According to the review, and yes, I read the WHOLE fucking thing, the creator is likely a complete sociopath who doesn't even understand the concept of basic human morality, much less what constitutes trolling; he responded to their review in words that, according to them, came off in a very creepily neutral, almost deadpan monotone manner. That's not the hallmark of a stable individual.
We'll if this weirdo's serious, then at least make his abomination "playable". You can make the stupidest game in the universe but if gameplay is impossible, then it's useless.
Perhaps his screws are so totally loose that the gameplay is feasible in his own deranged mind....or maybe calculating orifice-sizes for hours on end is fun for him.
People don't care about orifices! They just want to slay dragons, kill orcs, stake vampires & zap various hellspawn.
It doesn't help that its so fundamentally broken on a basic, mechanical level that a baby with Down's could exploit it. Seriously, you could have two characters constantly steal some valuable object from one another for infinite experience with absolutely zero effort, if they happen to be bandits...considering the world of FATAL is one in which literally
half of all men are rapists, it is quite likely that your players are the raping-and-pillaging bandit types.
Oh, and if you want to have a guaranteed Urination check (yes, you have to make a skill check to take a piss in the world of FATAL) you have to, on average, be level 20. Which takes hundreds of millions of experience, which requires an obscene amount of grind to achieve. You also roll to see how much shit you knock out of someone's ass if you manage to make a critical hit to their rectum...yes, the damage is THAT specific, and NO, you don't harm any of the surrounding tissue, even if you're using a battle axe with an edge as wide as a small building.
FATAL isn't just for moronic man-children who think copious amounts of rape and gore is amusing, but its for people whose sense of challenge is so warped, so mind-breakingly out of control that they make "hardcore" gamers look like perfectly reasonable people. The "game," such as it is, is the most abominably fucked up thing I've ever come across...and I've come across such gems as Gummo, Manos, and The Room. Yes, I'd much rather watch The Room (and not the Rifftrax version, either) than even consider reading the 900 pages of horror that is FATAL.