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The Thorium Mod adds several new enemies to the Blood Moon event, and the ability to manually start the event with the Blood Moon Medallion. The various new drops are useful for the player early in the game, and the Unholy Shards that drop in the event are essential for the Healer class.

During the Blood Moon, Patch Werk, a Mini Boss, has a chance to spawn. His appearance and defeat is necessary for the Confused Zombie to move in to an available house, and thus it is necessary for the player to complete a Blood Moon event at least once.

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