That makes sense. I don’t think there’s been a moment like that in the podcast, the DM keeps expectations in check.

I’m a casual D&D fan since my only exposure is from Not Another D&D Podcast but I think it adds to the overall story telling experience. Super charges the lows and highs if it’s a 1 or 20 especially on an important role. Does it break the game? Eh, not that I can tell and I’ve listened to hundreds of hours of the podcast. Though this is my opinion and not based on D&D rules, history, etc.

I also highly recommend Not Another D&D Podcast if you like silly shit mixed with crass humor, some good emotional content, and players fucking with their DM.

If you ever want to go further, pathology as an MD or DO would be perfect. Sounds like you might work with them already. Med school is difficult, annoying, and expensive though.