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I think this is a great and impressive work of minimalism and choosing just the right word where it matters. There's almost no setting here, but what's implied is meaningful and impactful, and sits at the crux of many popular media properties, so that anyone with basic knowledge of sci-fi can easily fill in the gaps with their setting(s) of choice. Mechanics are clever and elegant. That Trauma flips over and becomes Hits when a PC becomes Irregular is an especially good touch. I look forward to the expansion, although, for one page, this is pretty much perfect as it is.