It's a fantasy role-playing game.

DM: You are Keyleth, a half-elf druid . You are the member of the famous group of adventurers. Previously, Percival shoots Clarota in the head, releasing Scanlan, who had been grappled by the turncoat. As the remaining illithids take heavy damage, the two of them Plane Shift out of the room in self-preservation.
DM: It's not double damage, because you're not hitting the structure. So 11 points of damage? All right, now I want you to go ahead and make a strength check.
Player: Okay, that sounds fun.
DM: So just roll and add your strength modifier of the earth elemental.
Player: 14?
DM: Okay, as you punch upward, you're still partially absorbed into the earth, but your fist comes through and it slams in, and you feel this sickening thud sound as your fist hits the interior of the brain. It still moves a little bit but it stays in its place held aloft by its own psychic defense mechanism. Make your second attack.
Player: Okay, yeah, same, 21.
DM: 21 hits. Go ahead and roll damage on that one.
