In middle school I had a friend who would get nosebleeds fairly often. I don’t remember exactly why nor how, but we somehow got into an argument with this really religious kid who was a little shit. So like the next day he felt a nosebleed coming and ran over to the kid and said “Hail Satan” and exhaled hard to make a ton of blood come out. Well the kid fainted and my friend got detention for the day
A kind of similar thing has been floating around for decades now. Combining something like Farming Sim with Euro Truck Sim and with flight sim to create an all-in-one logistics simulator