Multiple bugs present that need to be fixed in base PK.
1.) High adrenaline has a typo giving it 0.5 stamina regen instead of 0.05, it’s clearly obvious that a one-pointer with a side effect should not give twice as much stamina regen as a two-pointer (strong lungs) completely dedicated to the effect.
2.) Strong/robust lungs cancel GILLS and GILLS_CEPH but not vice versa. This is a bug.
3.) PKs regional_settings need to be converted into overlay form, like this. Otherwise it will create incompatibility with more buildings (or any mod that adds regional overlays) if that is loaded before PK (more buildings adds overlay to base regional settings which then get replaced by PK, causing daycares etc… not to spawn). You’re also missing multiple default entries because of this like candy shop, skate park, pavilion etc…
4.) Normally any player loading alternative map key after PK will have screwed monster densities due to changes in overmap_terrain, changes you have omitted completely. Nuking everything you’re too lazy to fix is not the way to go.
And finally, it’s absurd to advertise this as fixed PK when you remove one of the the most important (and time consuming) parts of PK rebalance (overmap rebalancing) as well as custom new content like police hubs etc (it’s still fine to nuke megastore by road if you absolutely have to for example), not to mention features like acid rain. All of these changes should be in a PATCHMOD or TWEAKMOD loaded at the very end, where each tweak is in a named folder where the player can nuke tweaks he doesn’t like. You could also include things like alternative map key compatibility in here.
The way it’s built currently is no different from player having to fix PK rebalance by himself, which is what I’d actually recommend to anyone wanting to play PK rebalance over this current implementation.