Willie the Duck
Legend
Despite the grim-ness of the scenario, I don't know that the analogy holds up.That sounds perfect for people who want low power, dark and gritty play and stories. I'm sure lots of people would run a game like that! It could do numbers if pitched at an OSR audience.
OSR gaming (at least the D&D variety) is highly predicated on agency and your decisions impacting the outcome. You enter the dungeon and immediately start making choices (yes, tough ones, often with very little power, and often with dark and gritty outcomes in the offer) -- most notably when to take on a challenge and when to retreat/leave with your acquired loot (or losses).
The M*A*S*H scenario does not let you leave when you feel you cannot take on the latest wave of casualties. Nor do your decisions dictate what challenges you will face. They may influence the outcome (commit to surgery and save the leg, but lose the other 3 patients waiting), but oftentimes the outcome is determined simply by how competent you are -- with everyone but Burns being some variety of just-that-good; and everyone but the guest star of the week (or occasionally Hawkeye, in a Sidney episode) being able to handle the mental burden.








