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Catastrophic failures with high medicine skill are extremely rare, but sometimes stuff just happens. Sometimes people die while getting a tooth pulled IRL, just something as basic as that. In RimWorld they don't just tie a log to your leg and call it good, it's surgically inserted into your stump of a limb, it's a surgery that requires anesthesia and comes with risks of over-cutting. Just because.
Maybe some day peg legs will be made apparel you just equip instead of having to surgically install. That would be a pretty substantial nerf to medical training though. In the mean time, it creates interesting stories like this. "Remember that time Bob tried to install a peg leg and accidentally stabbed Jim in the heart during the procedure?"
https://steamcommunity.com/sharedfiles/filedetails/?id=3471522946
https://steamcommunity.com/sharedfiles/filedetails/?id=3471528867
https://steamcommunity.com/sharedfiles/filedetails/?id=3479947867
The "MINOR" mistakes in a surgery to snip their sausage can involve things like nearly lopping off three legs and stabbing a cow in the brain and liver at the same time.
Although one of my favorites is still "catastrophically failing" to remove a bandit's heart... by scratching her in the arm and not even touching the torso...
https://steamcommunity.com/sharedfiles/filedetails/?id=3460457841
He fails catastrophically and accidentally cuts off his own leg.
Did he by any chance have the red skin and crustacean genes?
everyone knows to be on the rim your required to have a soft lobotomy...
Theres a 1% minimum chance of failure for surgery no matter what (even with a 20 stat surgeon with the best possible modifiers). It can then roll a catastrophic fail, making it far...far worse.
As for your specific issue, your surgeon was mocing the peg leg into place, tripped, and speared the end of it right into the patients torso. This caused damage to the torso, heart, and lungs. Catastrophic failure in a nutshell.
TRIP! Oh dear, I appear to have jabbed the torso.
Try to move back in a state of panic.
TRIP! Oh dear, I hit the lung.
Now to flip table because I ate without one. Then go on a kiling spree because moody.
A lot of things can't happen in rimworld. That's why people make up things that make sense if it happens.
Rimworld has never, ever provided that much immersion in reality. We have to use our imagination.
It's about coming up with reasons that can make sense for the situation. Rimworld provides a template (a big one at that). But we have to fill in the gaps ourselves.