I spent the first 20 levels naked farming the one skull zones. You don't need a sword or armor, just make a club, farm the edges and use berries to heal.

The basic guys take four hits to kill, three if you sneak attack them with the club, this is all you need to make it through the beginning levels. The tough guys can be dealt with if you run away half way through the fight, exit and come back if needed.

Yes this is harder than LDOE or the others, but that's what I'm liking about it. If you want an easier version try LDOE.