The beginning of Act 1 I find no issue if you're smart about where you're going, though that's maybe meta gaming. Even so, I would prefer different campaign difficulties that all have toggles.

That makes it so you can't go below a challenge treshold in say, food consumption. But, people who aren't loot goblins aren't forced to pick up everything, either. For the sake of realism, I also wouldn't mind a forced "food decays" option in honour mode.