When a character is reduced to 0 hit points: |
- Lose concentration
- Gain a level of lesser exhaustion
- Take 1 point of Vitality damage
- Make a Concentration save to become staggered. Otherwise, unconscious. You can voluntarily fail this save.
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Staggered Condition |
- Can take either an action or bonus action, not both
- Cannot take reactions
- Maximum speed is 5’
- Ends if you have at least 1 hit point
|
Damage when at 0 hit points: |
- If already staggered, make a Concentration save or become unconscious.
- Damage goes to Vitality. At 0 Vitality, dead.
|
Lesser exhaustion: acts as a level of exhaustion and stacks with exhaustion. One lesser exhaustion can be removed by a short rest or
lesser restoration. Anything that removes normal exhaustion (long rest,
greater restoration, potion of vitality) removes all lesser exhaustion.
Vitality: equal to your Starting Hit Points.
Healing Vitality: 1 per long rest. If already at full hit points, every 10 points of healing heals 1 point.
Regeneration always heals at least 1 point.
DM Notes: use the exhaustion mechanic more, which provides its own set of escalating disabilities. Disadvantage on all d20 rolls doesn’t occur until 3 levels of exhaustion are accumulated. To avoid a death spiral and discourage excessive long rests, lesser exhaustion easier to remove. Removes the arbitrary “3 strikes and you’re out” (why 3? 100 points of damage has same effect as 1 point of damage, no sense) with the exhaustion table. Encourages use of the short rest, which many classes rely upon.
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This is what we use after much debate into the 0hp damage soak, 3 death save arbitrariness, and so on. Tons of pages devoted to that, not rehashing here. Vitality reflects the amount of damage the body can actually take, which isn't much, whereas HP is the ability to avoid taking actual damage and sheer luck. Once at 0, a single giant's club can (and should) be a death sentence, as no human would survive it (or a dragon's fire, etc).
Note: the unconscious mechanic is pretty much a death sentence for most as D&D combats tend to rarely last past the 10 round point.
Raise dead is already a 1 hour casting time, so unconscious is pretty moot as it's unlikely someone would be in combat.
Revivify would fit, but it has a hefty penalty already in that 1 hp characters in combat are usually in big trouble.