You know, it is just a game.
It's not meant to be a hardcore, realistic, survival simulator.
Nobody would have even started playing RPGs if D&D was "realistic", (with all that xenophobia, bigotry, religious persecution, disease, famine, warfare, primitive medicine, primitive science, fear of the unknown, fear of travellers, fear of loners, indentured servitude, unhealthy living conditions, even less healthy work conditions etc. etc. of the "real" medieval European world - no chance the real world of that time will let people game out their own personal empowerment fantasies)
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