A survivor isn't worth his weight in salt with drop nothing. There is a drop on death option you can set to nothing, but remember I will think much less of you if you go there. I noticed a delete all, I need to try that sometime, thats about as close as you get to dead is dead legit. Man that would suck, but at the same time it would make having 2nd string gear important and you wouldn't sell everything to traders you would horde more.
I'm only half kidding about those options. I mean, I would make a mod that does that and it would be fun for advanced players. I did enjoy the 30 wellness cap we had and the glory of nursing back to health was enjoyable for me. Like this was back when it was a lot harder to get your gear when you died, like a pack of dogs (dogs used to be so nasty) would stay there and you would get in a death loop thinking you could get your stuff and run.