Recommend a Survival Game that is built around perma death (high stakes)...

Are there any (good?) survival games that are built around permadeath? Meaning, the game doesn't even give you the option to respawn.

I know many survival games have permadeath modes but I really think games that are built around high stakes just do it better...if that makes sense. The closest I can think of is Rust, which has respawns, but getting attacked in Rust feels unbelievably intense. Hoping there is a PvE survival game like that.

Curious to hear if there are any out there.