Scalpel is a first aid weapon item in Project Zomboid. As a weapon it hits for 0.1–0.4 damage with 0.8 reach and a maximum condition of 5. Build 42.21 data, November 2026.
First Aid Weapon Medical
As a weapon it hits for 0.1–0.4 damage with 0.8 reach and a maximum condition of 5. It weighs 0.3.
Medical items treat wounds, pain and illness. The right order matters: clean a wound, treat it, then bandage it, and change dirty bandages.
More: Health and injuries.
Use the item ID in sandbox loot settings, admin tools and mods.
| Item ID | Game category |
|---|---|
Base.Scalpel | First Aid Weapon |
Scalpel is on 15 loot tables in the game files. Share is how much of a table's total weight this item takes, before your sandbox loot settings. Each container rolls its table several times, so a bigger share and more rolls both mean you see it more often.
| Loot table | Where that table is used | Share | Rolls |
|---|---|---|---|
| Medical Storage Tools | Clinic (shelves); Dentist (shelves); Dentist storage (shelves); and 4 more places | 15% | 4 |
| Morgue Tools | Coroner's office (cupboard, cabinet, drawer); Morgue (cupboard) | 12% | 4 |
| Medical Clinic Tools | Clinic (cupboard); Dentist (cupboard, drawer); Kennels (cupboard, shelves); and 5 more places | 10% | 4 |
| Testing Lab | Laboratory (box, cupboard, desk, …) | 4.7% | 4 |
| Nurse Tools | Nurse (box, cupboard, crate, …) | 3.9% | 4 |
| Doctor Tools | Special spawn (vehicles, events or zombies) | 3.2% | 4 |
| Army Bunker Medical | Old medical (shelves) | 3.2% | 4 |
| Safehouse Medical | Survivor safehouse (early) (cupboard, cabinet) | 3.0% | 4 |
It is on 7 more tables with smaller shares.
Inside bags and cases: First Aid Kit - Military, Biohazard Container, First Aid Kit, Doctor Bag, Trauma Bag and more.
Town by town: loot locations.
Used up as an ingredient in 3 recipes: Smelt Iron From Small Item, Smelt Small Iron Item, Smelt Steel From Small Iron Item.
Needed as a tool in 5 recipes (it is not used up): Hollow Out Book, Make Blank ID, Sharpen Blade, Sharpen Blade Poorly with File, Sharpen Blade with Grindstone.
It weighs 0.3 in Build 42.
Base.Scalpel.
0.1–0.4 per hit, with 0.8 reach.
Stats and item IDs from the Build 42 game data as listed on pzfans.com. Item art is from Project Zomboid.