Being able to starve = easily makes it 50,000x funner.
And maybe bogeymen get replaced with nocturnal millipedemen (2 legs, 998 weapon-wielding arms, carapace) to account for much of the other 50,000.
Although it's more likely it's something like an elaborate requisition system for asking towns to consider producing items so you could buy them, with the new items of paperwork, quill, ink reservoir, writing brush, seal wax and seal, and new half-implemented morality/bribing system for officials to go with this. Also, the ability to trip on tree roots to add to realism, where of course you can die or get paralyzed if very unlucky. joking, I know it's the actual cool stuff mentioned above