I didn't play it, but when I watched some videos of adventure mode (yeah I know, that's missing ALL of it, but the simulation is the same, yes?) on youtube I couldn't help but notice silly things like breaking bones and "bruising the brain" by throwing snow at things, or that dude who killed a bunch of wolves by repeatedly throwing a dead wolf. I am sure there is a lot of simulation going on, but how realistic is it?
The simulation is pretty wonky, yes. There's quite a gap between things that are somewhat reasonably simulated and things which are... not. Throwing is pretty OP though.
Also try dropping a thousand socks on someone. Its hilarious.