Come on, it's a sim for crying out loud.
What we need is injury generator.
So in hardcore mode, which everyone will use of course, if you crash or get shot etc. you are awarded a task.
And not purely random of course.
So a botched landing: throw yourself off a flight of stairs.
Or if you get shot: jump off a motorcycle at high speed.
After submitting a vid of the result you get a medal and a key to play again.