No.
Only a coward would do that.
Item identification! It doesnât make sense that your character knows what everything is right from the start. Item identification should be based on skills:
All ammo is just called âbulletsâ until you increase your skill with the appropriate gun type. Also, you can load any bullet into any gun. Loading the wrong type will either damage your gun or you.
All car parts are more vaguely labeled until you raise mechanics. All engines are just âenginesâ, other internal parts are just called âthingiesâ and âdoodadsâ at low skill. The game doesnât tell you what exactly is wrong with a car until you raise your skill.
All wild plants are just âplantsâ. Poisonous herbs and edible herbs should be indistinguishable to a survivor without survival or cooking skill. Also, they all go into the same stack and when you eat them your survivor just picks one at random.
Make zombie bio-operators even more dangerous. In particular, have some wielding bionic claws or the monomolecular blade - giving them high cutting damage, and a more severe version of the feral predatorâs impale attack.
Survivor can only raise skills to âstarting value*4 +2â.
No more jacks-of-all-trades! Specialization, specialization everywhere!
If you know karate martial arts you can break a two by four into 2 two by twos. Or you could just use a wood saw if you donât know karate.
Nail clippers that remove the mutation long nails.
Deodorant that reduces scent spread.
Insane Asylum scenario: you start in an insane asylum filled with zombies that you need to escape from. But for added Fun, you also start off wearing a straitjacket that prevents you from using or picking up any items, and has maximum encumbrance on arms and torso. The only way to remove it is to let zombies attack you until itâs destroyed, but it has great protection, so thatâs easier said than done.
This is how Dead Space 2 should have started.
However of something is small enough and its on an elevated position say a desk then you can pick it up with your mouth, however use of said item was limited.
PERK IDEA:BLOODLUST-opposite of pacifist get more experience from direct combat however you get careless quite easily which makes blocking with weapons or armor a more rare occurrence.
Robot Apocalypse mode: more robots going crazy than usual. Roaming gun-bots wandering the earth. Less broken than broken cyborgs punching or stabbing anything in the way with great skill. Mine-hacks, smart (not smart at all) land mines thatâll chase the survivor. ROBO MOOSE!
After the Vaccutainer© incident, turn it on its heels, raise funds by advertising products in the game, Dark Cola is now Pepsi or Coke.
Barber shop location. You can get lots of scissors and razor blades.
At a certain point of - healthiness the playerâs clothes no longer (fit).
Add a Dual Fusion Blaster Arm CBM that replaces both arms.
Monofilament whips, extreme cutting damage, but every time you attack there is a chance based on your melee skill that it will slice one of your limbs off (including your head)
Search corpse action.
Instead of zombies magically becoming naked upon their first (well, second) death by dropping their loot, you now have to search their bodies first to see what items they hold. Butchering automatically searches the bodies.
That actually sounds like a really fun! idea.
This thing 
Donât we have the L-stick?