Some aspects of pilot health should certainly be incorporated into the game.
Oxygen deprivation deserves as much of a place as gee-effects. It would add a lot to gameplay too. Visual impairment such as an almost drunken, wandering gaze or spots in front of the eyes would fit well with the onset of hypoxia. Turning up your oxygen flow to Emergency while in combat to get a slight edge in clarity of view while under gee loads would also be a logical feature. As would the consequences of a damaged or depleted oxygen supply.
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