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Also if your weight hits under 40 your char dies.
Regarding your question. Any activity will do, like tree chopping, doing mechanics etc, but fighting zeds is the best.
Whenever I get to clearing the neighbourhood i hit 2200 deficit pretty fast and have to eat cakes (if you can keep the eggs for cakes, this is the only ingredient i found hard to get). Quite often I have to resort to eating dog food and chips to get back into the positive.
Is it an instant death once a time is reached? Or will it start ticking your health away so you can recover via eating something right away?
I am only asking as I like to choose overweight/obese for free points, since I feel pretty confident in my stealth game. So I am always trying to burn off those calories to get rid of those traits. Is this still the most efficient method? (Was it ever even an efficient method?)
If not, what is the best strat to lose weight quickly?
The 3 or some days starving i cant recall much. It was in a very early stage of the game and my char might have died going under 40.
However if you start to die from starvation food does not help you.
I can reliably tell that one of my chars woke up one day under 40 (or was it 45?) weight. And from then on it started to sink down pretty slowly but steadily. Of course i started to stuff his face with food but did not help. (Now i no i should have eaten as much as i could, then drank a bottle of wine and sleep:D And rinse and repeat after i am back to safe health)
Sadly there is no good way to lose weight quickly. You would need to eat mostly vegetables and have your character do a lot of demanding physical labour. Like fighting or woodcutting. (Running does not really work.)
I actually always select underweight;)