Just remove death!
You can go down to 1 hhp and be a useless piece of shit with a ton of wounds that debuff you.
Also make it so you can keep stacking wounds on 1 hhp players.
Reduce their movement speed to crawl if they have wounds that would take them below 1hhp.
On knock out 1hhp characters should only get the option to hearth home.
1 hhp characters should also lose the ability to do crime.
Engaging with wound healing mechanic is already far more punishing than any other mmo death penalty.
Obviously do this in a short world because some players will start malding otherwise.

