Short and to the point, Visceral & Emotional Damage lets a Keeper easily add in more flavor for when combat happens (be it adjectives for the injury, random hit lcoation, or more long-term consequences based on where the wound was received and how much damage was done). There's even a "Guilty Conscience" table for use when people are doing bad things (combat-oriented) to other people, which is possibly my favorite part of Jon Hook's book.

I'd have given it 5-stars, if not for my personal opinion on the "Hit 'Em Where It Hurts!" section, in that it may be too easy to make a called shot at times (says a reader who has not yet used these rules in actual play yet). Even with "my" issue on this, it's still a great little supplement for those looking for more out of combat.