Write comprehensive clinical reports including case reports (CARE guidelines), diagnostic reports (radiology/pathology/lab), clinical trial reports (ICH-E3, SAE, CSR), and patient documentation (SOAP, H&P, discharge summaries). Full support with templates, regulatory compliance (HIPAA, FDA, ICH-GCP), and validation tools.

Generate professional clinical decision support (CDS) documents for pharmaceutical and clinical research settings, including patient cohort analyses (biomarker-stratified with outcomes) and treatment recommendation reports (evidence-based guidelines with decision algorithms). Supports GRADE evidence grading, statistical analysis (hazard ratios, survival curves, waterfall plots), biomarker integration, and regulatory compliance. Outputs publication-ready LaTeX/PDF format optimized for drug development, clinical research, and evidence synthesis.

Identify and repair degradation in system prompt, external memory, and skills preventing you from following instructions or remembering information as well as you should.

Type-safe JSON schema responses from LLMs using outputSchema on chat() and useChat(). Supports Zod, ArkType, and Valibot schemas. The adapter handles provider-specific strategies transparently — never configure structured output at the provider level. Pass stream:true alongside outputSchema for incremental JSON deltas + a terminal validated object via the `structured-output.complete` event. Every assistant turn in useChat carries its own typed `StructuredOutputPart` on `messages[i].parts`, so multi-turn structured chats preserve history automatically — partial/final derive from the latest assistant turn's part. convertSchemaToJsonSchema() for manual schema conversion.

Image, audio, video, speech (TTS), and transcription generation using activity-specific adapters: generateImage() with openaiImage/geminiImage, generateAudio() with geminiAudio/falAudio, generateVideo() with async polling (openaiVideo/geminiVideo/grokVideo/falVideo, per-model typed durations), generateSpeech() with openaiSpeech, generateTranscription() with openaiTranscription. React hooks: useGenerateImage, useGenerateAudio, useGenerateSpeech, useTranscription, useGenerateVideo. TanStack Start server function integration with toServerSentEventsResponse.

Pluggable, category-toggleable debug logging for TanStack AI activities. Toggle with `debug: true | false | DebugConfig` on chat(), summarize(), generateImage(), generateSpeech(), generateTranscription(), generateVideo(). Categories: request, provider, output, middleware, tools, agentLoop, config, errors. Pipe into pino/winston/etc via `debug: { logger }`. Errors log by default even when `debug` is omitted; silence with `debug: false`.

Connect useChat to a non-TanStack-AI backend through custom connection adapters. ConnectConnectionAdapter (single async iterable) vs SubscribeConnectionAdapter (separate subscribe/send). Customize fetchServerSentEvents() and fetchHttpStream() with auth headers, custom URLs, and request options. Import from framework package, not @tanstack/ai-client.

End-to-end chat implementation: server endpoint with chat() and toServerSentEventsResponse(), client-side useChat hook with fetchServerSentEvents(), message rendering with UIMessage parts, multimodal content, thinking/reasoning display. Covers streaming states, connection adapters, and message format conversions. NOT Vercel AI SDK — uses chat() not streamText().

Server-side AG-UI streaming protocol implementation: StreamChunk event types (RUN_STARTED, TEXT_MESSAGE_START/CONTENT/END, TOOL_CALL_START/ARGS/END, RUN_FINISHED, RUN_ERROR, STEP_STARTED/STEP_FINISHED, STATE_SNAPSHOT/DELTA, CUSTOM), toServerSentEventsStream() for SSE format, toHttpStream() for NDJSON format. For backends serving AG-UI events without client packages.

Provider adapter selection and configuration: openaiText, anthropicText, geminiText, ollamaText, grokText, groqText, openRouterText, bedrockText, openaiCompatible. Per-model type safety with modelOptions, reasoning/thinking configuration, runtime adapter switching, extendAdapter() for custom models, createModel(). Generic OpenAI-compatible providers (DeepSeek, Together, Fireworks, etc.) via openaiCompatible({ baseURL, apiKey, models }) from @tanstack/ai-openai/compatible. API key env vars: OPENAI_API_KEY, ANTHROPIC_API_KEY, GOOGLE_API_KEY/GEMINI_API_KEY, XAI_API_KEY, GROQ_API_KEY, OPENROUTER_API_KEY, OLLAMA_HOST, BEDROCK_API_KEY (or AWS_BEARER_TOKEN_BEDROCK).

Run harness adapters (Claude Code, Codex, OpenCode) INSIDE isolated sandboxes via defineSandbox + withSandbox + a provider (localProcessSandbox / dockerSandbox). Covers declarative provisioning: createSecrets + secret/bearer, skills (agentSkill/gitSkill/mcpSkill/ fileSkill), plugins, instructions → canonical AGENTS.md + symlinks projected per harness; shallow-clone default with depth opt-out; serial/parallel setup callback over a persistent shell; snapshot-after-setup default with snapshotMaxAge TTL; defineWorkspace (git/setup/scripts/skills/secrets/ instructions/plugins), defineSandboxPolicy (allow/ask/deny), lifecycle/resume, the SandboxHandle (fs/git/process/ports), capability tokens, defineSandbox hooks (onFile/onFileCreate/onFileChange/onFileDelete/onReady/onError/ onDestroy) + fileEvents flag, chat middleware sandbox group (defineChatMiddleware sandbox hooks), the sandbox debug category, watchWorkspace as a low-level building block, and the file.changed / sandbox.file / claude-code.session-id events. Use whenever a harness adapter needs a sandbox or when building sandbox providers.

AI becomes provocative and mocks the opponent during gameplay

Codex-only team orchestration: run a named team of cooperating Codex workers with durable, script-managed state. MUST USE when the user asks Codex to create, run, coordinate, inspect, archive, or delete a team of agents/threads/sessions, or to work on something as a team in parallel. FIRST inspects the active tool surface (checking tool_search for deferred tools) and tells the user the route: native MultiAgentV2 agents (flat spawn_agent with task_name) when available, Codex App threads as the fallback, or a plain-subagent split when neither set exists. The main session is always the leader; members are defined by a concrete part, ownership area, or perspective - never a vague job role; a bundled cross-platform script writes the .omo/teams state plus an auto-generated member field manual. Use a team when the work is not perfectly isolated but parallelizing helps; use plain subagents when scope is perfectly isolated or the goal is ambiguous. Triggers: team mode, teammode, make a team, run as a team, team of agents, coordinate threads, parallel Codex threads, archive the team.

Long-running task loop using /loop (Claude Code dynamic mode) and ScheduleWakeup to re-enter with fresh context on each wake-up. Internally invokes harness-work through Agent. Trigger: long-running, loop, wake-up, autonomous. Do NOT load for: one-shot task execution, review, release, planning.

Manage SSOT, memory, and cross-tool memory search. Guardian of decisions.md and patterns.md. Use when user mentions memory, SSOT, decisions.md, patterns.md, merging, migration, SSOT promotion, sync memory, save learnings, memory search, harness-mem, past decisions, or record this. Do NOT load for: implementation work, reviews, ad-hoc notes, or in-session logging.

File cleanup and archiving. Tidies up bloated Plans.md, session-log.md, old logs, and state files. Trigger: /maintenance, cleanup, archive, organize, split session-log. Do NOT load for: implementation, review, release, new feature development.

HAR: Execute Plans.md tasks from single task to full parallel team run. Trigger: implement, execute, do everything, breezing, team run, parallel, composer, composer 2.5. Do NOT load for: planning, review, release, setup.

HAR: Sync Plans.md with implementation. Drift detect, marker update, retrospective. Trigger: sync-status, where am I, check progress. --snapshot for snapshots. Do NOT load for: planning, implementation, review, release.

HAR: Project init, tool setup, agent config, memory setup, skill mirror sync. Trigger: setup, init, new project, CI/Codex setup, harness-mem, mirror. Do NOT load for: implementation, review, release, planning.

HAR: Multi-angle code, plan, scope review. Security/quality check. Trigger: review, code review, plan review, scope analysis. Do NOT load for: implementation, new features, bugfix, setup, release.