~ A masochistic hero, moments before suffering a heart attack. ~ A paranoid hero, suffering a Heart Attack. ~ A fearful hero, moments before a Heart Attack. ~ An afflicted hero moments before suffering a heart attack. There is one different bark for each Affliction, in addition to one general bark that any Afflicted hero may use. Heroes suffering a Heart Attack emit a unique bark right before it occurs. Virtuous Heroes in this game mode will experience heart attacks normally like non-Virtuous ones, but will never lose their Virtue at 200 Stress.

Heart attacks are similarly lethal, and are the end point of a Stress-focused team. If a hero is brought back from Death's Door after suffering a heart attack, in addition to the Death's Door Recovery debuff, they will receive a unique Heart Attack Recovery debuff that cannot be removed by any means other than ending the quest: If your hero is currently Virtuous, they will not suffer a Heart attack, and instead lose the Virtue and reset to 0 Stress. If they are already at 0 health when the heart attack occurs, the heart attack will kill the hero instead, disregarding Death Blow resistance. Heart attacks immediately drop a hero's Health down to 0, placing that hero on Death's Door and reduce their stress to 170. Heart attacks are guaranteed to occur if your hero reaches the maximum value of 200 on their Stress Bar while Afflicted.

Darkest dungeon virtue sound