Zettai Zetsumei Toshi 3

Another sequel (albeit one that never left Japan), and another overhaul to the survival system. Instead of hydration or cold like in previous games, ZZT3 implements a “stress meter” which goes up as you encounter stressful stimuli. Seeing dead bodies, getting hit with water or fire, and falling down, among other things, will cause the little blue ST bar to increase. As it moves into your green HP bar your health deteriorates, so even if you alleviate stress by drinking water (thereby shrinking the blue bar), you’ll find your HP level also reduced and requiring either a save bench of medkit to restore. In addition, there’s also quite a bit of platforming now, requiring some (usually) fairly easy jumps.