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There are some mods that helped off set that.
Just type "disfigured" in the Workshop search bar and you'll see some options.
In Vanilla RimWorld, deep body scars (marked in red) and missing body parts will always give the -15 disfigured social debuff to anyone with the exception of blind pawns.
Scars and missing bodyparts anywhere else on the body never count as disfigured.
Right. That matches my experience.
Now she's old, frail, disfigured, ugly and unwanted. Not to mention she got dementia / Alzheimer's and wanders around all over being completely useless...until her lungs helped someone who needed them. She'll live on providing air for a young whippersnapper pawn.
Such is the way of Rimworld.