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There's not much consensus on this. As with all answers on this site dealing with the subject of Creationism, there's a wide array of opinion on the subject.
Reading the text, in and of itself, without any external verses, interpretation, or debate over scientific validity of the claim certainly makes it appear as if Adam and Eve weren't created to be immortal, but if they'd eaten of the tree of life, they'd have gained immortality.
The apparent conflict with Romans 5:12 can likewise be taken in different ways. It could be taken as an outright conflict (not my belief), or it could be that the word "death" is used as a metaphor. "Death" is often taken to mean the judgment of God, or Hell in Scripture.
Based on the context of Romans 5, this seems the most likely explanation to me, as Paul is speaking of salvation, which has to do with eternal life, not physical life.
Comparative verse:
Romans 6:23 (KJV) For the wages of sin is death; but the gift of God is eternal life through Jesus Christ our Lord.
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The following represents my personal thoughts and views, and not that of any particular Christian tradition (although it would find a home in several). Indeed Adam and Eve were by nature physically mortal, just as all living things were (and are) mortal. The tree of life, like so many objects in Scripture, is represented as a sign and symbol of the everlasting life which Adam received immediately from Godβas will the glorified saints in the new heavens and new earth (Rev. 2:7; 22:14); as observed in Vincent's Word Studies, "To eat of the tree of life expresses participation in the life eternal."
But ever since the fall, Adam and his posterity were cut off from the tree of life and no longer received everlasting life immediately, but rather mediately through Christ (1 John 5:11). Thus Jesus Christ testifies that those who hear his gospel and believe have eternal life and will not be condemned, but have "crossed over from death to life" (John 5:24). Give attention to that phrase, "from death to life." Immortality is something which in Christ we seek; and if we seek it, then we do not now possess it (Rom. 2:7; 1 Cor. 15:53). Likewise Paul speaks about how "sin reigned in death" among mankind (Rom. 5:21), and how could sin reign but among those who are physically alive?
Rather, death is understood covenantally in a spiritual context, which is how sin reigns in death for those who are physically alive but spiritually dead in Adam, whereas grace reigns through righteousness to eternal life for those justified in Christ, such that we spiritually live even though we physically die. (Cf. John 11:25-26, "The one who believes in me will live even if he dies, and the one who lives and believes in me will never die.") As John Calvin noted, "Let us know, therefore, that when we have departed from Christ nothing remains for us but death" (cf. Rev. 20:6, 14).
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At least one Rabbinic tradition (and I'm trying to find the source of this) posits that Gods intention was, from the beginning, that Adam and Eve choose from the prohibited tree of the Knowledge of Good and Evil, in order that they would learn to choose God rather than simply be subject to Him out of blind filial obedience. If this is the case, that God intended for them to sin, then the default question of "Would they have died had they not eaten from the tree" becomes irrelevant (even if it is an interesting case)
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This is my opinion, you can take it as it is. Adam and Eve were created mortal. "You shall surely die" --> You're already going to die, but if you eat of the tree, then you will "surely die" because I am going to kick you out of the garden so you can't eat from the tree of life which will give you life (so you won't die). In regards to Rom 5:12, it's exactly as it says, death came from Adam's sin (his disobedience) which led to him and the rest of his descendants not being able to eat from the tree of life. So the death wasn't a direct effect of eating from the tree of knowledge of good and evil, but an indirect effect of not being able to eat from the tree of life. Hence, v 14: "Yet death reigned from Adam to Moses, even over those whose sinning was not like the transgression of Adam, who was a type of the one was to come."