I don’t know the formula Markus uses to determine injury proneness. The setting, though, is primarily used to keep a player from being over or under used by the AI. If Carty played 152 games in 1976, the, yes, for that season he’ll be an Iron Man. The next season, if he missed a good portion of the season IRL, he could be rated as more injury prone. The purpose is not to apply a label to someone’s whole career, but to keep a player’s ABs relatively close to their RL totals for a particular season.
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