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Broadly, your morale will suffer if you are being subordinate (with others and not leading, etc.), and some of the more useful effects of panic (automatically attempting to flee when badly pummeled, etc.) rarely or never kick in.
As long as you're bossing other people around and never losing, it's not so bad!
We did balk on the name, since characters of either gender can choose it and 'macho' typically refers to male chauvinism, but 'macho' best described how the effects tend to burn you in practice, and it's kind of fun. ('Reckless' was taken, and is all about real fear, and not just perceived slights to your ego like having someone else command your group.)
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