True, but... Unlike in DH, SAN accumulation is easily reversible (up to a point) in COC and going by the published materials, is not much more frequent than it is in DH. So if you feel like characters aren't doomed in DH you shouldn't feel like they're doomed in CoC.
- Sorry for the tangent.
SAN loss is much more frequent in CoC, at least in my experience (admittedly, it depends on how you play it),
Combat is much more lethal in CoC.