Types of Damage Being punched in the neck isn’t like being stabbed there.
To represent the difference between superficial injury and serious wounding, the ORE has two types of damage: Shock and Killing.

Shock damage rattles you and makes you uncomfortable, but unless you take lots of it repeatedly, it’s unlikely to leave you dead.
Killing damage is also what it sounds like.
 When a blow does both Killing and Shock damage, the Killing damage is applied first.

On your character sheet, there’s an outline of a human body with boxes over various limbs.
 There's a link here: http://imgur.com/a/kQ4vH
  These boxes represent how much damage you can take at that spot.
    When you take a point of Shock to a limb, you put a slash in one unmarked box (/).
      If you take a point of Killing damage to that limb, you put an X in an open box (X).

When there are no more open boxes, Shock damage to that location becomes Killing damage,
 which means you put a second slash in a shocked box to make an X. (/) + (\) = (X)

Once a limb is completely shocked, further Shock to that limb is taken as Killing damage.
 (Killing damage is applied normally—if a limb is completely shocked, Killing damage to that limb just replaces the / in a box with an X.)

  Example:
   Bob have taken 2 points of shock damage in the body,
    and now takes three lethal damage and three shock damage,
     he ends out with 3 points of killing damage,
      the 2 first replaces the initial shock damage, and the third killing damage applies an empty spot,
       he also have 3 new shock damage for a total of 6 boxes marked (X)(X)(X)(/)(/)(/)

Once a limb fills with Killing damage, any further damage to that limb goes into the torso.
 Furthermore, a limb filled with Killing damage cannot be used until some of the Killing damage gets healed.
 (The exception to this is the head location.  Once your head is filled with Killing damage, you’re dead.
  You also die if your torso fills with Killing damage.)
 Once your torso fills with Shock damage, you’re dazed.
  Dazed characters take a -1d penalty to all actions, on top of any other penalties.
   Once your head fills with Shock damage, you’re unconscious.