Been taking a break and catching up with other things and just thought I would see what the extreme damage setting were like now.
The listening post encounter was more aggressive and depending on what kind of gear you were equipped with the struggle could go from just winning to having to go slow and carefully. All seemed fine to me; but I have console command created gear.
The flexibility of how a player wants to tune the elements that pressure survival are nice to have. Personally I am not interested in so much struggle, so that I can create and consume meds to insta-cure it, because that's just what I would do. So, I just set the damage options to extreme for a quick run setup the way presented in the video and to me it was a fun run with respect to the more aggressive hostile AI.
I have been looking at other games now; but if you want a solo space game with good FPS, this one has been fun for me and the video is a sample of me having what I call fun.