I've found a bug using Realistic Fatigue and http://www.gamesas.com/bgsforums/index.php?showtopic=1074534&st=0&start=0 together.
The Combat Archery mod has a feature that makes the player slow down when walking backwards. This is done by affecting the players speed attribute on the fly. When you move forward your speed is normal again.
However when you stumble (Realistic Fatigue feature) the speed attribute doens't get restored, but it remains at your backward running speed (or mostly slightly faster).
If I heal at the chappel, my speed returns to normal again.
I removed the Realistic fatigue stumble feature (using the .ini) and this fixed the problem.
Duke Patrick's Combat Archery mod also has a falling/stumbling while moving backwards function so it's not realy a problem to me.
I also want to report that NPC's fall over a lot and don't come back up in a fight. I noticed this with NPC's added by the Bartholm mod.
RF does not modify attributes at all, so the problem is probably inside the Archery mod failing to restore speed when a character stumbles... possibly because that mod assumes that it's the only thing that causes stumbles. I would report it to Duke...
There are other backwards running mods that do not have this problem, in particular http://www.tesnexus.com/downloads/file.php?id=10901 works by forcing walk mode after 1/3 of a second, and doesn't modify the speed attribute.
Note that the RF stumble affects all actors, whereas Duke's probably only affects the player. Disabling RF's stumble and using Dukes probably means that the player is at a slight disadvantage compared to other actors.
The NPC's falling over and not getting back up is not RF's stumble feature... it will be the fatigue drains for low health and high encumbrance feature. These NPCs are probably badly wounded and/or encumbered and thus cannot stand. This feature can be tweaked by adjusting the healthDrainGain and encumbDrainGain settings in RealisticFatigue.ini. The default settings are tuned so that actors will collapse exhausted just before they die. Unfortunately once they collapse like this they are stuck there until you kill, heal, or loot them.
There are some features I'm considering adding that will help improve this;
1) A slow health regen and low health bleed-out feature.... This means actors that collapse mostly because of high encumbrance will slowly heal and eventually get back up, and actors that collapse mostly because of low health will bleed-out and die. Actors marked as essential will trigger the normal essential actor recovery mechanism and will get backup about 10secs after they die.
2) A drop equipment feature. Actors under threat that are collapsed because of low health and high encumbrance will start to drop equipment so they can stand again. They will drop their heaviest non-equipped items first, then their equipped armor, then their equipped weapon.