diff --git a/code/__DEFINES/combat.dm b/code/__DEFINES/combat.dm
index fa69a9e5b9b7..028e4ae5c15f 100644
--- a/code/__DEFINES/combat.dm
+++ b/code/__DEFINES/combat.dm
@@ -92,7 +92,7 @@
 //slowdown when in softcrit. Note that crawling slowdown will also apply at the same time!
 #define SOFTCRIT_ADD_SLOWDOWN 3
 //slowdown when crawling
-#define CRAWLING_ADD_SLOWDOWN 6
+#define CRAWLING_ADD_SLOWDOWN 8
 
 //Attack types for checking shields/hit reactions
 #define MELEE_ATTACK 1
diff --git a/code/__DEFINES/mobs.dm b/code/__DEFINES/mobs.dm
index 4d5cfc8b8702..2eca8ae3af2b 100644
--- a/code/__DEFINES/mobs.dm
+++ b/code/__DEFINES/mobs.dm
@@ -418,8 +418,6 @@
 #define AGE_MINOR 20  //legal age of space drinking and smoking
 #define WIZARD_AGE_MIN 30 //youngest a wizard can be
 #define APPRENTICE_AGE_MIN 29 //youngest an apprentice can be
-#define SHOES_SLOWDOWN 0 //How much shoes slow you down by default. Negative values speed you up
-#define SHOES_SPEED_SLIGHT  SHOES_SLOWDOWN - 1 // slightest speed boost to movement
 #define POCKET_STRIP_DELAY (4 SECONDS) //time taken to search somebody's pockets
 #define DOOR_CRUSH_DAMAGE 15 //the amount of damage that airlocks deal when they crush you
 
diff --git a/code/datums/status_effects/neutral.dm b/code/datums/status_effects/neutral.dm
index 3a4d9a681c5a..bb715d73a349 100644
--- a/code/datums/status_effects/neutral.dm
+++ b/code/datums/status_effects/neutral.dm
@@ -95,6 +95,14 @@
 	status_type = STATUS_EFFECT_UNIQUE
 	alert_type = /atom/movable/screen/alert/status_effect/holdup
 
+/datum/status_effect/holdup/on_apply()
+	. = ..()
+	owner.add_movespeed_modifier(/datum/movespeed_modifier/status_effect/holdup)
+
+/datum/status_effect/holdup/on_remove()
+	. = ..()
+	owner.remove_movespeed_modifier(/datum/movespeed_modifier/status_effect/holdup)
+
 /atom/movable/screen/alert/status_effect/holdup
 	name = "Holding Up"
 	desc = "You're currently pointing a gun at someone."
diff --git a/code/game/machinery/washing_machine.dm b/code/game/machinery/washing_machine.dm
index acc25f163a50..10aecf9e2b91 100644
--- a/code/game/machinery/washing_machine.dm
+++ b/code/game/machinery/washing_machine.dm
@@ -292,7 +292,7 @@ GLOBAL_LIST_INIT(dye_registry, list(
 /obj/item/clothing/shoes/sneakers/machine_wash(obj/machinery/washing_machine/washer)
 	if(chained)
 		chained = FALSE
-		slowdown = SHOES_SLOWDOWN
+		slowdown = initial(slowdown)
 		new /obj/item/restraints/handcuffs(loc)
 	..()
 
diff --git a/code/modules/antagonists/clown_ops/clown_weapons.dm b/code/modules/antagonists/clown_ops/clown_weapons.dm
index 10847ac67d96..861145d81611 100644
--- a/code/modules/antagonists/clown_ops/clown_weapons.dm
+++ b/code/modules/antagonists/clown_ops/clown_weapons.dm
@@ -16,7 +16,7 @@
 	name = "combat clown shoes"
 	desc = "advanced clown shoes that protect the wearer and render them nearly immune to slipping on their own peels. They also squeak at 100% capacity."
 	clothing_traits = list(TRAIT_NO_SLIP_WATER)
-	slowdown = SHOES_SLOWDOWN
+	slowdown = /obj/item/clothing/shoes::slowdown
 	armor = list(BLUNT = 25, PUNCTURE = 25, SLASH = 0, LASER = 25, ENERGY = 25, BOMB = 50, BIO = 10, FIRE = 70, ACID = 50)
 	strip_delay = 70
 	resistance_flags = NONE
@@ -34,7 +34,7 @@
 /obj/item/clothing/shoes/clown_shoes/banana_shoes/combat
 	name = "mk-honk combat shoes"
 	desc = "The culmination of years of clown combat research, these shoes leave a trail of chaos in their wake. They will slowly recharge themselves over time, or can be manually charged with bananium."
-	slowdown = SHOES_SLOWDOWN
+	slowdown = /obj/item/clothing/shoes::slowdown
 	armor = list(BLUNT = 25, PUNCTURE = 25, SLASH = 0, LASER = 25, ENERGY = 25, BOMB = 50, BIO = 10, FIRE = 70, ACID = 50)
 	strip_delay = 70
 	resistance_flags = NONE
diff --git a/code/modules/clothing/shoes/_shoes.dm b/code/modules/clothing/shoes/_shoes.dm
index adf45bf70a55..c17b540fe026 100644
--- a/code/modules/clothing/shoes/_shoes.dm
+++ b/code/modules/clothing/shoes/_shoes.dm
@@ -12,7 +12,7 @@
 	supports_variations_flags = CLOTHING_VOX_VARIATION | CLOTHING_DIGITIGRADE_VARIATION
 
 	permeability_coefficient = 0.5
-	slowdown = SHOES_SLOWDOWN
+	slowdown = 0
 
 	equip_delay_self = EQUIP_DELAY_SHOES
 	equip_delay_other = EQUIP_DELAY_SHOES * 1.5
diff --git a/code/modules/clothing/shoes/clown.dm b/code/modules/clothing/shoes/clown.dm
index 52fe4d163d9d..1f1dbb26035f 100644
--- a/code/modules/clothing/shoes/clown.dm
+++ b/code/modules/clothing/shoes/clown.dm
@@ -3,7 +3,7 @@
 	name = "clown shoes"
 	icon_state = "clown"
 	inhand_icon_state = "clown_shoes"
-	slowdown = SHOES_SLOWDOWN+1
+	slowdown = parent_type::slowdown + 1 // Slower than normal
 	var/enabled_waddle = TRUE
 	lace_time = 20 SECONDS // how the hell do these laces even work??
 	supports_variations_flags = CLOTHING_DIGITIGRADE_VARIATION | CLOTHING_TESHARI_VARIATION | CLOTHING_VOX_VARIATION
diff --git a/code/modules/clothing/shoes/galoshes.dm b/code/modules/clothing/shoes/galoshes.dm
index 80ddbdf05267..c96d554f2085 100644
--- a/code/modules/clothing/shoes/galoshes.dm
+++ b/code/modules/clothing/shoes/galoshes.dm
@@ -7,7 +7,7 @@
 	siemens_coefficient = 0
 
 	clothing_traits = list(TRAIT_NO_SLIP_WATER)
-	slowdown = SHOES_SLOWDOWN+1
+	slowdown = parent_type::slowdown + 1 // Slower than normal
 	strip_delay = 30
 	equip_delay_other = 50
 	resistance_flags = NONE
diff --git a/code/modules/clothing/shoes/magboots.dm b/code/modules/clothing/shoes/magboots.dm
index 26dce6c97b5c..72ac94b2624b 100644
--- a/code/modules/clothing/shoes/magboots.dm
+++ b/code/modules/clothing/shoes/magboots.dm
@@ -11,7 +11,6 @@
 	resistance_flags = FIRE_PROOF
 	supports_variations_flags = CLOTHING_DIGITIGRADE_VARIATION | CLOTHING_TESHARI_VARIATION | CLOTHING_VOX_VARIATION
 
-	slowdown = SHOES_SLOWDOWN
 	/// Whether the magpulse system is active
 	var/magpulse = FALSE
 	/// Slowdown applied wwhen magpulse is active. This is added onto existing slowdown
@@ -66,7 +65,7 @@
 	name = "advanced magboots"
 	icon_state = "advmag0"
 	base_icon_state = "advmag"
-	slowdown_active = SHOES_SLOWDOWN // ZERO active slowdown
+	slowdown_active = parent_type::slowdown // ZERO active slowdown
 	resistance_flags = INDESTRUCTIBLE | LAVA_PROOF | FIRE_PROOF | ACID_PROOF
 
 /obj/item/clothing/shoes/magboots/syndie
diff --git a/code/modules/clothing/shoes/sneakers.dm b/code/modules/clothing/shoes/sneakers.dm
index cecd1417513a..1d68cefd2624 100644
--- a/code/modules/clothing/shoes/sneakers.dm
+++ b/code/modules/clothing/shoes/sneakers.dm
@@ -72,7 +72,7 @@
 /obj/item/clothing/shoes/sneakers/orange/attack_self(mob/user)
 	if (chained)
 		chained = FALSE
-		slowdown = SHOES_SLOWDOWN
+		slowdown = initial(slowdown)
 		new /obj/item/restraints/handcuffs( user.loc )
 		icon_state = initial(icon_state)
 	return
diff --git a/code/modules/clothing/shoes/wheelys.dm b/code/modules/clothing/shoes/wheelys.dm
index cf641fcb6ef2..eb6578a3992c 100644
--- a/code/modules/clothing/shoes/wheelys.dm
+++ b/code/modules/clothing/shoes/wheelys.dm
@@ -63,7 +63,7 @@
 	greyscale_colors = null
 	greyscale_config = null
 	worn_icon_state = "rollerskates"
-	slowdown = SHOES_SLOWDOWN+1
+	slowdown = parent_type::slowdown + 1 // Slower than normal
 	wheels = /obj/vehicle/ridden/scooter/skateboard/wheelys/rollerskates
 	custom_premium_price = PAYCHECK_EASY * 5
 	custom_price = PAYCHECK_EASY * 5
@@ -75,7 +75,7 @@
 	greyscale_colors = null
 	greyscale_config = null
 	worn_icon_state = "skishoes"
-	slowdown = SHOES_SLOWDOWN+1
+	slowdown = parent_type::slowdown + 1 // Slower than normal
 	wheels = /obj/vehicle/ridden/scooter/skateboard/wheelys/skishoes
 	custom_premium_price = PAYCHECK_EASY * 1.6
 	custom_price = PAYCHECK_EASY * 1.6
diff --git a/code/modules/mob/living/carbon/pain.dm b/code/modules/mob/living/carbon/pain.dm
index 88a961cf2133..1b49b5e86bd9 100644
--- a/code/modules/mob/living/carbon/pain.dm
+++ b/code/modules/mob/living/carbon/pain.dm
@@ -189,13 +189,13 @@
 
 					to_chat(src, result.create_tooltip("Pain is temporary, I will not die on this day! (Shock reduced)"))
 					shock_stage = max(shock_stage - 15, 0)
-					stats.set_cooldown("shrug_off_pain", 60 SECONDS)
+					stats.set_cooldown("shrug_off_pain", 180 SECONDS)
 					return
 
 				if(SUCCESS)
 					shock_stage = max(shock_stage - 5, 0)
 					to_chat(src, result.create_tooltip("Not here, not now. (Pain shrugged off)"))
-					stats.set_cooldown("shrug_off_pain", 30 SECONDS)
+					stats.set_cooldown("shrug_off_pain", 180 SECONDS)
 					return
 
 				if(FAILURE)
@@ -205,7 +205,7 @@
 				if(CRIT_FAILURE)
 					shock_stage = min(shock_stage + 1, SHOCK_MAXIMUM)
 					to_chat(src, result.create_tooltip("I'm going to die here. (Shock increased)"))
-					stats.set_cooldown("shrug_off_pain", 30 SECONDS)
+					stats.set_cooldown("shrug_off_pain", 60 SECONDS)
 					// Do not return
 
 		shock_stage = min(shock_stage + 1, SHOCK_MAXIMUM)
diff --git a/code/modules/mob/status_procs.dm b/code/modules/mob/status_procs.dm
index fd6b2ea1246b..636ac014af23 100644
--- a/code/modules/mob/status_procs.dm
+++ b/code/modules/mob/status_procs.dm
@@ -4,15 +4,21 @@
 * Set drowsyness of a mob to passed value
 */
 /mob/proc/set_drowsyness(amount)
+	. = drowsyness
 	drowsyness = max(amount, 0)
 
+	if(!!. != !!drowsyness)
+		if(drowsyness)
+			add_movespeed_modifier(/datum/movespeed_modifier/status_effect/drowsy)
+		else
+			remove_movespeed_modifier(/datum/movespeed_modifier/status_effect/drowsy)
 /**
  * Adds passed value to the drowsyness of a mob
  */
 /mob/proc/adjust_drowsyness(amount, up_to = INFINITY)
 	if(amount + drowsyness > up_to)
 		amount = max(up_to - drowsyness, 0)
-	drowsyness = max(drowsyness + amount, 0)
+	set_drowsyness(max(drowsyness + amount, 0))
 
 ///Blind a mobs eyes by amount
 /mob/proc/blind_eyes(amount)
diff --git a/code/modules/movespeed/modifiers/mobs.dm b/code/modules/movespeed/modifiers/mobs.dm
index ea94389740f5..595f7749de63 100644
--- a/code/modules/movespeed/modifiers/mobs.dm
+++ b/code/modules/movespeed/modifiers/mobs.dm
@@ -25,9 +25,11 @@
 
 /datum/movespeed_modifier/shock
 	slowdown = 3
+	blacklisted_movetypes = FLOATING
 
 /datum/movespeed_modifier/asystole
 	slowdown = 10
+	blacklisted_movetypes = FLOATING
 
 /datum/movespeed_modifier/equipment_speedmod
 	variable = TRUE
@@ -116,6 +118,7 @@
 /datum/movespeed_modifier/living_exhaustion
 	slowdown = STAMINA_EXHAUSTION_MOVESPEED_SLOWDOWN
 	flags = IGNORE_NOSLOW
+
 /datum/movespeed_modifier/carbon_crawling
 	slowdown = CRAWLING_ADD_SLOWDOWN
 	flags = IGNORE_NOSLOW
diff --git a/code/modules/movespeed/modifiers/status_effects.dm b/code/modules/movespeed/modifiers/status_effects.dm
index 0e3236442898..110d58c661c2 100644
--- a/code/modules/movespeed/modifiers/status_effects.dm
+++ b/code/modules/movespeed/modifiers/status_effects.dm
@@ -24,3 +24,10 @@
 
 /datum/movespeed_modifier/status_effect/disorient
 	slowdown = 1
+
+// technically not a status effect but like, close enough
+/datum/movespeed_modifier/status_effect/drowsy
+	slowdown = 4
+
+/datum/movespeed_modifier/status_effect/holdup
+	slowdown = 5
diff --git a/code/modules/reagents/chemistry/reagents/medicine_reagents.dm b/code/modules/reagents/chemistry/reagents/medicine_reagents.dm
index a4418a35d596..1dc406ea0798 100644
--- a/code/modules/reagents/chemistry/reagents/medicine_reagents.dm
+++ b/code/modules/reagents/chemistry/reagents/medicine_reagents.dm
@@ -56,7 +56,8 @@
 	C.silent = FALSE
 	C.remove_status_effect(/datum/status_effect/dizziness)
 	C.disgust = 0
-	C.drowsyness = 0
+	C.set_drowsyness(0)
+
 	// Remove all speech related status effects
 	for(var/effect in typesof(/datum/status_effect/speech))
 		C.remove_status_effect(effect)
diff --git a/code/modules/surgery/bodyparts/parts.dm b/code/modules/surgery/bodyparts/parts.dm
index 46d72be2c578..7056bb54d0e9 100644
--- a/code/modules/surgery/bodyparts/parts.dm
+++ b/code/modules/surgery/bodyparts/parts.dm
@@ -87,6 +87,8 @@
 
 	minimum_break_damage = 30
 
+	/// Used for inventory procs
+	var/hand_side
 	var/fingerprints = ""
 
 /obj/item/bodypart/arm/update_limb(dropping_limb, is_creating)
@@ -94,6 +96,42 @@
 	if(is_creating && owner?.has_dna())
 		fingerprints = md5(owner.dna.unique_identity)
 
+/obj/item/bodypart/arm/on_life(delta_time, times_fired, stam_heal)
+	. = ..()
+	// Splinted, exit
+	if(splint)
+		return
+
+	// Not broken or dislocated, exit
+	if(!(bodypart_flags & (BP_BROKEN_BONES|BP_DISLOCATED)))
+		return
+
+	var/obj/target_item
+	if(hand_side == LEFT_HANDS)
+		target_item = owner.get_item_for_held_index(1)
+	else
+		target_item = owner.get_item_for_held_index(2)
+
+	if(isnull(target_item) || !owner.canUnequipItem(target_item))
+		return
+
+	var/zone_name = parse_zone(aux_zone)
+
+	if(IS_ORGANIC_LIMB(src))
+		if(bodypart_flags & BP_NO_PAIN)
+			owner.visible_message(span_alert("<b>[owner]</b> drops what [owner.p_they()] [p_are()] holding in [owner.p_their()] [zone_name]."))
+			owner.dropItemToGround(target_item)
+			return
+
+		owner.apply_pain(30, src, "A sharp pain in your [plaintext_zone] forces you to drop your [target_item]!", TRUE, FALSE)
+		owner.dropItemToGround(target_item)
+		return . | BODYPART_LIFE_UPDATE_HEALTH_HUD
+
+	else
+		owner.visible_message(span_alert("<b>[owner]</b>'s [zone_name] malfunctions, dropping what [owner.p_they()] [p_are()] holding.."))
+		owner.dropItemToGround(target_item)
+		return
+
 /obj/item/bodypart/arm/left
 	name = "left arm"
 	desc = "Did you know that the word 'sinister' stems originally from the \
@@ -115,6 +153,8 @@
 	amputation_point = "left shoulder"
 	joint_name = "left elbow"
 
+	hand_side = LEFT_HANDS
+
 
 /obj/item/bodypart/arm/left/set_owner(new_owner)
 	. = ..()
@@ -199,6 +239,8 @@
 	amputation_point = "right shoulder"
 	joint_name = "right elbow"
 
+	hand_side = RIGHT_HANDS
+
 /obj/item/bodypart/arm/right/set_owner(new_owner)
 	. = ..()
 	if(. == FALSE)
diff --git a/code/modules/surgery/organs/heart.dm b/code/modules/surgery/organs/heart.dm
index d5bfec45b211..3825f40eb2d1 100644
--- a/code/modules/surgery/organs/heart.dm
+++ b/code/modules/surgery/organs/heart.dm
@@ -47,6 +47,7 @@
 		return
 
 	owner.med_hud_set_health()
+	update_movespeed()
 
 /obj/item/organ/heart/Remove(mob/living/carbon/heartless, special = 0)
 	..()
@@ -59,11 +60,22 @@
 	pulse = PULSE_NORM
 	update_appearance(UPDATE_ICON_STATE)
 	owner?.med_hud_set_health()
+	update_movespeed()
 
 /obj/item/organ/heart/proc/Stop()
 	pulse = PULSE_NONE
 	update_appearance(UPDATE_ICON_STATE)
 	owner?.med_hud_set_health()
+	update_movespeed()
+
+/obj/item/organ/heart/proc/update_movespeed()
+	if(isnull(owner))
+		return
+
+	if(is_working() || !owner.needs_organ(ORGAN_SLOT_HEART))
+		owner.remove_movespeed_modifier(/datum/movespeed_modifier/asystole)
+	else
+		owner.add_movespeed_modifier(/datum/movespeed_modifier/asystole)
 
 /obj/item/organ/heart/proc/stop_if_unowned()
 	if(!owner)
diff --git a/config/game_options.txt b/config/game_options.txt
index 78bb0d1d4733..c4db35696e05 100644
--- a/config/game_options.txt
+++ b/config/game_options.txt
@@ -30,9 +30,9 @@ COMMENDATION_PERCENT_POLL 0.05
 ## To speed things up make the number negative, to slow things down, make the number positive.
 
 ## These modify the run/walk speed of all mobs before the mob-specific modifiers are applied.
-RUN_DELAY 2.2
-WALK_DELAY 4
-SPRINT_DELAY 1.4
+RUN_DELAY 4
+WALK_DELAY 6
+SPRINT_DELAY 2
 
 ## The variables below affect the movement of specific mob types. THIS AFFECTS ALL SUBTYPES OF THE TYPE YOU CHOOSE!
 ## Entries completely override all subtypes. Later entries have precedence over earlier entries.