This document provides an overview of practical fault tolerance in Elixir. It discusses why fault tolerance is important, and how Elixir and Erlang communities focus on it. It demonstrates fault tolerance techniques using processes, links, monitors, tasks, supervisors, and durable message queues. Other tools like remote error tracking, exponential backoff, and alternative supervisors are also covered. The key messages are to trust OTP patterns for fault tolerance but also leverage other tools, anticipate failures, isolate failures, and follow the principles of failing fast and restarting.