Pedestrian accident damages often reach catastrophic levels given severe injuries from vehicle impacts on unprotected bodies. Medical expenses typically involve trauma centers, multiple surgeries, extended rehabilitation, and lifetime care for permanent injuries. Lost wages calculate complete disability common in pedestrian strikes plus reduced capacity for those returning to modified work. Future earning capacity losses particularly impact younger victims facing decades without income. Pain and suffering multipliers increase given traumatic nature of being struck by vehicles. Permanent disability compensation addresses mobility limitations, cognitive deficits, and chronic pain. Disfigurement from road rash, surgical scars, and facial injuries warrants separate compensation. Home modifications for wheelchair accessibility represent major expenses for paralyzed victims. Attendant care costs for assistance with daily activities create ongoing financial burdens. Psychological counseling for PTSD and adjustment disorders continues for years. Loss of enjoyment recognizes inability to walk, exercise, or participate in previous activities. Family impacts include loss of consortium and caregiver stress. Punitive damages may apply for drunk driving or extreme speeding in pedestrian zones. Understanding damage potential ensures adequate compensation for life-altering pedestrian injuries.