What line are you thinking along Ddnwolf?
High altitude wise, i'd think high intensity activities (ie combat or even maintenance) would leave people gasping for air quicker. So maybe fatigue kicks in sooner (if anyone uses that rule).
If your thinking along the lines of snow, white fatigues are better than the normal woodland camp. Also, movement in snow would be harder and slower. Lack of appropriate clothing might lead to exposure.
I'd like to think that being in a different setting might lead to a wider variety of skills being used. Mountainering maybe? Or more navigation checks?
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