I think you're putting excessive emphasis on a single skill for no particularly good reason- And I though the same about Sexy T-rex.
It's(sexy rex) not as necessary as people were convinced it was- I almost never took sexy trex and manged quite well in A20 and earlier (and by 'almost never' I mean I only took it when I was specializing in strength, and in particular on the sledgehammer because dear god it uses SO much stamina.).
And I haven't taken iron gut in A21 either, and never had any particular issues- Even down at 50% loot.
Being below 100% food/thirst is not the end of the world. Just because you have a stam regen debuff doesn't mean you suddenly can't do anything either. Even the guy in the other thread who was down at 6 max stamina and thought he was just waiting for his death discovered it's not game over right away- The situation was salvagable without taking a death, even if it would have been a pain to do so.
IMO, You don't actua...
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