People erase holes into their character sheets from keeping track of them.
For... decades now, I have always played RPGs with scratch paper at hand for keeping notes about current state. The character sheet is for long-term stuff for me.
It's possible that a damage save and condition track system involves as much bookkeeping, but you can have damage saves without condition tracks.
Condition track systems have roughly the same level of bookkeeping - any time you get hurt, you have to change some notation of what your condition is - I've seen it done with markers, rather than pencil, but it remains that tracking a number that goes up and down is not fundamentally more or less difficult than tracking a condition that tracks up, down, or side-to-side.
The point is that, as bookkeeping hit points may be repetitive, but they are simple - add or subtract, and when you reach zero you are in trouble, and that's it. Condition tracks generally have some effects from the damage - so every time you get hit it's like someone case a de-buffng spell, and you have to keep track of those modifiers, as well as your position on the track
Unless your damage is digital (alive or dead, and nothing in between), you have to track the effects of damage somehow, somewhere.
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