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You can lose weight very easily, I lost 31kg in like 3 minutes. Just consume spoiled food/water until you have the highest level of stomach issues, make sure to reset your sanity in between and keep a stomach medicine ready
Yes, the cat can make you fat. There is a great guide someone put together here:
https://steamcommunity.com/app/2139460/discussions/0/6256146068604370926/