Playing PC, never had anything like that happen to me.
And the guy is complaining about things that were in Fallout 3's PC version as well as NV.
Hardcore mode isn't like he describes, you can only go without sleep for like 2 days before it starts having negative effects, and you'll need water and food long before that. You also can't just chug food and stims down in a fight, the timers they run on don't stack up and you will get gunned down.
Dehydration also comes dynamically depending on how long you're in the wasteland.
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