if players stand still they can be fed by other players. this includes mushrooms that lower your sanity. Wormwood can also unlock a skill that lets him make what is basicly a hyper potent laxative that he can feed to pigmen or beefalo to get a lot of poop to use as fertilizer
The character Wanda ages at a very accelerated rate and will evetualy die if you don't use her clocks to reverse it. however the process is still incredibly slow and is very easily avoided
Wanda suffers from a condition that ages her rapidly (one year every 40 seconds in game) and has to use a magic watch to stop her from dying of old age
not a real or usual chronic illness but it is pretty similar
You can fall asleep if hit by a sleep dart or attacked by gestalts while your "enlightenment" meter is high. If you drown the screen will go black briefly and you will wake up on shore.
There is a creature called a "grass gator", however it does not look or act like an alligator other than having a long snout and being green. It looks and acts like the in-game creature "beefalo".
It's a survival game, and hunting or trapping animals is one method of obtaining food. Even if you try to avoid killing animals, some of them will attack each other (and some of them will attack you).
There are some friendly or neutral creatures which can die (Glommer, domesticated Beefalo, Chester), though generally they respawn. There are also pets which follow the player around and can't die.
The Ewecus (a giant sheep that looks like a gross grandma) can shot snot balls at the player that restrains them for a little while (your character is show visibly detested at the situation)
Wormwood (a walking humanoid plant) can make living logs by growing them and choping them off in exchange for health
WX-78 (a robot) has an idle animation where one of his arms falls off but they quickly reattach it
Woodie a lumberjack has a talking axe wife named Lucy. but can also use the Shadow Maul (also talking axe(but this time made of shadows)). the SM has exclusive dialog when used by Woodie that sounds very homewrecker like
however Woodie does lose sanity every time he uses the axe implying he realy does not want to cheat
The Ewecus (a giant sheep that looks like a gross grandma) can spit snot balls at the player that restrains them for a little while (your character is show visibly destrested at the situation)
When your sanity is low you will hallucinate eyes in the darkness as well as "shadow creatures". Once your sanity is low enough these creatures will become "real" and start attacking you.
There are many repetitive ambient noises such as bird chirping, campfires crackling, footsteps, and spiders hissing. There is an eating noise however it is not that graphic and very short. Audio can be turned down/off in the settings and it won't effect gameplay in any major way.
Characters can comment on almost every item in the game and occasionally break the fourth wall, saying things such as "must be game logic" or "It's a rock, what do you not get?". This is not a major theme in the game.