So I know you can make mods to change guns or sights and targets, but can you mod maps and actual gameplay like giving people 5000 health and 30 grenades or adding new guns and items and host a server that other people can join and they also get access to all those things?

yes, just not sure about the health and nades :P

That would require configuring the actual server files. If you download pyspades, you're limited to only effect the server.

Mat has the main server files hosted somewhere else therefor making it near impossible to do this sort of configuration. However, you can create scripts on the pyspades that effect gameplay, like Your_Self's classes script and Dany0's Zombie script.

Ah, thanks :)