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I figure a nat 20 in this context would be a little more dramatic than simple sundowning... We could shoot for shitting himself on camera, moments of brutally honest verbal diarrhea, endless painful kidney stones...
Whatever the case, I wish McConnell all the health outcomes he so richly deserves.
I would also wish him the level of healthcare he's supported for Americans in general, but we know that he's rich enough for a proper level of care.
Interesting to see a few short moments of temporary and trite social embarrassment portrayed as a worse fate than the gradual and drawn-out ablation of everything that you are.
The dementia is already underway, these would be bonuses. That said, the verbal diarrhea would probably do the world some good - though it's not as though the modern GOP has standards for that kind of thing.