Reputation & XP
Two separate career tracks, both visible on your tablet dashboard.
⭐ Reputation
Reputation is your standing, how much the department and the public trust you.
Gaining it
| Action | Reputation |
|---|---|
| Reviving a patient | +2 |
| Performing surgery | +2 |
| Discharging a patient | +1 |
| Resolving an AI callout | +1 |
| Transporting a patient | +1 |
| A 5-star patient rating | +3 |
| A 4-star patient rating | +1 |
Losing it
| Action | Reputation |
|---|---|
| A callout patient dies | −3 |
| Cancelling a callout | −1 |
| A 1-star rating | −3 |
| A 2-star rating | −1 |
Ranks
| Rank | Reputation |
|---|---|
| Under Review | below 0 |
| Trainee | 0 |
| Trusted | 25 |
| Respected | 75 |
| Renowned | 150 |
| Legendary | 300 |
Each rank above Trainee gives +3% on AI callout pay.
Reputation can go negative. A medic who takes calls and lets patients die ends up Under Review, visible to their whole department.
📈 Career XP
XP is your experience, it only ever goes up.
| Action | XP |
|---|---|
| Resolving an AI callout | 40 |
| Successful defibrillation | 30 |
| Performing surgery | 35 |
| Reviving a patient | 25 |
| Transporting a patient | 15 |
| Processing a blood donation | 10 |
| Running a hospital test | 8 |
| Writing a prescription | 6 |
| A CPR cycle | 5 |
| Applying a treatment | 3 |
| Giving a medication | 2 |
| Making a diagnosis | 2 |
Levels
Ten levels, at:
0 · 250 · 700 · 1,500 · 3,000 · 5,500 · 9,000 · 14,000 · 21,000 · 30,000 XPEach level gives +2% on AI patient rewards.
💰 Stacking the bonuses
A level 8, Renowned medic on an AI callout:
+14% from 7 levels above 1
+9% from 3 reputation ranks above Trainee
────
+23% on top of the base payout🥇 The leaderboard
EMS Tablet → Dashboard
A public leaderboard of the top medics by reputation, visible to the whole department.
This is the script's long-game hook. New medics can see who the good ones are, and there is a real reason to care about patient ratings rather than speedrunning treatments.
📊 Your dashboard
| Career level and XP to the next one | |
| Reputation score and rank | |
| Your place on the leaderboard | |
| Your stats, revives, discharges, surgeries, callouts | |
| Your average patient rating |
⚙️ Turning it off
| Setting | |
|---|---|
Config.Reputation.enabled = false | No reputation, ranks or leaderboard |
Config.Reputation.ratings = false | No patient ratings |
Config.Progression.enabled = false | No XP or levels |
All the gain and loss values, the rank thresholds and the level curve are editable.