I confess to trying to be a bit snarky. But as I mention to
@pemerton in the post above this one, it feels like every work of fiction (from movie to ttRPG) has some strings and unreality hiding in them. I wonder what makes it easy for each of us to ignore some of those strings, and to be aggravated by others.
Take crime-noir detective shows from back when. How many times can the hero be knocked out, seemingly with a concussion, without the villain ever going too far and killing them and without any long-term bad effects? Are there some readers/viewers/listeners who run across that a few times and then just can't because it seems silly? Are there others where it's just a genre trope and they go with it? Are hit points in some ttRPGs and meta-currency in other ttRPGs examples of things that some people are fine with ignoring and others aren't?