We've done it!!
A friend in the (unofficial) loathing discord server has created the first ever mod for West of Loathing, called West of Loathing Repentance. It is a mod built around Hard Mode, making it... well, harder. To quote the maker of the mod,

Originalmente postado por The guy who made the mod, Adan Mez:

It will make the game a lot harder. With increased enemy stats, reworked damage calculations, a bit of replayability and more!

I unfortunately cannot link the download to the mod in this post (which makes sense, Valve wouldn't want people posting random downloads in the forums) so the best I can do is link the aforementioned discord server, discord.gg/xvjQFS3MpK.
For more about the mod and our progress with modding in general, you can check in the linked discord as well.

Have a great day and enjoy this breakthrough!