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viviae · 5 years

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The Red Plague: An Analysis

Ok, I’m to preface this that I am not at ALL a student of medicine or science I am just a humble blogger who really likes diseases, literary analysis, and the science behind death. This will also be a STUPIDLY long post so I am letting you all live by putting it behind a readmore this time

This goes without saying but there is a content warning to this. I’m talking about death, stages of decay, rotting, corpses, vomit, and other gross medical stuff. There will be NO images however. I subjected myself to viewing those images and I will not condemn you all to view them.

I’m going to start this off making sure everyone is on the same page and post an image from the art book about the Red Plague itself

So let’s start with the canonical facts about the plague first

Average life expectancy was 3-7 days once symptoms show, Averages are also liars which means it could’ve taken a little bit more than 7 days or under 3 days to die.

Spread by the plague beetles, exact method of transfer is unknown but Julian was force fed one and contracted the plague however they are safe to keep in containment.

Plague beetles also infected nonhuman objects like the water supply which is shown as a thick ichor. This ichor no longer possesses infectious properties at the time of the story

Julian believed that it had to do with a corruption in the blood hence the usage of leeches

The Lazarus started as a containment center before becoming a crematorium, meaning people believed that it was spread from contact or things like that

HOWEVER This is not the first appearance of the plague as it would show up at locations Lucio stayed for too long but no note if it spread from these locations.

It’s not a disease, its a curse.

So, this is one nasty plague on our hands. Most diseases that are this lethal would never be able to spread as much as it did unless it could spread from corpse contact or through other means like a carrier. I think that it could be spread through a combination of both which would add an additional need for cremation.

Corpse Disposal & Spreading

Historically during plagues you would simply toss bodies into mass graves or ‘plague pits’. This would be, substantially, easier than what they do in Vesuvia. Cremation is not an easy process and is an art form. The heat needed for a cremation alone is incredibly hot and needs special methods to be contained. Not to mention the tedious cleaning process to make sure ashes don’t damage the heat element. So you are telling me that Vesuvia... went through the process of rowing away their dead to the middle of a lake to do mass cremations because it was the easiest? Yes they would’ve run out of grave space a while ago but no one is saying they can’t go make a plague pit out in the woods for half the work.

Now granted, I understand the imagery of making Asra wade through bodies of rotting corpses to find the apprentice’s bloated corpse is uh,,, graphic. Or making us stumble upon an open plague pit of bones in the woods with you LI is not what most people call romantic. (you’re welcome for that image) So they could’ve just made mass cremations on a separate island for tone reasons but that’s BORING.

Not a lot of diseases are actually capable of surviving in dead body simply because when we die our bodies lose the necessary high heats for them to multiply and survive. But this isn’t a disease in a traditional sense, its a curse to Lucio. And this is Lucio we are talking about, some one who is famously afraid of death and dying, which was grafted by a demon of pestilence who is obsessed with worms (cough maggot symbolism and death by disease cough). So I propose that the plague is spread in addition to plague beetles but by dead bodies themselves. This would put additional pressure on proper corpse disposal and the need for cremation. This fact would also explain why plague doctors were present at the boats leading to the Lazarus instead of simple plague carters (rowers?) as doctors would probably have to keep a closer eye on proper disposal of bodies.

As for how I think the beetles themselves spread the plague, I think it’s probably in a similar way as to how Lyme Disease is spread. I can’t name any disease that is spread by beetles themselves off the top of my head but ticks are pretty similar to beetles (I am not an entomologist). Lyme disease is spread by infected ticks biting into the hosts skin and regurgitating its stomach contents that includes the bacterium for the disease.

This would explain why Julian got the plague pretty awful real quick. He consumed all of the plague beetle’s contents and Lucio didn’t have to try and force a beetle to bite Julian, which would’ve given Julian time to fight back. This is also working with the fact Lucio got bit by a plague beetle when running from Morga in his tale. He most likely contracted the plague, or perhaps he contracted the curse then and later on got re bit, in that bite. This would also explain the ichor that infects the water in the south end. Beetles are significantly larger than ticks, and so they might have a need to empty their stomach contents more and its more waste produced.

Symptoms and Inspirations

The Red Plague is obviously, influenced by the Bubonic Plague in terms of symptoms and Tuberculous in treatment. I will list some of the common symptoms of Black Plague and signs and be comparing these to the Red Plague. I cannot stress enough that I do not have any knowledge in medicine but I don’t think the dev’s are all doctors so we are on even ground.

There are generally speaking three types of plagues; Bubonic (Most common type of The Black Plague and mainly targets your lymphatic system), Pneumonic (When the Plague enters and infects the lungs), and Septicemic (When the plague enters the blood stream, either form can lead to Septicemic)

Bolded Symptoms are what are obvious symptoms the Red Plague has taken from these three variations of plague. Italic is Lucio specific.

High Fevers

Chills

Headache

Muscle Pain

Weakness

Seizures

Swollen black lymph nodes known as Buboes (Bubonic)

Internal Bleeding (Septicemic)

Gangrene (Septicemic)

Shock (Septicemic)

Vomiting Blood (Bubonic & Septicemic)

Coughing Blood & Mucus (Pneumonic)

Shortness of breath (Pneumonic)

The Red Eyes

By far the most obvious symptom of the plague and its trademark. Consider this the equivalent of Buboes to the black plague. This is the first obvious symptom that marks you for dead and probably one of the first symptoms to show after a possible resting phase.

Apparently it takes each eye individually as seen with Julian or it may not take both? The stage we see Julian in isn’t the clearest but I’m assuming he was rather early on with a pretty serious case.

It’s also a debate of what exactly is going on with the red stringy bits under neath the eyes. For the sprite models it appears to be veins under the eyes that have been aggravated. While in the concept art above it has a more liquid and viscous look which is probably blood. And in Julian’s CG of him dying of the plague he has no marks around his eyes. So I’m saying its a fun combo of all of the above.

Essentially I think that the plague is causing the blood vessels in the eyes to pop and do serious damage. There can also be a foreign growth to occur behind the eyes or just magical nonsense, doing additional damage to the veins surrounding the eyes and cause bleeding from putting stress on the veins.

The Arms and Lower Extremities

Ok, remember how I talked about Lucio’s fear of death and how its incredibly likely that the plague is manipulating his fear? In death there are various stages of decay, and different functions occur at each stage. And one of these functions is Livor Mortis.

Livor Mortis is when your blood cells rupture out of your veins and die. These dead blood cells sink down to your body based off of gravity where they settle. This is seen as a purple color on the skin based on gravity, normally the back. This can be disrupted by any disruption to the body, but depending on time you are likely to receive lighter marks based on its previous position.

What I think is going on all over the body is veins are rupturing and the body is going through an extreme form of living Livor Mortis. Just that it’s in red and not purple because this is the “Red Plague” and not the purple plague. And due to the patients still being alive when Livor Mortis is occurring it simply pools into the extremities instead of one specific location, with the fingers and bottom of the foot being the most severe. To add to the veins popping suddenly the subtle bruising through origin points to where the red vein-y look begins remind me of my own experience of having four veins burst in my arm.

Julian had reason to believe he could use leeches to treat the plague and in typical plague doctor fashion of “They were right but not exactly” he was on the right track! Using leeches to drink the settled and dead blood would be beneficial to the patient. As likely leaving these areas to accumulate dead blood would put it at serious risk of rot, since maggots first grow on open wounds and areas affected by Livor Mortis.

Julian might not have been curing the plague but what he was probably doing is preventing a lot of people from developing gangrene and needing amputations. A beneficial skill for a previous combat medic to utilize and what might have drawn additional attention to him. Julian’s uses of leeches could also explain why Lucio does not have any of these red marks since Julian is his personal doctor and Lucio would spare no expense for his treatment.

Lucio’s Unique Symptoms

Portia’s route mentions that due to Lucio’s longer surviving time he developed unique symptoms. We don’t know much details about this besides he was extra miserable and was confined to his bedroom most the time. From my provided list above I think that generally speaking the Red Plague is a combination of Bubonic + Septicemic plagues.

However, Pnuemonic plagues were considered especially deadly, but rarer. Lucio is described as having a cough when he has the plague and generally a wheezy voice. It wouldn’t be odd to think the plague had spread into his lungs due to the increase longevity he had.

There is a dramatic irony in Lucio losing his lungs to sickness as well. Morga tells us about how when Lucio was very young he almost drowned and that instilled a fear of death in him at a young age. He’s also a man with a lot of stamina who can run in the freezing cold carrying a fully grown apprentice on his shoulder or run away from Morga who also possesses a lot of energy. Lucio has trained his lungs to be stronger more so than the average person, and now with his downfall he loses them.

It goes along with his general want of having a new body as well. You can rebuild muscle mass although hard, but recovering from illnesses that target your lungs? You’ll almost never get back to the same degree you previously were.

The imagery of the dead is also present in the animal itself used to spread the plague. Although the beetle comes from Lucio’s tribe, beetles play a role in decomposition. Beetles like to come after the body has been nearly completely rotten, after the maggots and wasps consume most of the dead flesh beetles come in and eat the scraps. Beetles are also used in skeletonizing items, one example I think of off my head is a man who had his amputated foot skeletonized by beetles for keeping. So these beetles are coming in and spreading a plague that forces the body to go through stages of decay while living, for their own food. Just like Lucio’s tribe came in and slaughtered other tribes for their own need to eat.

The plague was handcrafted to torture Lucio for his inability to finish his end of the deal. That’s why it uses imagery of dead bodies, it steals Lucio’s lungs from him, and why even the dead can cause severe damage.

Of course this is all my own theory and analysis of the plague but thank you for reading all of this.

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