The developer of the mod wanted to create a useful option that blended well with the features already in the game. It does make the gameplay a tad bit more difficult, though, so do take that into account when you're installing the modification. The Realistic Needs and Diseases overhaul is useful for those seeking further immersion from the fantasy world. These are the ten best: Realistic Needs and Diseases
Certain at-home developers out there have worked for countless numbers of hours to implement total overhauls for the game. Of course, being an Elder Scrolls game, mods make everything ten times better.