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In the image above you can see the macro in full effect. Once you change the exhaustion level a macro will execute and remove the any other Exhaustion Condition present on the target, but that is not all it will apply effects to the token like giving disadvantage to ability checks and others depending on the level of exhaustion. So in order to achieve this you have to follow these five steps:

1. Within the CUBPuter settings of Combat Utility Belt you need to enable enhanced conditions.
   
   
2. Head over to the Conditions Lab and import the pre-build dnd5e-extended.json.
   This file can be found within the CUB module under the folder conditions-map. This will overwrite the current mapping with a preset for the DND5e conditions. The default path looks like this:
   
   ~/FoundryVTT/foundrydata/Data/modules/combat-utility-belt/condition-maps
   
   If you are not sure where to find this folder on your system, please go to the Application Configuration article on the Foundry VTT main site.
   
   
3. After you have loaded the preset navigate to the different Exhaustion Conditions. Next to each of them you can find the Active Effect Config button. Click it and navigate to the Effects tab.
   
   
   
4. For each exhaustion level you need to add the effects listed in the table below. Remember each exhaustion level must include the previous levels’ condition effects, e.g. Exhaustion 2 must also include the disadvantage for ability checks from Exhaustion 1. As another example you can look at the image of Exhaustion 5 at the end of the article where you can see that it includes all the attribute keys of the previous exhaustion levels.
   
   Make sure to save the conditions mapping at the end of this step and in between the addition of each effect.
   
   Note: Later we will be making a macro called CUB-Exhausted, if you decide to use a different name for it, please make sure that the name matches the inputs in this step.
   
   
5. Lastly create a new script type macro and check that it is run as GM. Make sure the name you have used in the Conditions Lab matches the name of the macro (case sensitive), in this case CUB-Exhausted.

Status Effect	Attribute Key	Change Mode	Effect Value
Exhaustion 1	flags.midi-qol.disadvantage.ability.check.all	Override	1
	macro.execute	Custom	CUB-Exhausted
Exhaustion 2	data.attributes.movement.walk	Multiply	0.5
	data.attributes.movement.swim	Multiply	0.5
	data.attributes.movement.burrow	Multiply	0.5
	data.attributes.movement.fly	Multiply	0.5
Exhaustion 3	flags.midi-qol.disadvantage.attack.all	Override	1
	flags.midi-qol.disadvantage.ability.save.all	Override	1
Exhaustion 4	data.attributes.hp.max	Multiply	0.5
Exhaustion 5	data.attributes.movement.walk	Override	0
	data.attributes.movement.swim	Override	0
	data.attributes.movement.burrow	Override	0
	data.attributes.movement.fly	Override	0

With the macro in place, you can now click on your current exhaustion level and it will auto remove other exhaustion states so that only one exhaustion icon appears at a time with the associated effects. Although this modification will achieve only a small effect in your game, it helps show some of the customization possible in Foundry VTT.

// CUB-Exhausted macro

if (args[0] == "on") {
    var exNew = args[1].efData.label
    const levels = ["Exhaustion 1","Exhaustion 2","Exhaustion 3","Exhaustion 4","Exhaustion 5"]
    
    for(const ex of levels){
        if ((ex != exNew) && (game.cub.hasCondition(ex))){
            await game.cub.removeCondition(ex)
        }
    }
}

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Special thanks to Kandashi and Crymic on the Foundry VTT discord for their help with the macro, and to Mr. Weaver for their YouTube guide that provided the Active Effect configurations.