Ho bros, how badly is this still broken? Can I play it and not risk death from internal bleeding?
No. The combat works OK, but everything around it (and there's a lot) is a mess.
This review covers some, but not all, of the issues pretty well. Here's another good one. And another.
It's important to note that the fundamental systems complained about in these reviews are not being changed with the patches. Even if all of the bugs were fixed, the underlying design (especially kingdom management, puzzles, exploration, and quests) are a tedious joyless chore. I don't have many complaints about character generation, leveling or combat, which is why I'm especially bitter about Kingmaker. This game had so much potential to be great. Imo Owlcat's ambitious design reached 10X beyond their abilities to implement it into a sensible and enjoyable game.
If I could completely cut out all kingdom management and quests I would play it like IWD2 and just murder hobo and level up, because the combat mechanics are very good. Unfortunately the encounter design, especially in the later chapters, is so frustrating that even if this were possible (it's not), it wouldn't be fun in the least.
Owlcat really wanted to do right with this game, they are not some corrupt cynical studio trying a cash grab on their fan base. Their heart was very much in the right place, but it's clear that they bit off way way way more than they could chew, and the player suffers for their incompetence and lack of experience, every step of the way.
a scrub like you couldnt finish iwd on easy.