A recent plane crash in Nepal, claiming 18 lives, has once again brought to light the significant dangers associated with table-top runways. These runways, constructed on mountain peaks or hillsides, create an optical illusion for pilots during landing and takeoff, leading to increased risk of accidents. The tragedy in Nepal follows a string of similar incidents, including the 2020 Air India Express crash in India and the 1977 Air Portugal crash in Portugal, highlighting the need for greater safety measures and awareness surrounding these challenging runway configurations.