Awesome to hear! Thanks so much for answering the questions, looking forward to seeing this mod grow

Great questions.
Medical: Only intended to work with ace medical right now.
Ace Cargo: No duplication regarding ace cargo, but ace cargo states are not saved either. So the boxes are saved under the map.

Solutions:
Medical: I will add vanilla support. Idk what ACM is, but if it has a single simple function like ace for saving and loading states, I will add support.
Cargo: I already had a solution planned for adding ACE Cargo support. I need to just implement it.

Expect these updates to roll out in 2-4 weeks as life is busy.

Cool! Always glad to see more effort on Persistence mods.
How compatible is this with ACE?
If it's compatible, does this persist the player's ACE/ACM Medical states? Any issues with ACE Cargo loading/unloading or duplication?

Thnx