::Reads GV's comment::
::Goes off to make "Realistic Death", a mod which deletes your save game when you die::
Personally, I'm in the boat that I'd rather imagine those mechanics; I've played a few games from back in the day with vague attempts at stuff like that, and I just generally found it boring, personally. I think, for example, "The Thing" did it OK with it's whole you'll freeze outside, so stay in the warm, but it's not at all realistic, and in a game like Skyrim I think it would just get tedious. I'd rather see some minor penalty like "In cold Climates Movement Speed Reduce by 10%" or something, rather than attempts at "immersive" conditions.
(as an aside, I tried the hardcoe mode in NV, and found that tedious, too... That sort of game mode is just not for me, I guess, so my opinions might be slightly skewed )