinic, however these do not give you 100 treatment) to exchange implants, symbiants or spirits. They cost 300 credits to use.	-

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7. Implants

In addition to using armor, nanos and utilities to buff your treatment, it is also possible to buff it with implants. Of course this means that the spots that buffs treatment (Head, Eye and Right Hand) will have a lower QL than the rest of your implants. In addition, for a bit of trickledown you can also choose to temporarily equip implants which buffs Intelligence, Agility and Sense.

I would recommend using a thirdparty implant designer to figure out the requirements needed. Personally I would recommend ImplantHelper.

This table shows which implant spots buffs Treatment, as well as which spots buffs the Attributes that can trickle into Treatment.

Cluster Overview
Eyes Bright: Treatment	Head Shining: Treatment Faded: Sense	Ears Faded: Intelligence
Right Arm N/A	Chest Shining: Sense	Left Arm N/A
Right Wrist N/A	Waist Bright: Sense Faded: Agility	Left Wrist N/A
Right Hand Faded: Treatment	Legs Shining: Agility	Left Hand N/A
	Feet Bright: Agility

It is important to note that Symbiants contain Treatment and usually some attribute boosts for trickle. This needs to be taken into consideration when caluclating how much treatment an implant can buff by, as it's unlikely that you will use a symbiant to buff treatment with when a higher rating can be gained from implants/refined implants.

Last updated on 09.06.2020 by Saavick
Originally written by Ophiuchus
Expanded/Updated by Quilluck and Saavick
Moral support provided by Ophiuchus and the AOU Crew.
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