It's a fantasy role-playing game.

DM: You are Grog Strongjaw, a goliath barbarian . You are the member of the famous group of adventurers. Previously,  The party completed the venture of taking the Horn of Orcus to a place of safety and sealing it away, hopefully for eternity, with the help of Lady Kima and two of the Scalebearers. After heading to the basement of the Platinum Sanctuary in the city of Vasselheim, they succeeded in doing so.
DM: The blood's pouring down the front of his face and his throat. You clip him right in the center of his throat. You hear the coughing sound as he, with his other hand, reaches up and grabs his throat. You can now see his front teeth visible through the lip that's no longer there. And what's your third strike?
Player: Would you say that he bends forward, then, because he's grabbing his throat like that?
DM: He's tough. He's bending forward, but he's not completely incapacitated. He's in pain.
Player: Right, I would say I go up next to him and invoke a fabled hero that I heard about in the woods named Macho Man Randy Savage, and I double-tap my elbow and drive it down on top of his head.
DM: All right. Go ahead and roll damage on this one.
Player: Thank you. Six.
DM: Six. So as you leap up, using the goliath weight coming down, you double-tap the elbow and you bring it down on top of his head. He, from the sheer force of it (wham) slams down face-first into the dirt, just like that. Onto the ground. As he's getting up, he's looking kind of rough.
