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I will upload a new B42 version and leave this one unchanged for B41/MP folks.
Cryogenic winter modifies the minimum and maximum temperatures to make every day insanely cold - it doesn't change how the base game treats hypothermia (which will cause your hp to slowly decrease to 1, but will never kill you). This mod simply adds damage to your character based on how low their body temperature is.
KYR Real Weather is another alternative to Cryogenic Winter - you can tweak minimum and maximum temperatures to your liking in order to get a challenge that still feels fairly realistic.
The idea is to rename this mod and have it include a total of 3 submods: Hypothermia Kills DE (current version), “Heat Stroke Kills: Definitive Edition” and “Advanced Thermoregulation and Thirst”
Heat Stroke Kills will add a very similar system as Hypothermia Kills, except for hyerthermia/heat stroke.
Advanced Thermoregulation and Thirst will improve the realism of how weather, sunshine, character weight, alcohol consumption, and various other factors influence body temperature and thirst gain (I don’t understand why your character can get completely TRASHED on bourbon and it doesn’t dehydrate you)
Everything will be customizable in the sandbox settings and modular (so you don’t even have to load the other submods if you don’t want them).
It will also, of course, be save-game safe.
I updated the “Compatibility and Installation” section of the description so it’s more clear.
I already started a save with the original and I'm 30 days in, didn't wanted to restart, but I really wanna use this one.
Setting debug mode to 80C and standing around in firefighter gear, I only went through 30 units of water in 24 hours (3 bottles of water). That definitely should be increased. Currently the heat-related moodles seem to have negligible effect on thirst rate increase.
Ambient temperature, daylight strength (influenced by cloud cover and day of the year), elevated body temperature, and body heat generation should all influence thirst more than they currently do.
I could also add some additional damage based on the sunstruck and hyperthermic moodles.
I don't have time this week but I'll see what I could cook up this weekend.
Using the default settings of this mod, which are "tough" but perfectly realistic, you have about 3-6 hours
At 0C/32F, assuming no wind or precipitation, a naked character will die in about 5-6 hours.
At -10C, with max blizzard and precipitation, they will die in 3-4 hours.
The way the game's body temperature system works, your character doesn't get the hypothermic moodle until their body temperature is below 25C. In real life, people start to lose consciousness once their body temperature drops below 28C. However since the game's body temperature simulation isn't exactly perfect, it doesn't make sense to make the character pass out at 28C.
I could add a "Hardcore" damage scaling option where it's something like Damage Received = (Baseline Temperature - Current Body Temperature) * 2, if this mod is still too easy :)