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If a character is wounded and takes a level of fatigue do the penalties stack? For example does a character with one wound and is also fatigued take a -2 penalty to all trait rolls?

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Yes, penalties from wounds and fatigue stack. See here for official confirmation of this.

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    \$\begingroup\$ Also if you are playing Realms of Cthulhu, you get an additional track for Sanity, and penalties for it also stack with penalties gained from the Wound and Fatigue tracks. \$\endgroup\$ – Thunderforge Sep 9 '13 at 16:07

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