It's a fantasy role-playing game.

DM: You are Beauregard Lionett called Beau, a human monk . You are the member of the famous group of adventurers. Previously, Caleb changes Frumpkin into a spider. At the guard shift change after midnight, the group splits into two: Nott, Caduceus, and Keg in one group; Caleb, you, and Nila in the other.
DM: Easy enough to do. Go ahead and make a martial arts attack. Technically, you have advantage because he's paralyzed.
Player: Okay. Just a straight attack?
DM: Yep.
Player: Okay. 16? No, sorry, 15?
DM: That hits, it's an auto-crit because he's held. Roll your martial arts damage.
Player: Aw, I rolled a one. Plus two, plus four. Six damage.
DM: Six damage. You throw him to the ground. He falls and takes an additional five points of bludgeoning damage. After the fall, hits the ground-- off the wall, on the backside of it, he's now face down on the ground, still held.
