So, I've mentioned before (featured as a response in the Milton Mailbag) the very tiring and frankly idiotic seeming nuisance of randomly cracking an ankle or wrist (or both) when nothing seems to actually trigger it. In the response, the person replying said there are very few instances where a sprained ankle or wrist will happen without some visible cause, such as a struggle or a fall. Well, let me now add 12 screen shots taken in a single story mode (most in the same day) session of Ol' Mac the drug addict spraining something when there wasn't an actual fall or a struggle involved. BY THE WAY I survived ALL of the freaking bear struggles without spraining a god damn thing and only suffering torn clothes AND THEN not twenty feet from the old trappers house I SPRAINED AN ANKLE WHILE WALKING UP A HILL. Tell me how this mechanic works again?
I again suggest that if you're going to have these random acts of violence against a character, please feel free to add an animation of the character falling flat on the ground, like they tripped over something hidden under the snow and that being the cause of the sprained wrist, ankle, or both. Otherwise it just seems like you are randomly breaking something for the sake of randomly breaking something and it doesn't matter what or why it happened just deal with it, player. Because, who needs actual realism huh?
My other complaint is your drug use policy in the game, and another suggestion... if I sprain both a wrist and ankle, taking a single dose of pain relievers will solve both problems. As some one that is disabled and somewhat dependent on the stuff to resolve my own pain issues, I should know. what you REALLY need to do is allow the pain relievers to dull the pain for a time and the pain relief wears off, wash, rinse, repeat, until you can get to someplace where you can actually sleep to recover the items. And then add an actual risk of pain reliever dependency to the mix, taking it too many times to stave off the pain from the sprains leads to a warning that you need to lay off of them for a while (more than 48 hrs) or risk dependency, and if you hit the dependency stage, you either have to take them like daily or you have to swear off of them for several days. Have a withdrawal condition consequence as well as stamina and so forth. Maybe if you've taken too many pain pills in the day gradually get the weird echoes and the same visual effects as when you're severely hurt and about to die. Mistake a wolf for a deer type thing until it's attacking. There are all sorts of things you can do to make this sort of thing hazardous, up to and including the character just up and deciding, regardless of where they are, to just lay down and go to sleep right there. If it's outside, then death from exposure or an animal attack, if indoors then a 50/50 chance of never waking up again. Of course, an antidote to this could be breaking up a piece of coal and eating it.
Another suggestion: The old man's beard dressing should actually be both bandage and antiseptic. Or, you should be able to combine both the old man's beard dressing (or the actual antiseptic) and a bandage to apply all at once, thus saving a step with proper preparation.
I still believe that having sprained your wrist, you should not be allowed to do anything with it, no rifle, no flare pistol, no axe, no gutting, nothing until you've properly healed it. This is a very relevant thing, you are aiming for a somewhat realistic experience, so it should be more realistic.
In this specific image, I sprained my WRIST but not my ankle. I mean, seriously.