DM: OK, the monster grabs you. Reflex AC 28 does that hit you?
Player: Yep.
DM: OK, he throws you across the room into the pit of burning fire. You're now "lavatouched." Write the word ASHES on your character sheet.
Player: What?!?!
DM: Yep. I can pretty much do what I want with you now with grappling. I could do 1dzero points with my grapple or I can pick you up and throw you into the lava. I'm thinking the monster would throw you in the lava.
Player: but the monster's lawful
DM: Yes, but remember, monsters arent' bound to act according to alignments anymore
Player: but, but but.
DM: Sigh, fine. I'll pull out the Complex Grappling Hardcover by Lavatouched-Dragon games. OK, roll a d1000 and then a percentile.
Player: I got a 0001 and another 01.
DM: Uh oh. That means the monster tears all of your limbs off and you're instantly turned into the subject of ridicule. The monster recites about 10 "what do you call a guy with no arms and no legs" jokes before taking pity on you. He takes you home, hangs you on the wall and insists your name is Art.
Player: GOD I HATE THIS 4TH EDITION CRAP! Can't we just go back and play 3E when things were simpler?