Don't get me wrong guys, I'm not going to rage quit the game because it involves ew, pooping. Seriously, I work in a medical field. I've had to change diapers on paralyzed people before, it doesn't really freak me out. From a realism standpoint, I definitely understand the point. Like I said, in situations where society has broken down in real life, cholera specifically and being careful where people defecate has been a serious problem. Hell, I was at a weekend airsoft match once where a whole group of "special forces operators" got serious cases of the runs because they didn't clean their mess kits (though that was probably something less awful than cholera.) I really do like the disease spreading aspect of that, and it adds an extra degree of realism and tension to the game. Sure, you're thirsty, but is that water clean? However, like someone else said earlier, I don't think many gamers are really ready for this kind of mechanic. That's not a statement on OMG the children, they'll be corrupted! Immature players (regardless of age) of course already know everyone poops, that's kind of the problem. The issue is that, much like the "penis factor" it's only a matter of time until someone starts abusing it. All it would take would be a couple of youtube videos, before DayZ gets known as "That game where you can knock someone out and then poop on their immobile body while they watch, and the game won't even let you quit to avoid it!" A lot of people take that kind of thing seriously. It could generate a lot of negative press. Maybe some people will join because of reverse intent, but a lot of people will join specifically to troll. While I don't think it'd kill the game, keep in mind, Day Z is not some huge game like COD that can just shrug off criticism and keep chugging. While downloads of the mod have been seriously impressive, a major hit to sales or publicity at this point could do a lot of damage to the mod. I really love DayZ, and I love the direction the devs are taking it. A game that doesn't even pretend that you're special, and doesn't pull a single punch... it's really kind of refreshing when every single game out their leads you by the hand while telling you how much you're the uber special chosen one. I very, very much want this game to succeed. Hell, I think it could change the tone of gaming development for the better. Anyway, TL;DR, I think by changing the transmittable disease symptom to vomiting, you could save a lot of potential trouble without limiting the scope of the game.