diff --git a/code/__DEFINES/mobs.dm b/code/__DEFINES/mobs.dm
index 77cbcb7536..a14ae1b062 100644
--- a/code/__DEFINES/mobs.dm
+++ b/code/__DEFINES/mobs.dm
@@ -66,6 +66,13 @@
 #define TRAUMA_RESILIENCE_MAGIC 4      //Curable only with magic
 #define TRAUMA_RESILIENCE_ABSOLUTE 5   //This is here to stay
 
+//Limit of traumas for each resilience tier
+#define TRAUMA_LIMIT_BASIC 3
+#define TRAUMA_LIMIT_SURGERY 2
+#define TRAUMA_LIMIT_LOBOTOMY 3
+#define TRAUMA_LIMIT_MAGIC 3
+#define TRAUMA_LIMIT_ABSOLUTE INFINITY
+
 #define BRAIN_DAMAGE_INTEGRITY_MULTIPLIER 0.5
 
 //Surgery Defines
diff --git a/code/modules/antagonists/abductor/equipment/gland.dm b/code/modules/antagonists/abductor/equipment/gland.dm
index 192bfcdf84..faa6b6c1e3 100644
--- a/code/modules/antagonists/abductor/equipment/gland.dm
+++ b/code/modules/antagonists/abductor/equipment/gland.dm
@@ -219,7 +219,7 @@
 	A.Refresh() //just in case someone already made and named the same disease
 	return A
 
-/obj/item/organ/heart/gland/trauma //TODO : Replace with something more interesting
+/obj/item/organ/heart/gland/trauma
 	cooldown_low = 800
 	cooldown_high = 1200
 	uses = 5
@@ -230,12 +230,12 @@
 /obj/item/organ/heart/gland/trauma/activate()
 	to_chat(owner, "<span class='warning'>You feel a spike of pain in your head.</span>")
 	if(prob(33))
-		owner.gain_trauma_type(BRAIN_TRAUMA_SPECIAL, TRAUMA_RESILIENCE_LOBOTOMY)
+		owner.gain_trauma_type(BRAIN_TRAUMA_SPECIAL, rand(TRAUMA_RESILIENCE_BASIC, TRAUMA_RESILIENCE_LOBOTOMY))
 	else
 		if(prob(20))
-			owner.gain_trauma_type(BRAIN_TRAUMA_SEVERE, TRAUMA_RESILIENCE_LOBOTOMY)
+			owner.gain_trauma_type(BRAIN_TRAUMA_SEVERE, rand(TRAUMA_RESILIENCE_BASIC, TRAUMA_RESILIENCE_LOBOTOMY))
 		else
-			owner.gain_trauma_type(BRAIN_TRAUMA_MILD, TRAUMA_RESILIENCE_LOBOTOMY)
+			owner.gain_trauma_type(BRAIN_TRAUMA_MILD, rand(TRAUMA_RESILIENCE_BASIC, TRAUMA_RESILIENCE_LOBOTOMY))
 
 /obj/item/organ/heart/gland/spiderman
 	cooldown_low = 450
diff --git a/code/modules/mob/living/brain/brain_item.dm b/code/modules/mob/living/brain/brain_item.dm
index ac2f8ae58e..2131cbffec 100644
--- a/code/modules/mob/living/brain/brain_item.dm
+++ b/code/modules/mob/living/brain/brain_item.dm
@@ -185,9 +185,43 @@
 		if(istype(BT, brain_trauma_type) && (BT.resilience <= resilience))
 			return BT
 
+/obj/item/organ/brain/proc/can_gain_trauma(datum/brain_trauma/trauma, resilience)
+	if(!ispath(trauma))
+		trauma = trauma.type
+	if(!initial(trauma.can_gain))
+		return FALSE
+	if(!resilience)
+		resilience = initial(trauma.resilience)
+
+	var/resilience_tier_count = 0
+	for(var/X in traumas)
+		if(istype(X, trauma))
+			return FALSE
+		var/datum/brain_trauma/T = X
+		if(resilience == T.resilience)
+			resilience_tier_count++
+
+	var/max_traumas
+	switch(resilience)
+		if(TRAUMA_RESILIENCE_BASIC)
+			max_traumas = TRAUMA_LIMIT_BASIC
+		if(TRAUMA_RESILIENCE_SURGERY)
+			max_traumas = TRAUMA_LIMIT_SURGERY
+		if(TRAUMA_RESILIENCE_LOBOTOMY)
+			max_traumas = TRAUMA_LIMIT_LOBOTOMY
+		if(TRAUMA_RESILIENCE_MAGIC)
+			max_traumas = TRAUMA_LIMIT_MAGIC
+		if(TRAUMA_RESILIENCE_ABSOLUTE)
+			max_traumas = TRAUMA_LIMIT_ABSOLUTE
+
+	if(resilience_tier_count >= max_traumas)
+		return FALSE
+	return TRUE
 
 //Add a specific trauma
 /obj/item/organ/brain/proc/gain_trauma(datum/brain_trauma/trauma, resilience, list/arguments)
+	if(!can_gain_trauma(trauma, resilience))
+		return
 	var/trauma_type
 	if(ispath(trauma))
 		trauma_type = trauma
@@ -204,9 +238,12 @@
 	var/list/datum/brain_trauma/possible_traumas = list()
 	for(var/T in subtypesof(brain_trauma_type))
 		var/datum/brain_trauma/BT = T
-		if(initial(BT.can_gain))
+		if(can_gain_trauma(BT, resilience))
 			possible_traumas += BT
 
+	if(!LAZYLEN(possible_traumas))
+		return
+
 	var/trauma_type = pick(possible_traumas)
 	SSblackbox.record_feedback("tally", "traumas", 1, trauma_type)
 	traumas += new trauma_type(src, resilience)
diff --git a/code/modules/mob/living/carbon/damage_procs.dm b/code/modules/mob/living/carbon/damage_procs.dm
index 9ba1dcc033..a626266f01 100644
--- a/code/modules/mob/living/carbon/damage_procs.dm
+++ b/code/modules/mob/living/carbon/damage_procs.dm
@@ -215,11 +215,11 @@
 	if(amount <= 0) //cut this early
 		return
 	var/brainloss = getBrainLoss()
-	if(brainloss > BRAIN_DAMAGE_MILD && !has_trauma_type(BRAIN_TRAUMA_MILD))
-		if(prob((amount * 2) + ((brainloss - BRAIN_DAMAGE_MILD) / 5))) //1 damage|50 brain damage = 4% chance
+	if(brainloss > BRAIN_DAMAGE_MILD)
+		if(prob((amount * 2) + (brainloss - BRAIN_DAMAGE_MILD - (20 * LAZYLEN(get_traumas())) / 5))) //1 damage|50 brain damage = 4% chance
 			gain_trauma_type(BRAIN_TRAUMA_MILD)
-	if(brainloss > BRAIN_DAMAGE_SEVERE && !has_trauma_type(BRAIN_TRAUMA_SEVERE) && !has_trauma_type(BRAIN_TRAUMA_SPECIAL))
-		if(prob(amount + ((brainloss - BRAIN_DAMAGE_SEVERE) / 15))) //1 damage|150 brain damage = 3% chance
+	if(brainloss > BRAIN_DAMAGE_SEVERE)
+		if(prob(amount + (brainloss - BRAIN_DAMAGE_SEVERE - (20 * LAZYLEN(get_traumas())) / 15))) //1 damage|150 brain damage = 3% chance
 			if(prob(20))
 				gain_trauma_type(BRAIN_TRAUMA_SPECIAL)
 			else