Nuclear warfare
Types of nuclear warfare: Nuclear warfare scenarios are usually divided into two groups, each with different effects and potentially fought with different types of nuclear armaments.
The first, a limited nuclear war (sometimes attack or exchange), refers to the controlled use of nuclear weapons, whereby the implicit threat exists that a nation can still escalate their use of nuclear weapons. For example, using a small number of nuclear weapons against strictly military targets could be escalated through increasing the number of weapons used, or escalated through the selection of different targets. Limited attacks are thought to be a more credible response against attacks that do not justify all-out  retaliation, such as an enemy's limited use of nuclear weapons.
The second, a full-scale nuclear war, could consist of large numbers of nuclear weapons used in an attack aimed at an entire country, including military, economic, and civilian targets. Such an attack would almost certainly destroy the entire economic, social, and military infrastructure of the target nation, and would likely have a devastating effect on Earth's biosphere.
Some Cold War strategists such as Henry Kissinger argued that a limited nuclear war could be possible between two heavily armed superpowers (such as the United States and the Soviet Union). Some predict, however, that a limited war could potentially "escalate" into a full-scale nuclear war. Others have called limited nuclear war "global nuclear holocaust in slow motion", arguing that—once such a war took place—others would be sure to follow over a period of decades, effectively rendering the planet uninhabitable in the same way that a "full-scale nuclear war" between superpowers would, only taking a much longer (and arguably more agonizing) path to the same result.
Even the most optimistic predictions of the effects of a major nuclear exchange foresee the death of many millions of victims within a very short period of time. Such predictions usually include the breakdown of institutions, government, professional and commercial, vital to the continuation of civilization. The resulting loss of vital affordances (food, water and electricity production and distribution, medical and information services, etc.) would account for millions more deaths. More pessimistic predictions argue that a full-scale nuclear war could potentially bring about the human extinction, or at least its near extinction, with only a relatively small number of survivors (mainly in remote areas) and a reduced quality of life and life expectancy for centuries afterward. However, such predictions, assuming total war with nuclear arsenals at Cold War highs, have not been without criticism. Such a horrific catastrophe as global nuclear warfare would almost certainly cause permanent damage to most complex life on the planet, its ecosystems, and the global climate.
A study presented at the annual meeting of the American Geophysical Union in December 2006 asserted that a small-scale regional nuclear war could produce as many direct fatalities as all of World War II and disrupt the global climate for a decade or more. In a regional nuclear conflict scenario in which two opposing nations in the subtropics each used 50 Hiroshima-sized nuclear weapons (c. 15 kiloton each) on major population centers, the researchers predicted fatalities ranging from 2.6 million to 16.7 million per country. The authors of the study estimated that as much as five million tons of soot could be released, producing a cooling of several degrees over large areas of North America and Eurasia (including most of the grain-growing regions). The cooling would last for years and could be "catastrophic", according to the researchers.
Either a limited or full-scale nuclear exchange could occur during an accidental nuclear war, in which the use of nuclear weapons is triggered unintentionally. Postulated triggers for this scenario have included malfunctioning early warning devices and/or targeting computers, deliberate malfeasance by rogue military commanders, consequences of an accidental straying of warplanes into enemy airspace, reactions to unannounced missile tests during tense diplomatic periods, reactions to military exercises, mistranslated or miscommunicated messages, and others.
A number of these scenarios actually occurred during the Cold War, though none resulted in the use of nuclear weapons. Many such scenarios have been depicted in popular culture, such as in the 1959 film On the Beach, the 1962 novel Fail-Safe, the 1964 film Dr. Strangelove or: How I Learned to Stop Worrying and Love the Bomb, the 1983 film WarGames, and the 1984 film Threads.

Sub-strategic use: The above examples envisage nuclear warfare at a strategic level, i.e., total war. However, nuclear powers have the ability to undertake more limited engagements.
"Sub-strategic use" includes the use of either "low-yield" tactical nuclear weapons, or of variable yield strategic nuclear weapons in a very limited role, as compared to exchanges of larger-yield strategic nuclear weapons over major population centers. This was described by the UK Parliamentary Defence Select Committee as "the launch of one or a limited number of missiles against an adversary as a means of conveying a political message, warning or demonstration of resolve". It is believed that all current nuclear weapons states possess tactical nuclear weapons, with the exception of the United Kingdom, which decommissioned its tactical warheads in 1998. However, the UK does possess scalable-yield strategic warheads, and this technology tends to blur the difference between "strategic", "sub-strategic", and "tactical" use or weapons. American, French and British nuclear submarines are believed to carry at least some missiles with dial-a-yield warheads for this purpose, potentially allowing a strike as low as one kiloton (or less) against a single target. Only the People's Republic of China and the Republic of India have declarative, unqualified, unconditional "no first use" nuclear weapons policies. India and Pakistan maintain only a credible minimum deterrence.
Commodore Tim Hare, former Director of Nuclear Policy at the British Ministry of Defence, has described "sub-strategic use" as offering the Government "an extra option in the escalatory process before it goes for an all-out strategic strike which would deliver unacceptable damage". However, this sub-strategic capacity has been criticized as potentially increasing the "acceptability" of using nuclear weapons. Combined with the trend in the reduction in the worldwide nuclear arsenal as of 2007 is the warhead miniaturization and modernization of the remaining strategic weapons that is presently occurring in all the declared nuclear weapon states, into more "usable" configurations. The Stockholm International Peace Research Institute suggests that this is creating a culture where use of these weapons is more acceptable and therefore is increasing the risk of war, as these modern weapons do not possess the same psychological deterrent value as the large Cold-War era, multi-megaton warheads.
In many ways, this present change in the balance of terror can be seen as the complete embracement of the switch from the 1950s Eisenhower doctrine of "massive retaliation" to one of "flexible response", which has been growing in importance in the US nuclear war fighting plan/SIOP every decade since.
For example, the United States adopted a policy in 1996 of allowing the targeting of its nuclear weapons at non-state actors ("terrorists") armed with weapons of mass destruction.
Another dimension to the tactical use of nuclear weapons is that of such weapons deployed at sea for use against surface and submarine vessels. Until 1992, vessels of the United States Navy (and their aircraft) deployed various such weapons as bombs, rockets (guided and unguided), torpedoes, and depth charges. Such tactical naval nuclear weapons were considered more acceptable to use early in a conflict because there would be few civilian casualties. It was feared by many planners that such use would probably quickly have escalated into a large-scale nuclear war. This situation was particularly exacerbated by the fact that such weapons at sea were not constrained by the safeguards provided by the Permissive Action Link attached to U.S. Air Force and Army nuclear weapons. It is unknown if the navies of the other nuclear powers yet today deploy tactical nuclear weapons at sea.
The 2018 US Nuclear Posture Review emphasised the need for the US to have sub-strategic nuclear weapons as additional layers for its nuclear deterrence.

Nuclear terrorism: Nuclear terrorism by non-state organizations or actors (even individuals) is a largely unknown and understudied factor in nuclear deterrence thinking, as states possessing nuclear weapons are susceptible to retaliation in kind, while sub- or trans-state actors may be less so. The collapse of the Soviet Union has given rise to the possibility that former Soviet nuclear weapons might become available on the black market (so-called 'loose nukes').
A number of other concerns have been expressed about the security of nuclear weapons in newer nuclear powers with relatively less stable governments, such as Pakistan, but in each case, the fears have been addressed to some extent by statements and evidence provided by those nations, as well as cooperative programs between nations. Worry remains, however, in many circles that a relative decrease in the security of nuclear weapons has emerged in recent years, and that terrorists or others may attempt to exert control over (or use) nuclear weapons, militarily applicable technology, or nuclear materials and fuel.
Another possible nuclear terrorism threat are devices designed to disperse radioactive materials over a large area using conventional explosives, called dirty bombs. The detonation of a "dirty bomb" would not cause a nuclear explosion, nor would it release enough radiation to kill or injure a large number of people. However, it could cause severe disruption and require potentially very costly decontamination procedures and increased spending on security measures.
Radioactive materials can also be used for targeted assassinations. For example, the poisoning of Alexander Litvinenko was described by medical professionals, as "an ominous landmark: the beginning of an era of nuclear terrorism."