Hunger meter

[MasterworkStone]

Now you have to eat every few minutes to keep living, if you run out you begin slowly starving to death, healing items are half as effective while starving.

[dddmemaybe]

For optional things like this, another game I've been enjoying, Factorio has sliders for optional mechanics. Perhaps under optional settings when choosing things like Difficulty and Exp System, you could have a checkbox with a slider for playing for "Hunger Realism" for example. The slider would be for how long it takes to need food and go to "stage 1 hungriness". Imo it should be about 30 minutes of gameplay at standard resting position of slider. Just more than the food buff lasts and enough time to reasonably keep up with it at the start.

[A_Clever_Monocle]

Fun fact: jhon the beautiful is actually the player charicter of a vetran player that knows all the ins and outs of core city from when the devs instututed a prototype hunger system

[Picard]

+1 to all, boy.
I like  a survival system , hunger , sleep and more 

[mephisto]

maybe this curse of a feature can be added in the Hard difficulty, with Dominating having the most needs you have to keep track of.
or make it a choice, like when we choose the Exp type.