Lanefan
Victoria Rules
Any hit can (and probably should) involve minor physical injury - a nick, a scratch, etc. - which is all you need to get those abilities going. But the rest is best described as fatigue, I think; until you're down to the last 5-10 h.p.I think "hit points = weariness" is all fine and dandy until you start using monsters with abilities that very clearly require a physical wound. I'm not just talking about spiders and snakes that deal poison damage. There are fiends that can deal infernal wounds that keep bleeding. There are creatures that can light you on fire. And so on.
This is where a wound-vitality or body-fatigue hit point system comes in handy - the vitality/fatigue points are those minor nicks and scratches, fatigue and weariness, etc.; while the wound/body points are serious damage and pain. PCs and so on have (relatively speaking) few body points and lots of fatigues, where most monsters are the other way around; this ties in nicely to the narration methods people have described upthread.
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