Blunt force trauma gives blood clots and also causes toxicity from dying cells. Healthy ppl usually survive this if it's not in the head, covering over a 3rd of their body or doesn't crush their femur or cause a boney bit to sever and artery or puncture a lung.
It's plenty lethal, just not sometimes immediately so.
That said people will beat the shit out of eachother and strike head, neck, callors, kidneys eyes and shit with batons, staffs, and poles lol.
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