I am curious if it would be possible to implement certain events that have a long (eg in-game week/months) runtime.
I was thinking:
(after reading a Hardcore Injuries suggestion) Broken bones and appropriate heal times
More challenging/complex NPCs, eg you don’t suddenly become their best friend from doing one or two quests, but you actually have to build up to it - also assigning quests to NPC’s, eg ask them to run to the closest grocery store and pick up some food, ect
Family creation: if you find a (appropriately gendered) NPC who you have build up a good reputation with, you can build a relationship and eventually create a child, hampering stats and speed progressively over the course of nine (or so) in-game months, so you have someone to care for and supply food/water for, with the associated morale buffs for fathering/mothering a child and debilitating morale penalties for losing said child. I think that this would add an interesting and challenging longer term aim to the game.
On the topic of NPC’s, I think that fixing the autopickup aspect is important (i.e. NPC’s don’t pick up any and all items near them, only player-defined (or inbuilt i guess) ‘useful’ items, like food, water, drugs, weapons, ect.).
Anyway, enough of that. Those are just some features I would be interested to see implemented into the game but are probably entirely unrealistic as of now. Oh well.