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I think maybe I can answer this with a quote from Heinlein's Starship Troopers (page 63):

"If you wanted to teach a baby a lesson, would you cut its head off? Of course not. You'd paddle it. There can be circumstances when it's just as foolish to hit an enemy city with an H-bomb as it would be to spank a baby with an axe. War is not violence and killing, pure and simple; war is controlled violence, for a purpose. The purpose of war is to support your government's decisions by force. The purpose is never to kill the enemy just to be killing him...but to make him do what you want to do. Not killing...but controlled and purposeful violence. But it's not your business or mine to decide the purpose of the control. It's never a soldier's business to decide when or where or how—or why—he fights; that belongs to the statesmen and the generals. The statesmen decide why and how much; the generals take it from there and tell us where and when and how. We supply the violence; other people—'older and wiser heads,' as they say—supply the control. Which is as it should be."

Also, as above, it wouldn't be grimdark enough if nobody ever got hit with a chainsword.

KamikazeCanuck wrote:"oh and I almost forgot one breath of air now causes instantaneous death by lung cancer."

I think this is already true on many forge worlds anyway.