Hey Chris. The community actually has put together a mod/fanpatch, that tries to reduce RNG and rebalance some aspects of the mod. you can find it on the official Discord server. The coin tosses are still in the mod, so it may still have too much RNG for your taste.
An itch.io page was put up for it: https://mask.itch.io/fear-hunger-rebalance
If there is still too much RNG for you, please let us know. There's been talking about reducing enemy dodge chance and upping accuracy even further.