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If you feel bad doing this just use dev mode to zap some of your meds or wealth away.
Between this and brain damage there's not a lot the player can do to "fix" the pawn with the injury so what choice do they have?
Not like wheelchairs are in the game, and bionics are probably another update or two off for other body parts.
There are mods out there that can fix this though, so they might be worth trying in future.
Except that in our world, this does have a solution. While we can't replace something as big as a pelvis, we can utilize screws and staples to keep it together. It is painful and requires treatment afterwards, but it doesn't leave the person immobilized. It is not unreasonable to assume a society that is advanced like Trade Ships and Glitterworlds (and even Urbworlds) would not have a prosthetic or some other similar solution to this.
It would make sense for rudimentary treatment to be possible, and better than simply making the pawn useless but not ideal. A better one would likely cost a lot of silver.
It is also extremely difficult for a bullet to literally and irreparably shatter your pelvis. Human bones are not twigs. Human bones are meant to take an extreme amount of abuse, especially one as large and as central as the pelvis. A pawn getting a shattered anything is, at its highest point of realism, only reasonably possible if it was crushed by an extreme weight, blown up, or hit with an incredibly high velocity shot. Getting a shattered, non-rib bone from anything short of a sniper rifle or a -lot- of LMG rounds is unrealistic.
To be clear, cracking a bone or fracturing/breaking a bone is easier. Almost eny weapon other than a bow can do that. Luckily, those just waste the pawn's time rather than making them effectively dead.
Also, let's not conflate Rimworld, of all games, with being realistic. My hunters fire from the maximum possible range of their weapon when hunting anything, which any normal human would understand as a waste of time. Raiders and Pirates attack my settlements over and over despite losing most, if not all, of their forces every single time and have gotten no benefit out of it. Trade Caravans carry useless goods like beds and chairs that range from overpriced but okay quality to overpriced but awful. Tribal Caravans sometimes sell guns or mortar shells or medicinal components but clearly don't use them.
And how would a Glitter, or even an Urbworld have not been able to fix this?
'We have space travel, energy weapon tech, anti-ballistic shields... But replacing a pelvis? Hah, man. Spence has better things to do than solve a pelvis. We have bionics to create! A bionic or prosthetic pelvis? Naw, man. We're busy making Power Claws, because science exists as if everyone was fourteen!'
At the end of the day, these injuries not having solutions simply makes the game feel worse to play. It makes it less interesting, creates forced tension, is unrealistic (not that I hold any illusion Rimworld is trying to be realistic, but for your sake I'll pretend), feels terrible, and offers no benefit for any possible outcome (including ignoring the problem).
Then there's the possibility of using Luciferium. It's always there, heh.
Edit: never mind, read the wiki. Luciferium doesn't fixed destroy parts.