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Overexertion pain is a real thing and I can confirm it was able to keep me awake when i use to get it bad, you eventually fall asleep because you are just that tired ... but it does take longer.
IIRC zomboid copies this, if you over do it, you won't be able to sleep till you bit 'very tired+'
It hit me as well some times, but I never had trouble sleeping. But that is a me thing, I always can sleep within 5min of closing my eyes at night.
That said, take some painkillers before sleep, or make sure that when it gets you, you are already sleeping. Quite realistic if I have to say so.
Or take pills.
But not both at the same time.