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The Perk only counts Survivors who are not you, so if you're alone, it's useless.
Pharmacy IS nice, but you don't need to be fast. But then again, an Emergency Med-Kit is NOT bad loot at all.
AITH works fine for me, even got an insta-heal 2-3 times. (And 1-2 of those were after they made them more Rare.) To me, equipping that with PI is a no-brainer.
Franklin's Demise all day long. For cocky survivors at gate.
It's a decent alternative to Plunderer's Instinct if yo know where the chests usually spawn and only want one specific item and types of addons for it.
What does that have to do with the post ?
OP, I usually just run plunderer's + Up the ante...That's all you need for good items (Plus luck offering if you want). Pharmacy is an overkill, The speed increase is not worth it.