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Unfit, a 10 pointer, will hobble you slightly initially as you won't have endurance, so taking rests needs to be factored in after fights and training will cause sore muscles and reduced strength, however the negative effects are very regular in terms of when they show up, so it's quite easy to have a training schedule that sees ill affects arrive around the time you're holing up for the night.
Very Underweight, another 10 pointer, can be got rid of in 4 days by searching out and eating extremely high calorie foods any time your character is peckish, and eating to the max. Doing this in the early game when there are lots of fresh foods like milk, cheese and butter all over the place is not that hard with a bit of determination.
Thats true. Non smoker has infinite matches though. If you play out in the woods or on extreme difficulties, then smoking can cause issue. But in nearly all other games smoking is indeed a buff. Only maybe 1 or 2 games i played in my hours found smoking matches were competing with ability to light a BBQ, and this was on extreme insane difficulty. Though i could get matches from corpses, i couldn't always take the fight or have enough ammunition to take the fights. So i couldn't always loot or leave the LV checkpoint fenced area. On Insane population x4. Day 1 peak.
The smoking was issue there. Because the combat that had to be done in order to loot zoid matches and lighters, or loot zoid cigs, since you can't just loot anywhere with that number of population!