I wouldn't wanna use a certain skill for that. Regaining surges and HP is very important and that would put heavy emphasis on that skill. CON seems to be a little bit underrated according to my gut feeling, but maybe that's just coming from 3e experience. Unless you got powers relying on CON surely.
I personally would opt to only dampen the regeneration speed a little, but not much, because it would rip the game flow apart, I think. But the idea of using the failed death saves sounds appealing. But I wouldn't make reducing the surge max permanent. Think about the following idea:
A usual extended rest in a non-secure area (like roadside, dungeon, etc.) lets you regain [edit]two healing surges of HP (adding to your current)[/edit]. You surges go to max (maybe minus 1 per battle during rest). If you camp in a secure location where you do not set up guard shifts and don't sleep in any armor (city, tavern, etc.) you regain your full HP and all surges to current max. So you are screwed if you are attacked, but even heroes are vulnerable sometimes.
For each failed death save your surge max drops by 1 (adds up over days). You can regain one point of surge max by spending a full day resting in a secure location (see above, no guard, etc.). This means 24h in a city or something doing not much besides shopping, sightseeing, maybe gathering intel, but nothing which may put you in danger or is strenuous activity.
I personally would opt to only dampen the regeneration speed a little, but not much, because it would rip the game flow apart, I think. But the idea of using the failed death saves sounds appealing. But I wouldn't make reducing the surge max permanent. Think about the following idea:
A usual extended rest in a non-secure area (like roadside, dungeon, etc.) lets you regain [edit]two healing surges of HP (adding to your current)[/edit]. You surges go to max (maybe minus 1 per battle during rest). If you camp in a secure location where you do not set up guard shifts and don't sleep in any armor (city, tavern, etc.) you regain your full HP and all surges to current max. So you are screwed if you are attacked, but even heroes are vulnerable sometimes.
For each failed death save your surge max drops by 1 (adds up over days). You can regain one point of surge max by spending a full day resting in a secure location (see above, no guard, etc.). This means 24h in a city or something doing not much besides shopping, sightseeing, maybe gathering intel, but nothing which may put you in danger or is strenuous activity.
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