The sure fire thing to do is to go to an isolated hilltop, take some peyote and sit down for three days and make firm and binding emotional committment to whichever realism settings you want to adere to.
Then come down, reintegrate into society, open up gameplaysettings.cfg in the config folder, and manually change them under [Easy] and then copy & paste them into every difficult level after. So that the settings are exactly as you want them, for every difficulty level.
Save, and then copy this file into your Documents\SH5\ folder.
It's a raz but it will do until it's patched.
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