Yeah, you deal w/ visitors who are sick and they ask for meds, declining them impacts your misery, one of a handful of characteristics (illness, hunger, injury) you can't let hit 4 or the person dies/leaves/kills themselves/etc. A number of hard decisions like that, but lucky for us we didn't have meds so we could tell them bye without feeling as guilty about it, lol. There's a book with a ton of passages like a massive choose your own adventure in some cases, but it's a shitty 'choose how your people are going to die in war' really. One guy got caught in a mortar attack, a few bad decisions on the passages later and an apartment building fell on him. We then ran is a 2-person crew for a bit, but it was really tough, didn't hit any objectives, we were struggling to understand how to even get food and water, but even then with only two we could only scavenge so many items and with us scavenging nobody was defending from the raids that were stealing what food we could manage to find.
It was tough, can't wait to play it again.