Does Player Autonomy Matter in Tabletop RPGs?

Tabletop RPGs are all about the freedom to explore fantastical worlds and do incredible things, with your only limit being your imagination. Or so we tell new players.
In practice, tabletop RPGs can actually end up quite restrictive. Why is this, and do players even need that much autonomy in a tabletop RPG? All this and more is answered in this video.
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