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I don't know. I'm beginning to think what OOTP does is generates an injury and the numbers, then scans the injury.txt file for a suitable injury and randomly selects one of those. If it can't find a suitable injury because it is less than career-ending and there are no injuries less than career-ending in the text file, it proceeds to ignore the injury. But that's just speculation on my part and I would prefer to have Markus tell us, and if he could possibly tell us how to get an All-Death injury.txt file to work.
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