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The game echoes the way a western feels from my view. Deserts being brutal and unforgiving, although the itself isn't meant to be that way (just reflect that vibe). 

Your question is a good one. If you're stuck - you just backtrack. I thought the idea was inherent to the Carta system but the Sandlands really are a map. If you hit a dead end you go backwards and move in a different direction. If you already resolved an area you don't have to do it again unless it's one that repeats. That's why you can visit the Oasis more than once. As a player you're expected to go back to spots like that and the Clinic. 

Thank you for asking, each player illuminates something different about the games they play. It's why I also like ttrpgs and such, since creators can feel free to answer questions like yours. Let me know if you need clarification on anything else, for sure!