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I'm level 81 and got all the mods that makes the mobs and the game so very hard that you actually have to scan your surroundings when ready to fight a room or area or dungeon and carefully pick who you go after first PLUS I play on legendary difficulty as a pure mage Destruction/Conjuration, no weapons at all :-}
I very rarely die but when I do. it's due to being over aggressive lol and I don't have any followers because for my playstyle they just get in the way, only time I have an npc follower is if it's mandatory for a quest :-}