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[Zargen]

So one of my dwarves just got gored in the lung by a zombie mammoth. Long story short mammoths dead, dwarves in the barracks in bed with a mangled lung. but only one of them. Will he live or should I put him out of his misery?

[Skorpion]

He'll live, but it'll be a life of pain, misery, and passing out every half hour. Just call him 'wheezy' and wait.

[Zargen]

The tricky part was getting him off the tusk. Now it's just a waiting game.

[martinuzz]

If he levels up enough, despite passing out frequently, to get better toughness stats, he'll eventually stop passing out.

[Albedo]

Long story short mammoths dead,

Always was, technically.

He'll be useless for a long time, but might recover - as mentioned above, much depends on his Toughness.  Social skill experience might be faster (about the only thing they can do).  If you're short on manpower, set them up as your book keeper. (Once at highest accuracy, it's trivial to maintain. And if the "office" is a chair in the dining/meeting hall, they have no distance to travel between off-job and on-job.)

Me, I have less of a cold, absolutely pragmatic attitude and more a humanistic dwarvenistic view - no casual euthanasia, every dwarf is important. That's not a very "gamer" approach, but it's a minor challenge I like to adopt.

If he never recovers, consider adding him to your justice system - he'll never catch those accused.

[dogstile]

pump operator, social skills, bookkeeper, if he is legendary in all of these skills his toughness stat should stop him from passing out

[Skorpion]

Milling. It just sorta happens on automatic, and you can give him his own quern. Pretty much the easiest skill to legendary up if you have a backlog of plants.
I did that myself to get a specific dorf to legendary because he saved the obsidian farm and a few dwarves after a screwup. Building, operating, and tearing down the pumps to stop the magma flow and neutralise the water while the miners slacked off.

[Lord Dakoth]

I read somewhere on the Wiki that a dwarf can survive a collapsed lung. He might eventually stop passing out.

If not, just adopt him as your fort's mascot.

[Satarus]

I had a sucession fort that was much the same.  One guy kept walking around with a mangled lung after he recovered from his other injuries.  After some toughness boosts after working through the backlog of turtle shells he was fine.  I think he would still become winded from time to time, but that is nothing to worry about as long as he isn't fighting.