
GEEK WARNING: Great swaths of this post will make little sense if you don’t actually use polyhedral dice.
What exactly does one use an all-20 d20 for? I mean, there are obvious ornamental purposes, and it makes a great conversation piece, but around the gaming table, the only reason to use it is to announce that you’re “taking 20″ on something or if you’re the GM pronounce that you’re fudging a roll. (Okay admittedly there’s an intimidation factor, particularly if you print your d20 around fist-sized.)
However! The very existence of an all-20 d20 should serve as a signpost to customized dice with arbitrary inscriptions, from dice that start at zero (like the d6s in House on Haunted Hill, which count from zero to two) to more exotic things like dice with character names on them or replacing the “one” with something suitably comical indicating critical failure.
Also for less tabletop RPG-specific purposes you might use them as an “unplugged” way to come up with story ideas if they had icons on them for different themes, or perhaps words if you have enough precision or a large enough build area…