diff --git a/code/datums/diseases/roanoke.dm b/code/datums/diseases/roanoke.dm
index 905122a632..809f6ec1f8 100644
--- a/code/datums/diseases/roanoke.dm
+++ b/code/datums/diseases/roanoke.dm
@@ -82,6 +82,8 @@
 				var/obj/item/organ/external/E = O.parent_organ
 				var/datum/wound/W = new /datum/wound/internal_bleeding(5)
 				E.wounds += W
+				E.update_damages()
+				M.handle_organs(TRUE) //Force an update so we start processing the internal bleeding.
 
 			if(M.stat == DEAD || M.allow_spontaneous_tf)
 				M.LoadComponent(/datum/component/xenochimera)
diff --git a/code/modules/mob/living/carbon/human/human_organs.dm b/code/modules/mob/living/carbon/human/human_organs.dm
index a75c2c47ae..dd2179d4ad 100644
--- a/code/modules/mob/living/carbon/human/human_organs.dm
+++ b/code/modules/mob/living/carbon/human/human_organs.dm
@@ -17,11 +17,11 @@
 	last_dam = damage_this_tick
 
 // Takes care of organ related updates, such as broken and missing limbs
-/mob/living/carbon/human/proc/handle_organs()
+/mob/living/carbon/human/proc/handle_organs(force = FALSE)
 
 	var/force_process = recheck_bad_external_organs()
 
-	if(force_process)
+	if(force_process || force)
 		bad_external_organs.Cut()
 		for(var/obj/item/organ/external/Ex in organs)
 			bad_external_organs += Ex //VOREStation Edit - Silly and slow to |= this
diff --git a/code/modules/mob/mob.dm b/code/modules/mob/mob.dm
index 58903bc24b..8e0ca19544 100644
--- a/code/modules/mob/mob.dm
+++ b/code/modules/mob/mob.dm
@@ -1072,6 +1072,8 @@
 		if(prob(selection.w_class * 5) && (affected.robotic < ORGAN_ROBOT)) //I'M SO ANEMIC I COULD JUST -DIE-.
 			var/datum/wound/internal_bleeding/I = new (min(selection.w_class * 5, 15))
 			affected.wounds += I
+			affected.update_damages()
+			H.handle_organs(TRUE) //Force an update so we start processing the internal bleeding.
 			H.custom_pain("Something tears wetly in your [affected] as [selection] is pulled free!", 50)
 
 		if (ishuman(U))
diff --git a/code/modules/organs/internal/appendix.dm b/code/modules/organs/internal/appendix.dm
index 1f53326fb5..d8092dad21 100644
--- a/code/modules/organs/internal/appendix.dm
+++ b/code/modules/organs/internal/appendix.dm
@@ -41,6 +41,8 @@
 			var/datum/wound/W = new /datum/wound/internal_bleeding(20)
 			owner.adjustToxLoss(25)
 			groin.wounds += W
+			groin.update_damages()
+			owner.handle_organs(TRUE) //Force an update so we start processing the internal bleeding.
 			inflamed = 1
 */
 /obj/item/organ/internal/appendix/removed()
diff --git a/code/modules/organs/internal/spleen.dm b/code/modules/organs/internal/spleen.dm
index 08fdbdc967..d9fc3b6b68 100644
--- a/code/modules/organs/internal/spleen.dm
+++ b/code/modules/organs/internal/spleen.dm
@@ -17,13 +17,15 @@
 		//High toxins levels are dangerous
 		if(owner.getToxLoss() >= 30 && !owner.reagents.has_reagent(REAGENT_ID_ANTITOXIN))
 			//Healthy liver suffers on its own
-			if (src.damage < min_broken_damage)
+			if(src.damage < min_broken_damage)
 				src.damage += 0.2 * spleen_tick
+				owner.adjustToxLoss(-0.2) //The spleen takes damage but reduces toxins, up until it's broken.
 			//Damaged one shares the fun
 			else
 				var/obj/item/organ/internal/O = pick(owner.internal_organs)
 				if(O)
 					O.damage += 0.2 * spleen_tick
+					owner.adjustToxLoss(-0.1) //Only half as effective.
 
 		else if(!src.is_broken()) // If the spleen isn't severely damaged, it can help fight infections. Key word, can.
 			var/obj/item/organ/external/OEx = pick(owner.organs)
@@ -66,10 +68,12 @@
 	..()
 	if(owner)
 		owner.add_modifier(/datum/modifier/trait/haemophilia, round(15 MINUTES * spleen_efficiency))
-		var/obj/item/organ/external/Target = owner.get_organ(parent_organ)
+		var/obj/item/organ/external/target = owner.get_organ(parent_organ)
 		var/datum/wound/W = new /datum/wound/internal_bleeding(round(20 * spleen_efficiency))
 		owner.adjustToxLoss(15 * spleen_efficiency)
-		Target.wounds += W
+		target.wounds += W
+		target.update_damages()
+		owner.handle_organs(TRUE) //Force an update so we start processing the internal bleeding.
 
 /obj/item/organ/internal/spleen/minor
 	name = "vestigial spleen"
diff --git a/code/modules/surgery/implant.dm b/code/modules/surgery/implant.dm
index 1158409ae3..93e6ae34db 100644
--- a/code/modules/surgery/implant.dm
+++ b/code/modules/surgery/implant.dm
@@ -176,6 +176,8 @@
 		to_chat(user, span_danger(" You tear some blood vessels trying to fit such a big object in this cavity."))
 		var/datum/wound/internal_bleeding/I = new (10)
 		affected.wounds += I
+		affected.update_damages()
+		affected.owner.handle_organs(TRUE) //Force an update so we start processing the internal bleeding.
 		affected.owner.custom_pain("You feel something rip in your [affected.name]!", 1)
 	affected.implants += tool
 	tool.loc = affected