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SlyFlourish created a way to use the Tarokka deck to impart random effects on Combat. Tarokka-based Random Encounter Effects The original poster (@toucanbuzz) mentioned it, but I thought I'd share the link.

I often feel the game should have more Consequences. Here's a few ideas I brainstormed: When hit by a Critical Hit, there is a lasting injury or damage. Examples: A graphic wound, a permanent scar, equipment damaged or destroyed. When HP drops to 0, the character experiences lasting injury...