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@valtmy Oh boy… Sounds like my characters… Last year I ended up googling all sorts of odd things about drowning/helping a drowning person and through it all learned that it is illegal to get a fish drunk in Ohio.

So… My response is I agree with @ashira and @i-david , the temperature would be an easy fix, or hitting their head could be a good way too. Or another option would be if there was something in the water, like a contamination or something, and a way for your character to get cut, thus getting an infection.

The sea water idea… it could work possibly, but I’d just say do some research of the surrounding area and something about medicine in that era. How strong is your character/is it a guy or girl? Potentially the strength of your character, how long the fight the water/how they are treated afterwards could have something to do with being sick. If the character is utterly exhausted by the time he/she is rescued, is stuck in the rain or whatever for several hours, that could do it if the character was weak already. Or if they passed out in the water… A couple of things that people have done before has been shaking a person upside-down to get the water out, or pounding their backs to make them cough, maybe they don’t get much water in them, but passing out in the water and all… I’m still not very knowledgeable with drowning and am just thinking aloud pretty much…