Ideas of questionable quality

[Frank_Stein]

Every bite you take increases a meter that occasionally rolls a chance to have you choke on a bite of food.
Conversely, every time you drink a liquid the meter decreases.

When you're choking on food, you'll take damage and be unable to speak, coughing instead

Coughs, using resist, drinking water, or having someone click on you with the help intent to perform the Heimlich maneuver