We present global radiation GRMHD simulations of strongly magnetized accretion onto a spinning, stellar mass black hole at sub-Eddington rates. Using a frequency-dependent Monte Carlo procedure for Compton scattering, we self-consistently evolve a two-temperature description of the ion-electron fluid and its radiation field. For an Eddington ratio $L/L_{rm Edd} gtrsim 10^{-3}$, the emergent spectrum forms an apparent power law shape from thermal Comptonization up to a cutoff at $simeq 100$ keV, characteristic of that seen in the hard spectral states of black hole X-ray binary systems. At these luminosities, the radiative efficiency is high ($approx 24%$) and results in a denser midplane region where magnetic fields are dynamically important. For $L/L_{rm Edd} sim 10^{-2}$, our hot accretion flow appears to undergo thermal runaway and collapse. Our simulations demonstrate that hot accretion flows can be radiatively efficient and provide an estimate of their maximum luminosity.
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