Bingo
Ultra rare0.3%ObjectiveOptionalPreviously-glitched
Experience the effects of bleeding, sleep, hunger, alcohol, radiation and psi. Doesn't sound pretty.
Note you don't have to experience them all at the same time!
Also sleep (or rather, lack of...) is the hardest to get - so focus on this and avoid sleeping at all.
Was glitched until patch 1.1, released 19th Dec 2024.