One last difference is no respawn closets so either you wait for the next map, or you get defibbed This means that survivors have to keep a careful eye out for any useful supplies, and to always look over their shoulder to check on their team mates. One of the biggest differences from campaign is the lack of glowing outlines.Realism can't be accessed in Left 4 Dead as it is an exclusive mode for Left 4 Dead 2 It can be activated on any difficulty level and changes gameplay to become, like the name suggests, more realistic, or in the developers' words, like in the movies. Realism is meant for people who play frequently together online.The key differences are: -You cannot respawn until the next chapter once you're dead (unless you use a defib) -Headshots = one hit kill. Realism mode is a bit different from the regular campaign.That said, it's not recommended for those who aren't very familiar with the base game Teammates need to work together and communicate and a more cautious playstyle is rewarded. Left 4 Dead 2's Realism mode isn't intended to be a mega-tough setting only the most skilled can handle, but it's a mode that pushes players to try new methods.what is the difference between realism/campaign online. Home L4D2 Realism mode differences what is the difference between realism/campaign online