Thank you all for your comments.
My previous message may have caused some misunderstandings since I'm not a native English speaker. When I mentioned 'starting to play Doom,' I meant that I'm playing with self-imposed challenges, such as no companions, no stealth, or no potions. I have around 100-ish hour of playtime in this game, and I enjoy playing it in very challenging ways.
I recently noticed that regardless of my build, I always end up relying too heavily on SUR stats. Therefore, I'm trying to play without investing any points in Survival to increase the challenge. The game has become extremely difficult, exactly as I hoped for, and I just curious to know if anyone has found ways to successfully play without putting any points into Survival at all.
Thanks again for all the answers!
I will try rebirthing into an Abom and attempt this challenge again.
but TBH though, I don't like Abomination as much as Moot because I'm too lazy to deal with the sickly/sick status effects.