
For this reason, it is viable, recommended even, to pair Hand-to-hand with a weapon skill. Once an opponent is unconscious, it is almost always more effective to switch to a weapon in order to deal actual damage, only briefly switching back to fists when the opponent tries to get up again.
This skill is most useful for disabling opponents more so than damaging them, as the damage for fists is extremely low compared to using weapons. Obviously, this will deliver a large degree of added damage allowing you to effectively drown your opponents using Hand-to-hand. When fighting a land-based opponent in the ocean or in a shallow pool of standing water, rendering them unconscious will subsequently cause them to start drowning, as they will be out of breath and will become submersed. Enemies rendered immobile by Damage Strength will still try in vain to run towards you, resulting in rapid fatigue loss and making them easier to knock out. Effects such as Absorb Fatigue and Damage Fatigue speed up the process of lowering an opponent's fatigue in a Hand-to-hand fight, as can Burden and Damage Strength. When your target is paralyzed, your Hand-to-hand attacks damage your target's health, rather than their fatigue. When in the form of a werewolf from the Bloodmoon expansion, your Hand-to-hand attacks damage your target's health, rather than their fatigue. Beast races will use Hand-to-hand differently they use a different stance and scratch with their claws instead of punching (similar to what werewolves do) but they will still damage fatigue. At high levels, Hand-to-hand is very powerful against single, isolated opponents, as even the strongest single enemies will be continuously stagger-locked with no ability to respond when punched repeatedly. If the punch that reduces a foe's fatigue to 0 is in the back they will be knocked out longer. Knocking an NPC unconscious is sometimes a viable alternative for many quests which would otherwise involve killing. Your fists are not a normal weapon, and will do full damage to undead and werewolves. Only the Quarra Clan vampires include Hand-to-hand as one of their favored skills. The following books will increase your Hand-to-hand skill: See Hand-to-hand Trainers for the complete list. The only other notable trainer is Caius Cosades at his house in Balmora (up to 70). The Master Trainer of Hand-to-hand is Taren Omothan at Holamayan Monastery. The following classes have Hand-to-hand as a Minor skill: The following classes have Hand-to-hand as a Major skill:
The following races receive bonuses to their Hand-to-hand skill: