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Decision OS is an LLM-native system designed to enhance engineering workflows by tracking and learning from "novel pressure"—those unexpected moments or surprises that arise during development. Unlike traditional documentation, it focuses on what an AI couldn't predict, creating a continuous learning loop where individual pressure events are compressed into reusable "foundations." This system helps engineers and LLMs learn from real-world deviations, improve decision-making, and build a persistent knowledge base that evolves with the project, ultimately guiding future engineering decisions.