The medic subclass has four tiers. These can be chosen along with your main class as you level up and only cost assist XP.

• Support items, once spawned into the game, can be picked up by any player regardless of class or tier. A newly made character can pick up medic kits and use them to provide the team with heals.
• All support items are considered throwables. They inflict 5 blunt damage upon placement. As a result, they can be used to blow barrels and break barricades. Be mindful of where you use your support item.
• All medic items (with the exception of the resurrection tome) can be refilled by using the restore ammunition boxes or the shrine.
• You are able to heal your allies while refilling by left clicking while holding down F. By doing this, you can provide your team with a continuous stream of heals.

Because of the complexity of tomes, players have developed various safety measures and rules regarding use.

• Make sure you are only holding one tome! If you have multiple tomes in your inventory, all of them will be used at once. The same applies to barricades of the same type.
• When to use a tome: Generally, on a full server you will want to use a tome when there are fewer than seven players alive. Before using a tome, make sure the player who brought the tome (known as the “tomebringer”) has died first so that another tome may be brought in to replace the one being used. If there are multiple tomebringers, it is advised that all of them die before a tome is used so that one tome can give rise to multiple tomes.
• Toming for Barricades: To defeat the most difficult bosses, you will often be required to tome for barricades. In this case, wait for the tome-bringers and barricade-bringers to die before toming.

• Wraith Cage: This method involves finding a corner and building a barricade in it while leaving enough room for the player to jump out and leave the confines of the barricade. The player then uses a tome with his back to the corner facing the barricade so that the wraith (if it spawns) will be trapped. The player can then either jump out of the barricade or, if he is well-equipped enough, turn around and kick/slash the wraith until it dies.
• Multiple Tome users: This method poses the risk of spawning two wraiths into the game, which may guarantee that the team wipes. To use this method, two players each need to pick up a tome. After acquiring a tome, the first (primary) tome user will run to a safe distance from the secondary tome user. If a wraith spawns, the secondary tome user will immediately use his tome.