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Message: <blockquote data-quote="grendel111111" data-source="post: 6787533" data-attributes="member: 6803870">(for some reason this part did not copy:I read an<a href="http://www.newyorker.com/online/blogs/newsdesk/2012/06/atul-gawande-failure-and-rescue.html" target="_blank"> article about emergency treatment</a> that totally changed how I look at failure from a narrative point of view. Serious complications are unavoidable in a hospital situation, but some hospitals keep more patients alive despite this. The key to their success is in how they quickly rescue patents when things go wrong. As the author put it the only failure is a failure to rescue.And this works well in Dungeon world or similar games. It matches the degree of focus that they are trying to achieve with their system. If you want to try and mimic similar in D and D you can, but the more you do the better off you are just using dungeon world because it is a better match.I voted for I like it but only in certain situations because many of the Fail forward results don't follow.We are partly limited by the degree of focus that the game puts on each action.In the above hospital situation they are talking about medical complications..... the surgeon encountered something unexpected that hadn't shown up on a scan, a cut was made too deeply, etc. All of those things are included in the 1 medicine check in D and D. And they are all related to your medical skill. Other wise you would need to do the operation step by step. (Oh you cut an vein, roll medical to clamp it. His heart stopped, roll Str (medical) to keep his heart pumping while you finish the operation). Instead it is all put into 1 roll for the operation.So if the DM decides that it is essential the operation is successful for the "story" so why roll for it? (For me) The fail forward should be something medical if you are rolling medicine. Maybe a sponge was left in the patient, so they later develop a fever, etc.But if you decide that on a failed medicine roll, then the patients family turns up and demands that the operation stop for religious reasons there is no link between the skill and the result. The family would turn up independent of the doctor skill. They would turn up if a good doctor was working on the patient or if an OK doctor was working on the patient. The doctors skills in no way affect the chances of the family turning up. So either it is so interesting that it happens anyway, or assign a random chance of it happening independent of what is happening in the operation.</blockquote>

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