Well they have toned down injuries from realistic levels because players complained about them a lot. That is probably intertwined with gegenpress because you can push your team to play and practice with high intensity with no real downside. This combined with every joe and harry being able to execute a gameplan seamlessly for 90 minutes is quite different from real life where e.g Liverpool's fitness staff had concerns about Philippe Coutinho's ability to execute Klopp's system week-in week-out. In real life one player slacking can destroy the whole pressing system with disastrous consequences, not so much in the game.
Finding and acquiring right kind of combination of skills, mentals, and physical ability to play this way is very hard, in real life. In the game any bigger club can find and purchase 22 of these beasts quite easily. 22 because now the already nerfed fitness issues are now completely removed, even if the team plays twice a week from august to june.