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Good to know, this explains a lot... i miss my fingers
coward is a trait I take often because it seems to have no palpable effect.
Imo accuracy only affects guns, but the distance seems to be the most important, with panic affecting it only slightly.
And you cannot be exhausted to death, either. You can go months without sleep, even though your awareness goes to hell, there are no other negative effects for your character. For now.