Unfair

Your character will suffer double damage from enemies and traps. Enemies will have significantly increased power and will enjoy the usual chances of inflicting critical hits. Your character will die upon suffering a deadly injury. If your main character dies, the game is over. If a companion dies, you can resurrect them with Raise Dead or a similar spell – an extremely expensive service unavailable to most adventurers. Choosing this difficulty is NOT RECOMMENDED for the players not familiar with the Pathfinder system, as well as Pathfinder: Kingmaker battle system, and those who are not willing to suffer. The enemies will not forgive any mistakes made during combats, and your characters' builds must be no less than perfect.