My current character is doing very well surviving.
Machetes and katanas are OP. Machetes even moreso than katanas, because machetes can be repaired.
Pro-tip: do not open tin cans with a katana (using a mod that allows blades to be used as tin openers). At least I think that's how I got the deep cut that needed suturing.
When this character inevitably dies, I thought up a challenge run to try out.
Gollum challenge. You can only eat raw, whole fish (safe to eat but big unhappiness hit). Start with the illiterate trait (no happiness from books). Wear the first gold ring you find and never take it off. Starting with fisherman trade or trait is allowed, because you can't read.
Unhappiness will not kill you though. It will just slow down your actions. I don't think CDs and VHS give happiness bonus, only boredom reduction. Antidepressants and alcohol are probably the only two things that can increase happiness.
(https://i.imgur.com/Yp3jbBz.png)