Very small changes to the world, not sure it's "worth" a fresh start, that being said... I enjoy playing "Hardcore" (if I die, I delete the character and the world).
Trying to get surtling cores with just 1 armor (beginner armor) from burial crypts is not a good idea: you don't get nearly as much FAT HP GAINS from early game foods.

I've already enjoyed the game on a casual play through, I'm enjoying it on a more cautious play through now.