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Message: <blockquote data-quote="DanmarLOK" data-source="post: 5029382" data-attributes="member: 71480">Interesting concept!  Probably would not work for my group but it sounds like it would make the players more involved in what's going on and player engagement is key to a good session.Since I dislike players sitting out except for making a death roll to see if they die as well, it disengages them from the game IMO or at least with my players.  So when they hit 0 or lower I inflict a Mostly Dead condition on them.  Dazed, Weakened, Slowed and Knocked Prone and -5 on attack and skill rolls.  But they can still do a standard action to crawl 2 squares, or get out a potion and the next round drink it etc.  Or hell they try to attack someone from the ground if they wanted although the impact is minimal.   But they still get to do something proactive rather than reactive and it seems to work well for us. It does tend to make them save their second winds till they go down.  But I'm okay with that. They still die at negative bloodied and still have to make death saves to avoid dying from shock.</blockquote>