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The Deus Ex series handled "chrome" in much more detail and it was a central theme in the games. If you'd get chromed, you'd have to take an expensive drug for the rest of your life. People, who could afford it, started to replace their limbs with artificial ones since it was a status symbol. But should they lose their fancy jobs or the economy tanks, they wouldn't be able to afford the medication. Also, while being on the top and buying the latest augmentation, you'd feel great. But several years later your chrome would be outdated and if you can't afford the newest versions, you're screwed, since fancy jobs want only the best and anyway, you're a mess since you can't afford the meds.
The whole chrome thing reminds me of smart phones in our time. People walking around like zombies, staring obliviously in to their screens. I loathe it. And once some sort of more advanced version of google glass is released and your eyes are connected to the internet all the time, it will be hell. As someone not addicted to smart phones, you'd essentially not be able to relate to people living in this fantasy world.
As far as limbs replacement? No, unless a limb is damaged to the point where it can't recover, which shouldn't be a issue due to the bones and tendons upgrade. I don't see a need for external chrome myself, besides, based on the lore of this game, you'd only be able to safely go with so much chrome.
Literally wait for some more years and you can skip the whole metal cybernetics thing and jump straight to nanotech, no need for medication or limp-cutting.
However, I wouldn't cut down my arm to have it replaced, even by superior chrome.
not really all that much effort, i take a pill every evening, use a bloodtester similar to a diabetic every few days to make sure the value is where its supposed to be
only other difference is that i can now easily measure my pulse by listening for the clicking noises of the valve
main point: mechanical implants arent nearly as detrimental to your immunesystem than organ transplants from other humans, theres still limitations and issues, but your immunesystem doesnt suffer from it as all my pill does is slow down bloodclotting a bit so as not to have issues caused by the valve
also funfact: said medication uses the same active ingredient as (some) rat poison, just way less of it
The valve can move? And is your pulse that audible?
Some artificial valves can make detectable noises that are easier to hear than biological heart valves.