Followed is a temporary physical ailment that may be triggered after leaving a village with negative Standing (50% chance if standing is -1 to -3, automatic if -4 or lower). It lasts for 30-50 days, and causes a group of natives to confront the party every time the player explores a stone circle, stone statue or Shrine.
First the group of natives will demand tribute, triggering a trading page that allows the player to gift items worth enough value for them to leave peacefully. The player can also avoid combat by rolling a successful 
. If the player fails to convince the natives or outright refuses their demands, they will attack as a group of angry natives enemies. Groups generated in this way will always consist of 3 Native Warrior enemies.
| Mental | Acrophobia • Alcoholic • Angry • Cannibal • Claustrophobic • Cursed • Dendrophobia • Faithless (RIVALS only) • Kleptomania • Lepidopterophobia • Light Mental Exhaustion (RIVALS only) • Local • Medium Mental Exhaustion (RIVALS only) • Mercurial • Paranoid • Pyromaniac • Racist • Renounced • Sexist • Strong Mental Exhaustion (RIVALS only) • Superstitious |
| Physical | Enemy Attention • Followed • Hallucinations • Hearing Loss • Infected Wound • Injured • Jungle Rot • Malaria • Overburden • Pneumonia • Rabies • Scurvy • Sprained Ankle • Strange Biting Mark • Viewing Loss |