"VITALS" - A Paintball contest where only hits to the back, chest or head count as eliminations. Hits to the legs, arms or shoulders do not count. Often played with VitalsGear which shows the vital organs on the game and tournament shirts, tank tops and protective brain caps. There is even a crazy accessory called a "Punji Plate" that is sometimes used to enhance the realism of the Vitals contest and really pump the adrenalin.
Paintballer's who crave the rush of combat realism play "vitals" because they know in real combat only a hit to a vital organ would really matter anyway.