With hunger off, if PC eats they can never get rid of satiated or bloated
This makes the game harder than playing with hunger on, but score is reduced
I think hunger is annoying and I turned it off. But now in r 51 you can never lose satiated/bloated status.
I think if hunger is turned off, you should still go from bloated to satiated to normal over time, just don't let it drop below that. Like it is characters can't eat corpses that give good effects , so the game is harder, but the score is less.