Your Vault Dweller will need to constantly eat, drink, and maintain a healthy way of living unless you want to be penalized with stat affecting perks. For those that don’t know, Survival Mode is essentially as real as living in a post-apocalyptic wasteland can get.
In a game that is normally not too challenging, this mode is for those looking for a bit more challenge out in the Commonwealth. Fallout 4’s Survival Mode is arguably one of the most grueling difficulty settings any modern RPG has implemented.