Well, not all systems aim for realism. D&D already has dragons and magic, they're going for heroic, not realistic. Check out legendary heroes like Achilles, Hercules and King Arthur, how many foes did they slay without taking fatal wounds?
I don't try to justify it, I just roll with it.
Unisystem for me, though, abstract yet realistic health system. One or two shots can put you down, but there are no tables and equations for calculating the size of every single exit hole.
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