The only way to play adventure mode is superior strength agility and toughness and then grand master striker.
Punching fools skulls through their brains all day errrr day.
Strength, Agility, Toughness, GM Wrestler
Basically break limbs and laugh.
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I have a dwarf in Fortress mode who, after an unfortunately incident with a jabberer and a door I forgot was locked, has lost both arms and legs, and has a torn outer brain.
He's still alive, and somehow hauling bituminous coal down a hallway.