Not sure how sneaking came into this but uh, ok.
Survival isn't just for Hardcore though. Survival determines how much food heals you, and also determines if you can acquire certain perks. You can also use it to craft some very useful things as I've pointed out.
Also maybe I missed it in the changelog of a new patch or something but when I played the mod in November the doctor didn't really do anything in Union City and I found a singular campfire but it was just a prop.
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