Njall: You are confusing the term 'realistic' with 'genre versimlitude' in ways that seriously undermine your point. 'What is realistic for the fantasy genera' is not the same in this case as 'what is realistic'.
Sorry, but I don't think so. What I'm saying is that they fit the genre
and they're more realistic than the traditional HP as well.
The two aren't mutually exclusive.
Also I'm not at all sure that 'realism' per se was made a significant component of anyone's definition of 'video gamey', at least not 'realism' as it is normally meant when applied to RPGs. So I'm not sure what arguing for or against the 'realism' of something is supposed to get you.
Uh? I don't know, I don't think I ever saw the term "video-gamey" used to describe something that felt realistic, either.
Usually, in the context of RPGs people refer to videogames as something that's blatantly artificial, conflicting with what they deem "realism" or even "simulationism" and breaking their suspension of disbelief.
YMMV, that's the first implication I see when the term "video-gamey" is used, usually.
Well, I have no idea how to respond to that claim, except that I'm glad you've found a narrative structure for hit points that you are comfortable with. If this is going to turn into a discussion of the realism of hit points, maybe its best to fork to a new thread.
That might make some sense if being heavily encumbered or otherwise doing anything fatiguing caused you to take lethal damage each round.
Nope, it wouldn't make sense if fatigue dealt lethal damage. When you take lethal damage, you can't recover with a short rest. The point is that taking "HP damage" isn't a measure of the lethal damage you've taken either.
Seriously, the basic problem you have here is that things like 'hit points' and 'healing surges' have many attributes and interactions with the game. Not all of those aspects and interactions might be 'videogamey', and certainly in the case of something like 'hit points' there precense in video games doesn't make them 'videogamey' because there provenance is in traditional PnP games. If you focus on the aspects of the example that aren't 'videogamey', then you are rather much missing the point.
Now, as I've said, I think its fairer to call healing surges 'Gamist' than it is to call them 'videogamey'. They have clear gamist motivations and they don't have clear connections to videogames. However, if we look at the larger outcome of the 4e healing system rather than the particular details of the implementation, then that we might argue is rather 'videogamey', especially when we also notice the elimenation of all long term conditions in the design of the game.
We still have long term conditions; the disease system is something that makes for functional and useful long term conditions, actually.
It's also something that can easily adapted to simulate long term injuries, in case you're trying to run a grittier kind of game.