The modified option is run when the qb is slow ala Suggs. The running back who will get the pitchout 99% of the time can get hurt if the play is not exactly right. The line has to execute their blocks perfectly. I remember Luginbill who was also very slow tried it the first day Steagall was movedto tailback. Well the pitchout got to Derrick and wham so did a big Tar Hill. Steagalls arm was broken.