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There's no respawn, but because the AI numbers are not ridiculous, and AIS medical is forgiving, with multiple human players, should be easy to medium difficulty.
A lot of detail went into this. And, at least in my single-player LAN server test, the FPS never dropped. Your mileage may vary when, for instance, you have people connecting to the same server thousands of kilometers apart, each loading large modsets.
Very much recommended for friend groups who like narrative cooperative missions.
It's great to hear you still enjoy them! Thank you for the kind words!