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It contains instructions on curing diseases and fungal infections. These are partially randomized, which is why there isn't a magic bullet working for every save, except for amputation and some form of regeneration effect.
Those big mushrooms puff spores around. If you get caught in them you get the "covered in spores" effect and there is a toughness save. If you fail it, you get the "itchy skin" effect. After a while that will give you a fungal infection (based on the fungus type that pufft on you) on a random limb. Generally avoid clouds of stuff.
If anyone with wiki knowledge could add that itchy skin cure, it'd maybe be helpful for new players. I found fungal infections to be an outsized drag, partly because of the reputation hit (although maybe I did something additional to anger the impacted faction the one run where it went into the red zone). I think there should be an accessible, very expensive itchy skin cure in Joppa, since you get an inconvenient but reliable cure just a few quest steps after that. I think having it as an optional grind quest -- gather enough loot to have on hand for an expensive cure -- could be motivating. Oh, or maybe reward the self-funticide cure by having the fungicide swap the itchy skin with some respiratory disease that could be cured like normal diseases (such as through the passage of time).
OP however already has the fully grown fungus and needs to use the cure.. or amputate their limb and use that ubernosturm afterwards.
By the way, if there should be a key I can find for Grit Gate, let me know? I got there in a couple prior runs but maybe I got the key or something without noticing... I think I've scoured the area pretty well without finding a key, but who knows.
Sounds like you've been super unlucky with cooking. You can cook 3 times before you need to get hungry again and with only 2 ingredients you have a pretty decent chance to get that effect. Carbide chef does indeed help a lot. Star apples + watervine wafers are rather common ingredients that you can basically have before you even leave Joppa.
The stairs down to the strata/area with the lobby seem to be locked behind doors, so I guess I just got an unlucky map. It's a nice challenge though, forces me to go sideways for a while.
funnily enough, i had actually found a set of helping hands shortly after getting mumble mouth, so really it wasnt too bad to deal with (wouldve sucked otherwise though, since i was playing a true kin Praetorian). still, it will be nice knowing all this in case something like it happens again, which knowing roguelikes, it inevitably will. XD
You can eat the meal from Kyuyakku to get a reduction that this turns into an infection, but it doesn't always work.
Also, you can swap which hand is primary with the insert key.
Well, even in real life it's random. Though the odds of someone being left-handed is only about 12%, while in the game it looks to be 50%.