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As for dying in one shot, while possible, it shouldn't happen every time, or even be common. Going unconscious from one hit wouldn't be that unusual though, but that can happen with any weapon. But all of that is going to be dependent on your ACE Medical settings, and is beyond the scope of this mod. The only thing this mod does is add new types of wounds. So instead of getting bruises for example, you get thermal burns. Instead of avulsions, you get Explosive Hemorrhages.