Not exactly. They don't go crazy immediately. I think the 'eating without table' debuff is too harsh, but other than that... You can get away with ignoring basic pawn needs for quite a while. I want to see _you_ survive in an environment with tattered clothes, saying a friend (or pet) dying, and yes, eating raw meat without a table.
It's similar to Dwarf Fortress where tantrum spirals are a feature. Except in Dwarf Fortress things are way more deadly.
You can control the storyteller. Go with Chillax if you want more time (although that one could _still_ spawn mechanoids). Don't open ancient vaults, or go digging inside mountains if you don't want bugs.
Finishing the game is a bonus. Also now you can pack up and leave the map if it's too bad, we didn't have that option for a while.