I agree with trying to avoid playing patterns, but I don't like writing music without my instrument in hand (unless it is a composition or something similar).
I know one guitarist (and it is killing me that I don't remember his name...Ah dammit, he even taught a class at Berklee) that would randomly retune his guitar so the patterns he was used to didn't work anymore, and he only played the notes that sounded good to his ears, not his fingers, so to speak.
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