Damage modifiers for enemy and the player (i.e. no bullet sponges)

While the from the given gameplay it's hard to extrapolate how damage to player/enemies could be adjusted within the options, it would be great if there was a deadly combat option. 

Not the make enemies bullet sponges kind, like seen in many games. But similar to this here mod for New Vegas: https://www.nexusmods.com/newvegas/mods/35335/

Everyone dies easy. Combat is done in seconds, compared to minutes. Every mistake is punished. And the frontier will claim another damned soul.