If you need to sound like a trained Starfleet engineer at some point during a scene, roll a D20 for each column to determine what task needs to be completed and with what tool. If a result doesn’t fit your needs, either ignore it or reroll as desired.
Treknobabble Generator
D20 Action Descriptor Source Effect Device
1 (re)initialize multiphasic thermal gravitic discriminator
2 (re)calibrate auxiliary nadion magnatomic collector
3 (de)magnetize duotronic baryon flux dampener
4 reset tertiary plasma annular intercooler
5 modify phased gravimetric ionic relay
6 overhaul secondary quantum displacement coil
7 synchronize emergency chroniton frequency (re)sequencer
8 (re)configure composite verteron conversion manifold
9 (de)scramble isolinear polaron inertial injector
10 (dis)assemble macroscopic particle valence coupling
11 decontaminate multivector interphase holographic accelerator
12 amplify auxiliary photonic field receiver
13 convert modular tachyon distortion stabilizer
14 (re)focus thermionic subspace harmonic conduit
15 (de)saturate primary neutrino (a)synchronous compensator
16 (de/re)couple master filament static capacitor
17 boost adjunct coolant gradient dynoscanner
18 nullify microscopic fluctuation phase array
19 invert complementary resonance wave subprocessor
20 (de/re)construct cyclic tetryon beam emitter
Medical-babble
Over the course of the many Star Trek series and files, there have been a variety of odd, sometimes unique, medical conditions. These conditions were caused by many different things, both exotic and mundane, and the treatments and cures were likewise diverse. If you find yourself in need of an illness, cause, or form of treatment, roll a d20 four times, once for each column. Feel free to adjust the results as appropriate for your campaign.
Medical-babble Generator
D20 Illness/Injury Cause Primary Treatment Secondary Treament
1 Genetic unspooling Exposure to trilithium isotope neural caliper Mind-meld
2 Body is rapidly shrinking Possessed by alien intelligence Klingon nerve gas Omicron radiation
3 Dermal ossification Chroniton radiation delta radiation Trellium-D derivative
4 Multiple personalities Transporter accident/malfunction neural pathway induction Delta-wave inducer
5 Accidental clone Exposure to dikironium dermal regenerator Genetic recombination
6 Accelerated aging Psychoactive plant pollen pyrithian bat droppings Tetryon radiation
7 Random organ involuntarily harvested Dark matter nebula beta radiation Lexorin
8 Suddenly grows gills God-like alien vascular regeneration therapy Anabolic protoplaser
9 Radiation burns Strange energies decompression chamber Enzymatic induction
10 Possessed by an alien intelligence Telepathic contact gone wrong trianaline Ultraviolet radiation
11 Hemoglobin begins to break down rapidly Accidental visit to antimatter universe neutrino bombardment Cordrazine
12 Catalepsy Genetic manipulation surgical Transplant Neural stimulator
13 Split into two beings, one good and one evil Exposure to antitime transporter pattern buffer Morphogenic enzyme analysis
14 Rapidly aging in reverse Subspace anomaly dermaline Positron bombardment
15 Coolant poisoning Exotic microorganism sigma radiation Kelotane
16 Body is rapidly enlarging Exotic stellar radiation cerebral micro-section Isotropic restraint
17 Protomorphic genetic expression Aggressive plant spores physiostimulator Hematic microrepair treatment
18 Skeleton transforming into different material Organ-legging pirates serotonin Ethorin pulse
19 Neural pattern breakdown Exposure to time crystals hyperonic radiation Adrenaline
20 Loss of emotional control Unexpected side effect of alien medication biogenic compound therapy Myelin regenerator