As it is, dying ingame can only happen two ways.
You get murdered by another player, or you take a leech bath and let them kill you.
Starvation is so slow that only a retard could ever die from it, since it will take a newbie 5 hours from starting hhp to die from it.
What we need is to make the game far more hostile, to give that wilderness and roguelike experience so many people crave.
In the new map reset, add in dehydration along with making starvation far more lethal.
Bears, and boars should kill you if you fail to kill them or escape.
I don't think foxes should be allowed to do that just yet because there are a million of them.
If rivers are ever added to terrain features, make part of the river have so much current that you can lose footing and it can drag you down the river smashing you into rocks or throwing you onto the side of it far from your intended location.
Make swamps have crocodiles in them, that you can see if they are chilling on the side, or you can't see if they are underwater waiting for the unwary adventurer.
Throw in your own ideas to make the game more of a hostile wilderness survival experience, or why it shouldn't. I know goons and b12 dwarves will probobly endorse making the game into more of a hostile experience where its more hostile in a wilderness survival, and oops I did a bad thing; than a player run griefing, murdering, and stealing clownshoes experience.