Try STALKER: Lost Alpha DC v1.4007.
First of all, it's free. Second, one head shot will kill as will getting shot in critical areas. Don't ask how it works. All I know is I was at the receiving end. Sometimes, I'm reloading a save game because I didn't know what hit me. Your character can also bleed slowly to death, die from radiation poisoning, die from thirst and hunger. Before your character dies, it will stagger and have blurry vision for a while. Same thing happens if you drink too much vodka or too much lack of sleep.
Taking a look around a corner can get you killed easily. You can take a peek around a corner by leaning your head only to minimize your target signature.
Wounded NPCs and mutants limp when wounded. But, they can sometimes heal themselves just like you can. If you want em dead, double-check. If they're really dead, you can loot em. If not? Time to put another bullet.
https://www.moddb.com/mods/lost-alpha/downloads
Edit:
I forgot to add there is also weight management. So, be mindful of what you bring with you. Also..... flashlights require batteries. Guns wear out, resulting in gun jams and a trip to the tech for repairs. Same goes for whatever you're wearing. It too may require repairs.
There are some areas with poison gas that will kill you in an instant if you don't have a gas mask.
The one sci-fi material in the game is electronic emissions that can fry your brain (see the middle of my signature) aka Brain Scorcher. You'll need specialized head gear to counter its effects.
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