Patryn of Elvenshae
First Post
The issue here, is that it cancels the ability to model being moderately to seriously wounded, while still conscious and capable of fighting.
... except that [the base rules of] D&D has never, in any version, modeled this.
PCs are either completely competent, or they're unconscious (or dead). There's no in-between state; a fighter at 1 HP out of 100 fights just as well as a fighter at 99 HP out of 100. He takes no penalties to his attack rolls, damage rolls, speed, skill checks, Armor Class, ability to use items, etc.
He is not, in any meaningful sense, suffering a "moderate to serious wound."
A serious wound - a broken arm, a cut major blood vessel, a concussion - should have some measurable in-game effect if you are going to claim that D&D is "modeling" it.