Anyway, I'm not expecting any skyscrapers 151m left/right of DER
In many instances, you should be (trees, hills, poles, etc) ... may I suggest that you have some discussions with your ops eng procedures designers .. you might just frighten yourself into a safer attitude to the subject ...
For those runways which have tiger country on the miss, the operator should have predicated the OEI miss on a procedure designed by the ops engineers. If this is different to the letdown miss, one would have negotiated it with the relevant authority .. more commonly, the ops engineers would have dictated a higher minimum to cover the reduced climb capability.
He/she who just ambles on down to minimums without thinking about these things is an accident in the making .. sooner or later ... if one quits at an embarrassing time.
We should keep in mind, particularly for twins, that the impressive AEO performance oft times lulls pilots into a false sense of security ... when, for OEI at critical conditions ... the bird becomes a definite dog ... and the bumpy bits become very frightening ...
Indeed, in some circumstances where one is in a critical situation, and the failure is late in the final approach, the best risk outcome might well be to fly the approach to the runway .. hence the need that many of us see for hand flying skills which are up to the demands of a blind ILS landing .. not overly difficult with practice .. but near impossible without.