How does radiation work in Metro Exodus?

Question

After the nuclear apocalypse there are pockets of radiation covering Russia. Artyom has a gas mask to protect himself from most of Russia's dangers, but it's use isn't fully explained.

Does radiation exposure in the wasteland have any long-term effects or does it only deal short-term damage?
Similarly, does Artyom need to wear his gas mask when entering all radiation hot zones? If so, does the gas mask reduce or fully negate damage from radiation?

NoNameProvided · Accepted Answer

Being in a radioactive hot-zone and then leaving it alive does not have any long-term effect on the gameplay, just short term damage to your health.
Wearing a gas mask is not related to the radiation hot-zones, it used to prevent inhaling radioactive dust (thus preventing Artyom from suffocating). In the hot-zones the direct radiation is so high it will kill you regardless of you wearing a mask or not.

How does radiation work in Metro Exodus?

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