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burntrap:
Emaciated takes away all 5 starting strength, and 2 fitness levels. (a bit too much for those points imo)
While morbidly obese takes all 5 fitness. for the same 13 points which sounds balanced to me, even for SOTO which i play with.
I personally increased the emaciated trait to 16 points
(SOTO gives you 10 for severely underweight and 6 for obese)