German RPG where you spend as much time fighting off mosquitos as orcs. It's been some number of years since I played this one, but I remember it having a very good balance between ""realism"" and playability. There's stuff like illnesses, but those mechanics mainly exist to make the experience feel more like an adventure, rather than as some attempt to make a game where you blast orcs with fireballs realistic somehow. Would recommend trying.

I was convinced to try this game a long time ago by a little write-up by the lead writer for Age of Decadence http://www.irontowerstudio.com/forum/index.php/topic,2365.0.html I think I tried the sequel at some point but got soft-locked by a bug. I should probably go back and play the first game someday.