I had an idea (feel free to steal it, I don't have the time right now to make this game) that if a FitD game was about underground gamblers, instead of rolling to resist consequences, play a game of Russian roulette (simulated obviously) and if it's an empty chamber then you resist normally but if it's a bullet then you trauma out (or die if you want to raise the stakes even more?), and the MC would keep track of where the bullet is so every six resists it's guaranteed to trigger unless there's also some action that can spin the barrel