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After the mission you pay his full medical bill in Blackstone, but he is perfectly fine after that.
With Ironman, if a priest is killed, that's it. No saves, he is dead, liven't, game-ended. You can't pay for his medical bill, this means you loose a Unique tech-priest that you CAN NOT get back.
with permadeath you can't get a replacement (not a new tech-priest), so instead of him you'll have to use a trooper (skitarii).