To sign the word “outcomes,” first make a “V” shape with your dominant hand and hold it in front of your body. Then, twist your wrist downwards and outwards as you move your hand away from your body. This represents the idea of something being “out” or away from a central point. Next, use your other hand to make a “C” shape, and bring it down and towards your body, connecting it with the bottom of the “V” hand. This represents the idea of something being “come” or brought closer. Finally, move both hands to form a “thumbs up” gesture, symbolizing a positive result or conclusion.