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Survivor mode is extreme difficulty + no active pause + no savegame (just autosave if you exit the game).
But you do you, you may have your fun that way.
I didn't even know why Infirmaries are awesome and i left that City alone. I also played on Order. By the end of the game, I literally had a legit reason to use the Triage skill. A skill so bad that only complete incompitence requires it.
I also may have been having the generator on level 4 for most of the game, never bothered with flying hunters, never used wall drills, upgraded automatons and never upgraded peoples homes to houses until the end boss.
Awesome experience however. When you gone despotic for legit survival, been threaten to be thrown out, manage to back people down, only to get them just as angry again and then being at the complete mercy of the game timer. Never want to trade it away.
Only you is you.
Try and see for yourself :)