Exactly. I don't understand why the game does not do I better job representing lingering injuries throughout the season, that a player can attempt to play through multiple games with. Even Tecmo Super Bowl had player conditions in the 90's. Also, add a multiple simultaneous injuries system, so players can have more than one injury at a time, each affecting their various ratings for varied lengths of time.
As for helmet to helmet hits, concussions and suspensions in general, this is where the Madden devs give up too easy, IMO. If they really wanted to add the risk/reward realism of "breaking NFL rules", I think they could come up with creative ways to represent it, that would be acceptable to the NFL.
Helmet to helmet hits are almost always unintentional so they could just have them happen randomly during routine tackles, with an increased chance of occurring when using the hit stick. The increased odds of helmet to helmet contact using the hit stick would factor in a players tackle rating. Random HTH contact should be a personal foul penalty but no suspension and little chance of injury. While hit stick HTH contact should be a personal foul, suspension, potential game ejection and increased risk of injury with the greatest risk of serious injury being to the defender. Natural way to deter users from "head hunting" on defense.
Of course Madden would and should never add substance abuse, dwi etc, directly to the Madden. However, they could add a general "undisclosed" label to explain why a player is "out" but not due to injury, for the game or multiple games. Undisclosed can be interpreted to mean anything. 1 game "out" for "undisclosed" reasons could be interpreted as a player-coach/player-player conflict while multiple games could be interpreted as league imposed for player conduct.
This label could have the biggest chance of occurring with star players, highly paid players and/or highly rated rookie players throughout the league. Once displayed for the first time, it could potentially become a recurring issue with a player and be displayed in their player history.
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