There is an even easier solution on roll20: keep everything the normal size, but only use the grid for placement of creature tokens so they don't overlap each other. Make counting out the grid spaces optional, set the distance calculation on the map to Euclidian. For a creature with 30 feet of movement moving diagonally, they can enter a space that is 29.7 feet away but cannot enter a space that is 30.3 feet away. Similarly, a fireball affects every square that is 20 feet or less from the epicenter of the fireball. The ruler icon, which can be selected by hotkey, allows quick calculation of this.
And for any tokens that are dungeon dressing, such as doors, you can right-click them, select Advanced->IsDrawing, and place them wherever you want without respect to the grid.
EDIT: Looking back, I don't think I did a great job of actually answering the question or only answered it in a roundabout way. I would not alter the grid size, although it would be really easy to do and does not affect much. Distances are still the same. Everything is still the same size, but I don't think one really gains much for the extra work setting it all up differently, and movement via counting squares is going to take longer (because of twice as many squares) and be more prone to errors (because it is different than the convention to which we are accustomed).
As for the ramifications of a door slightly off of the grid alignment: most doors are not actually 5 feet wide, but we get through them just fine. The five foot square signifies the area a creature controls rather than how big it actually is. With a door that is either entirely adjacent to a square or at least half of it borders a square, it should be considered accessible by that square, and a creature in that square should be able to pass through the door without issue.
And for any tokens that are dungeon dressing, such as doors, you can right-click them, select Advanced->IsDrawing, and place them wherever you want without respect to the grid.
EDIT: Looking back, I don't think I did a great job of actually answering the question or only answered it in a roundabout way. I would not alter the grid size, although it would be really easy to do and does not affect much. Distances are still the same. Everything is still the same size, but I don't think one really gains much for the extra work setting it all up differently, and movement via counting squares is going to take longer (because of twice as many squares) and be more prone to errors (because it is different than the convention to which we are accustomed).
As for the ramifications of a door slightly off of the grid alignment: most doors are not actually 5 feet wide, but we get through them just fine. The five foot square signifies the area a creature controls rather than how big it actually is. With a door that is either entirely adjacent to a square or at least half of it borders a square, it should be considered accessible by that square, and a creature in that square should be able to pass through the door without issue.
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