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- Enemies have much more HP and deal more damage
- More mutant spawns (armys, virginia, cowman)
- More fire throwing cannibals
- Faster projectlies from fire throwing cannibals
- Cannibals have 50% more fire resistance
- Mutants have 35% more fire resistance
- Enemies have 2x knockdown resistance
- Non-static land animal and fish spawn rate reduced by 44%
- Animals run faster
- Fish respawn rate increased to 5 days
- Drinking dirty water damage increased 20x
- Dirty water hydration reduced by 50%
- Player takes 2x fire damage
- The player gets cold 3x faster.
- Player takes 3x cold damage.
- The player takes 3x longer to warm.
- Healing over time from meds/herb mixes x10 slower
- Inventory doesn't pause the game (single player)
Hard Survival
- All of the Hard mode values
- Further reduced animal and fish spawn rate and respawn rates
- Slower herb respawns
- Less suitcase spawns
- Increased dehydration from dried meats x4
- Decrease hydration from berries 50%
- Increased cold damage and stamina drain
- Increased damage from dirty water, poisonous and spoiled foods.
- Increased chance to become sick or infected
- Sickness and infection effects increased from 10% to 25%
(unfortunatly the exact values were not mentioned for many HMS changes)