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Well, it's unlikely that the setting will be (if there is one) based on the real world. However, even so, I think you can come up with a few interesting features.
Whatever
New here? I'm Roha — want a quick tour?
Well, I also hope that Revan won't create an expansion based on current times, but rather set it in the future or a fantasy setting.
How to create the setting?
All sorts of details are not so important; in any case, they can be saved in a factbook or your own memory, and the setting will be based on various parameters + possibly some introductory information from the creator of the state, such as: "I have a country of freedom with the legalization of gay marriage and a ban on religion; everyone around is an idiot, etc."
There's no micro-management in NationStates! You control your nation by making broad policy decisions, not tweaking numbers.


often, the cause of death is attributed to "God's will."
Has fantasy already become tiresome for everyone?
For example, cars are completely banned in the country. It doesn't seem like a big deal. But that means ambulances also have to operate without cars. How will a doctor get to a patient? It seems strange to use a bicycle. Maybe on horseback, and the country has a developed horse-drawn transport system?
What about firefighters, and pizza deliveries?
This prohibition does not apply to special services.
For example, cars are completely banned in the country.
The Rogue Nation of Steelmen is a tiny, socially progressive nation, remarkable for its irreverence towards religion, absence of drug laws, and complete absence of social welfare.
according to an online translator, this translates to "accident".

act of god - natural disasters
It does.
It's just stupid to ban emergency vehicles at the same time as personal vehicles. Especially considering their minuscule number compared to the former...