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There is a LOD Falloutprefs.ini tweak that will fix that.
fMeshLODLevel2FadeDist=4000.0000
fMeshLODLevel1FadeDist=8000.0000
_______________________________________________________________
"I'm playing Fallout 4 on Survival mode and my character never gets thirsty (even if I use chems or stimpacks), never gets hungry, and can't rent a bed from an inn. I can still consume items or go through the dialogue to rent a bed at an inn, but the food/chems don't affect my hunger or thirst, and the inn doesn't subtract any caps or allow me to use the bed. "
This makes me think that your playing with Mods that are out of date. Its possible to do since this game has gotten well so many patches since release and those can upset older mods, that dont get updates right soo...
Suggestion, write down on a sheet of paper the name of each mod that effects
Survival,
Hunger,
Thrist,
Aid Items, Food Items, Water Items,
Write down the name of your save mod,
Go find them on the sites you downloaded from and read up the comments try to find out if others have issues and why.
Myself I dont have an issue with Survival Mode, Im playing it for a long time now without issue.
Have all the DLC,
I'm using
"Survival Options"
Vlads Sorting
DEF_UI
Raider Overhaul
Super Mutant Overhaul
See through Scopes
Vault Tec Acceleratted Focus System
Some Tweak Mods
No Companion Fall Damage
NPC's use grenades
No vanilla radiant quests in DLC areas
Vertibird Flight Fix
Also a whole bunch more stuff but its mostly Settlement stuff to make it cool to play with in game.