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No, the game won't take real life usage into account when deciding injuries in OOTP.
If a player in OOTP hurts, say, his elbow, he has a greater chance of hurting his elbow again in the future. Usage in OOTP will come into effect for pitchers with pitch counts. I don't know if it does for large inning jumps when converting relievers to starters or other such things.
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Former Co-Commish and owner of the Boston Red Sox, 1783-1144, .609%, of the defunct Overlords Baseball League (1930-48). 17 Division wins, 9 ALCS wins, 5 World Series wins.
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