diff --git a/app/services/bulk_upload/lettings/year2022/row_parser.rb b/app/services/bulk_upload/lettings/year2022/row_parser.rb
index 61604b54d..5051283aa 100644
--- a/app/services/bulk_upload/lettings/year2022/row_parser.rb
+++ b/app/services/bulk_upload/lettings/year2022/row_parser.rb
@@ -342,6 +342,7 @@ class BulkUpload::Lettings::Year2022::RowParser
   validate :validate_no_and_dont_know_disabled_needs_conjunction, on: :after_log
   validate :validate_no_housing_needs_questions_answered, on: :after_log
   validate :validate_reasonable_preference_homeless, on: :after_log
+  validate :validate_condition_effects, on: :after_log
   validate :validate_if_log_already_exists, on: :after_log, if: -> { FeatureToggle.bulk_upload_duplicate_log_check_enabled? }
 
   validate :validate_owning_org_data_given, on: :after_log
@@ -689,6 +690,21 @@ private
     end
   end
 
+  def validate_condition_effects
+    if household_no_illness?
+      illness_option_fields = [field_119, field_120, field_121, field_122, field_123, field_124, field_125, field_126, field_127, field_128]
+      illness_option_fields.each do |field|
+        if field == 1
+          errors.add(field, I18n.t("validations.household.condition_effects.no_choices"))
+        end
+      end
+    end
+  end
+
+  def household_no_illness?
+    field_118 != 1
+  end
+
   def validate_lettings_type_matches_bulk_upload
     if [1, 3, 5, 7, 9, 11].include?(field_1) && !bulk_upload.general_needs?
       errors.add(:field_1, I18n.t("validations.setup.lettype.supported_housing_mismatch"))
diff --git a/app/services/bulk_upload/lettings/year2023/row_parser.rb b/app/services/bulk_upload/lettings/year2023/row_parser.rb
index 92ff7d93b..74e81f2d0 100644
--- a/app/services/bulk_upload/lettings/year2023/row_parser.rb
+++ b/app/services/bulk_upload/lettings/year2023/row_parser.rb
@@ -624,6 +624,21 @@ private
     end
   end
 
+  def validate_condition_effects
+    if household_no_illness?
+      illness_option_fields = [field_98, field_92, field_95, field_90, field_91, field_93, field_94, field_97, field_96, field_99]
+      illness_option_fields.each do |field|
+        if field == 1
+          errors.add(field, I18n.t("validations.household.condition_effects.no_choices"))
+        end
+      end
+    end
+  end
+
+  def household_no_illness?
+    field_89 != 1
+  end
+
   def validate_lettings_type_matches_bulk_upload
     if [1, 3, 5, 7, 9, 11].include?(field_5) && !general_needs?
       errors.add(:field_5, I18n.t("validations.setup.lettype.supported_housing_mismatch"))