Utterly Mad

There is also the fact you have to balance your vitamin intake in the game.

At what point will 'realism' trump fun for them?

Seems like there's lots of "realism" left to put in. For example, we don't have to poop yet. Or cut our hair so zombahs can't grab us more easily. Or change our oil regularly (though we do need hoists to work on cars now). I wouldn't be surprised to see any of that in 0.D. I think The Almighty Granola Bar (given most of the other active devs are saying these are bad changes) is really just more interested in proving he can program all these mechanics rather than making a fun game these days.