I loss my star striker to a -32 injury late in the season which probably cost us a play-off place. Now he was on a -el when injured so that was my risk which in the end was costly.
I think -el should make it more likely that a player could pick up an injury. It would mean managers would need to keep larger squads or risk losing players to an injury. The injuries perhaps should be a little less severe but would have an impact on the team if they had already made all three of there allowed substitutes.