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The server still works, but the biggest issues are the lack of pre-existing players. And the reletively small map size with fast travel.
Vehicles are super fast. In a few seconds you can go coast to coast.
Starting the game is rather slow if anything its because of the delay/tiredness in finding resources and understanding where to find the resources. There's just no way you'll reliably fight anything when you first get out.
Some issues that could happen are alt characters, just move all new characters to some town, unload all the items into the merchants and then you've got lots of stuff, balance isn't really ruined this way IMO due to the lack of high tier items on merchants. of whom restock very often.
There might be a band or two of players, but if you're looking for PVP this server might not meet your demands. Crafting could do with some craftable containers. I would recommend the makers if they're still developing the game to check out the other Fonlines out there to see what they have that this one doesn't, and then I would recommend the map get expanded, or for travel speed to decrease significantly
Things I found to be interesting:
The radio you get upon revival, contact friends?
The dialogue when you eat or drink stuff.
My biggest suggestions would be:
Add meat to the drops of animals, Make brahmins more common, and to make certain regions have certain resources instead of allowing everyone the chance to get every resource in one square. This would lead to players moving about more to get more resources.
I can confirm that this mod conflicts with some aspect of the Restoration mod. A few maps won't load, namely the Den and Broken Hills.
The weapons aren't really that balanced. Though I suppose guns aren't supposed to be.