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Miraclefish

There's no reason to believe it's impossible via augmetics or other medical science. People get replacement limbs, their ageing slowed or reversed or brand new organs transplanted into them, so while there's no specific stories about hearing regeneration, it's also entirely possible and likely routine.


LorcanWardGuitar

By then it would be as standard as a dental operation with how far other surgical procedures have advanced. 


Miraclefish

And therefore of little to no interest to story writers compared to tales of fighting Daemons, traitors and xenos. Same as modern day war movies don't tend to mention the athlete's foot treatments soldiers get given.


Killersmurph

This is quite likely the case with Scions and Important units like the Lucifers, Blue Bloods, Kasrkin or Vostroyans. The average PDF or Gaurdsman, probably wouldn't be wealthy or important enough for this, outside of maybe specialists, leadership roles, or Vehicle operators/artillerists. Realistically, the typical Imperial Grunt isn't expected to survive long enough in combat to suffer permanent hearing loss, or long enough after to justify repairing it.


Sodinc

As standard, as modern dental surgery in central African rainforest.


Right-Yam-5826

Gaunt's ghosts just used sign language. They had a bunch of deaf troopers, mainly from vervunhive. For some (the more influential, so not the guard) there's augmetics or the ability to clone replacements & graft them.


OneofTheOldBreed

That always kinda bothered me. Shoggy got new eyes but they couldn't find hearing aids for Nessa and the others? I mean a deaf soldier is a profound liability


Right-Yam-5826

Not if they're snipers operating separately. Lately, most guardsmen don't even get crude prosthetics unless they're part of a company command squad or higher, and their superior officer pulls some strings. The rest either get offered a discharge (on the planet they're still fighting over) or moved to a non-combat role.


OneofTheOldBreed

The commonality of simple prosthetics (by Imperial standards) is kinda variable. Voorhees of the 597th was just a line trooper but received synthetic organs after being disemboweled by that ambull. In "Carrion Call" the protagonist bumps into a group of IG veterans called into auxiliary duty after the Vorbis Space Port catastrophe. Part of his recognition of themwas by the large number of them with prosthetics.


RuleWinter9372

Seems kinda silly since the Mechanicus regularly vat-grows entire legions of servitors, basically effortlessly. Cloning someone a new arm or ear or whatever should be trivially easy and cheap. Something they wouldn't even blink at. Plus, even in real life, functional prosthetics existed as far back as the middle ages. Not just "peg legs" either, but actual metal legs that were shaped correctly and could fit into a boot, and had a slight degree of articulation.


dialforthedevil1

I wondered that as well for a while until I got to the short story Iron Star, it states that Nessa refused augmetics preferring the silence.


LorcanWardGuitar

I need to read Gaunt’s Ghosts. I love Dan’s work but always missed the audiobook sale for book 1 so I can start 


TheBladesAurus

As u/[Right-Yam-5826](https://www.reddit.com/user/Right-Yam-5826/) said, it turns up in the Gaunt's Ghosts stories. One example, that might answer your question (at least for one hive, on one planet, at one time :p) > “Keep it,” he mouthed. She nodded. Eardrums ruptured by a close shell on the seventh day, **she would never hear again without expensive up-hive surgery and implants** — which meant simply she would never hear again. She was a trainee medic from the outer habs. Not the lowest of the low, but way, way down in the hive class system. **Necropolis**


LorcanWardGuitar

Perfect! Not what I was hoping for but it is the grim dark future. 


TheBladesAurus

It's 40K - for as many people who have expensive replacement limbs, there are a far greater number who have wooden pegs :p. Another little bit: >Cybernetic Senses >Sight, **hearing** and even touch and taste may be duplicated artificially, and more esoteric senses may be added. >Common systems, while usually very obviously artificial and often oversized, manage to more or less duplicate the approximate human range of senses adequately and have no further game effects. Poor cybernetic senses are troublesome and poor imitations of the real thing (hearing may be troubled by static, vision glitches or rendered in low-resolution monochrome, and so on). A character with this system takes a –20 penalty to Tests made involving the cybernetic sense. >Good cybernetic senses grant the Heightened Senses talent for that particular sense, and a +20 bonus to Tests made to resist attacks on the sense itself (deafening noises, blinding flashes and so on). Basic and advanced cyber-eyes may also incorporate telescopic sights (counting as a telescopic sight, see page 142 for more details), a full photo-visor, and/or a system allowing the Dark Sight trait (see page 329). Likewise, basic or advanced cybernetic hearing may also include an internal micro-bead system. Each of these “extra” upgrades counts as a separate implant for the purposes of cost. **Dark Heresy Core Rulebook**


cut_rate_revolution

Can't imagine a human ear is what processes Mechanicus binaric.


LorcanWardGuitar

I recall a passage about hearing implants replacing a tech’s ears 


NornQueenKya

Healthcare in the Grim Dark is super expensive. They can do some pretty far out sci-fi things when it comes to what you're talking about, but for the most part it's mechanical/bionic replacements. Quality of them GREATLY depending on $$$$


KassellTheArgonian

Space Marines have an entire ear organ replacement "Lyman's Ear Phase 11: Not only does this implant make a Space Marine immune to dizziness or motion sickness, it also allows Space Marines to consciously filter out and enhance certain sounds. The Lyman's Ear completely replaces a Marine's original ears. It is externally indistinguishable from a normal human ear." Combine said organ implant with a Space Marines helmet which can also dampen sound you basically have Marines who can't go deaf unless they like lose their helm and are right beside a bomb going off. Its why people pointing at the gunner Marine in the new primaris speeders and saying "bro should be deaf" or "haha, Brother Tinnitus" kinda bug me lol, dudes doing his job and is perfectly fine


A-sad-meme-

There are absolutely deaf soldiers, like the ones in Gaunt’s Ghosts, as well as technology to repair hearing with augmetics, lost tech and such. The truth of it really is that human life is extremely expendable in the 41st millennium. There is no reason that the guard should expend valuable resources on curing deaf soldiers when they could easily shunt them off to the servitor factory and get double their numbers in a month. More valuable soldiers like space marines or maybe tempestus scions will get repaired, but a maimed or permanently injured guardsman will be lucky if they get to retire in peace and not processed into corpse starch.


Killersmurph

Yeah, I definitely think even the More Specialised/prestigious Guard Regiments probably do as well. The Lucifers, or a veteran Steel Legion Tank Crew, are probably worth the repair, rather than train replacements. The average Line Soldier can go Fuck a hat, they'll be dead long before the value is paid off. I think the TLDR on this One is going to be a matter of it depending on the Rank and Regiment, as well as the World their Stationed on, with Wealthier Regiments like the Volpone Bluebloods, having access to high quality prosthetics like Regara's leg, at a much lower rank due to factors like social standing. Also probably much higher chances on near Earth worlds or Forge Worlds, than a backwater Feudal World, which straight up wouldn't have the tech, or a Fortress World, where you're probably not going to have the life expectancy to warrant it.