Not yet reviewed by Pith; the record is open.

Traditional Business Process Management (BPM) struggles with rigidity, opacity, and scalability in dynamic environments while emerging Large Language Models (LLMs) present transformative opportunities alongside risks. This paper explores four real-world use cases that demonstrate how LLMs, augmented with trustworthy process intelligence, redefine process modeling, prediction, and automation. Grounded in early-stage research projects with industrial partners, the work spans manufacturing, modeling, life-science, and design processes, addressing domain-specific challenges through human-AI collaboration. In manufacturing, an LLM-driven framework integrates uncertainty-aware explainable Machine Learning (ML) with interactive dialogues, transforming opaque predictions into auditable workflows. For process modeling, conversational interfaces democratize BPMN design. Pharmacovigilance agents automate drug safety monitoring via knowledge-graph-augmented LLMs. Finally, sustainable textile design employs multi-agent systems to navigate regulatory and environmental trade-offs. We intend to examine tensions between transparency and efficiency, generalization and specialization, and human agency versus automation. By mapping these trade-offs, we advocate for context-sensitive integration prioritizing domain needs, stakeholder values, and iterative human-in-the-loop workflows over universal solutions. This work provides actionable insights for researchers and practitioners aiming to operationalize LLMs in critical BPM environments.