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Sleeping in beds (or bed rolls in some cases) definitely heals hp. In hardcore mode, i am pretty sure you need a doc, stimpack or time to heal.
In hardcore mode you have food, h20, and sleeping values. You need to sleep, just like you need to eat or drink. However sleep doesn't heal you. For crippled limbs you need to use the doctor's bag or see a doctor. Stimpacks also might heal slightly damage to limbs.
Either OP is indenial and trolling.
https://fallout.fandom.com/wiki/Bed_(Fallout:_New_Vegas)#:~:text=Sleeping%20in%20an%20owned%20or,for%20two%20weeks%20equals%20death.
No way of avoiding silly people.
Edit:
Doing more google searches:
You can't sleep in owned beds. Killing the owners of the bed makes it unowned and you can sleep and heal after sleeping on their bed. It's not owned if they're dead.
And it's been that way since Fallout 3. Sleeping in any bed that isn't owned will fully heal you and regenerate your limb health.
https://www.youtube.com/watch?v=ab5GoI49JRI&ab_channel=tomatoanus
Edit 2: Also found this
https://taleoftwowastelands.com/viewtopic.php?t=8821
He probably as tales of two wasteland installed too and just not saying it to us. I don't wanna say smh since "enter the gungeon game" made me motion sick from playing it.
Yukichigai Unofficial Patch (YUP)
NVAC - New Vegas Anti Crash
NVTF - New Vegas Tick Fix
This is probably your problem, vortex is garbage and can't do archive invalidation properly.
I was unable to reproduce it with those three loaded. My guess is some strange unique glitch has effected you.
The mods he has have no loose asset files - AI isn't relevant. Vortex is fine for what he's currently doing.
It's worth trying to start a new save over reinstalling, see if that fixes it.