Permanent death is meaningless with reload. Early on people reload when things go wrong. Later on people cast Ressurect or pay whatever it costs at a temple if they don't feel like reloading. Plus there are bodybag items now so it won't be a lot of work picking up tons of stuff, maybe only distributing weight.
When permanent death really matters, like when it's so high level that people that matter get Incinerated or chunked past -10 hp you'll almost certainly see people reloading.
It's meaningless with reload.