I love flying at night, but I try not to do it very often, at least until I strike it rich and can buy that twin engine NA OV-10.
When you think about it, the only real difference is in the event of an engine failure you won't get to pick a decent landing place...a pretty big difference, granted.
But if you thought the engine was going to fail, you wouldn't have taken off in the first place, would you? And a lot of the terrain we fly over in the west doesn't offer a decent landing spot regardless of whether you can see it, especially if you are in the habit of flying low.
I have occasion to fly down to San Luis Obispo now and then, and I'm always faced with a tough choice...I can fly to the Big Sur VOR and then follow the coast south, looking at pods of whales and marveling at some of the most spectacular scenery on the planet, or I can fly down the central valley, marveling at an endless amount of ugly flat land which even I could land on without an engine.
Even at my most optimistic I realize that a solid hour of my flight via the Big Sur VOR will leave me with absolutely zero chance of surviving a forced landing, much less ever being found. Same goes for crossing the Sierra's, or the Coast Range. Or flying over almost any mountains at night. Shit, now I've scared myself.
Maybe I could afford one of those push-pull Cessna's...