As Large Language Model (LLM) agents become integral to modern software systems, ``skills'' have emerged as a novel unit of software reuse, enabling developers to package workflows, decision procedures, and prompt-based policies. While skills are intended for reuse, downstream developers frequently modify published skills to fit local contexts, yet little is known about the nature of such adaptations. This paper presents the first empirical study of downstream skill adaptation in public forks, to understand how published skills are adapted, and to provide implications for researchers and engineers on improving skill design, evolution, and orchestration. Specifically, we analyze 1,126 skill-adaptation instances from six widely adopted skill repositories and develop a taxonomy comprising 46 adaptation patterns organized into 13 families. Our key findings reveal a reuse paradox: although skills are intended to be easily imported and reused, developers spend a lot of effort rewriting what the skills do, fixing skill discoverability, and translating them for different tools and languages, indicating a need for better abstractions, standardized interfaces, and automated support for skill adaptation. Furthermore, adaptations are highly interdependent, with changes in one component often requiring coordinated updates elsewhere, motivating automated support for detecting inconsistent modifications. We also find that nearly one-fifth of adaptations introduce security-sensitive content within the same instruction text that governs behavior.

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