Set sail across the Atlantic with your best friend, food. Food will keep you alive and food will keep you well- you get food by throwing harpoons at fish and turtles. Then one day BAM! The RNG screws you over and throws a pirate ship at you and you're forced to fight and defend your food!
The next thing you know, Johnny Macguffin is dying from an infected battle wound and you're amputating all his limbs to save his life- then you realize everyone is starving because Marvin Buttercup ate all the food and you're out of harpoons, on a raft, 2,000 miles from land, and in a storm.