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Message: <blockquote data-quote="DND_Reborn" data-source="post: 8955210" data-attributes="member: 6987520">First, as a DM and when I get to play, I love death spirals... they are "real" and so increase my sense of immersion in the game.Second, any system is a compromise between simplicity and accuracy IMO. While the suggestions in the thread might increase the accuracy factor, they also decrease the simplicity factor too much for me to get behind them.Now, I am all for a two-level system such as Vitality and Wounds from d20 SW. It was a simple system, with only minor death spiral implications, allowed for PCs to feel really threatened by any critical hit, etc.My adaptation (at one point when tinkering around) was this:<ol> <li data-xf-list-type="ol">Hit points work as normal, but you do NOT add your Constitution modifier each level.</li> <li data-xf-list-type="ol">However, when you roll HD to recover HP, you do add your Constitution modifier to the rolls. (i.e. Higher CON means you recovery quicker and more easily).</li> <li data-xf-list-type="ol">Each time your HP = 0, you make a check to remain conscious. Any remaining damage is applied TO YOUR CONSTITION score!</li> <li data-xf-list-type="ol">If your Constitution score drops to 6 or lower, you suffer the following effects:</li> </ol> <ul> <li data-xf-list-type="ul">CON 6 = Disadvantage on ability checks</li> <li data-xf-list-type="ul">CON 5 = Speed halved</li> <li data-xf-list-type="ul">CON 4 = Disadvantage on attacks/saves</li> <li data-xf-list-type="ul">CON 3 = Hit point maximum halved</li> <li data-xf-list-type="ul">CON 2 = Speed reduced to 0</li> <li data-xf-list-type="ul">CON 1 = Unconscious and making death saves</li> <li data-xf-list-type="ul">CON 0 = Instant Death</li> </ul>Those should look familiar to you (yes, same as Exhaustion effects), because this concept made it so "gaining a level of exhaustion" was instead losing a point of Constitution. If your Constitution got too low, you suffered the effects above and could die.Since the "overflow" damage from going to 0 HP goes directly against your Constitution, your Constitution can drop quickly! For example, suppose your fighter has CON 16 and is down to 2 hp when an orc hits you for 9 damage! Your hp = 0 and you have 7 points of extra damage, applied to your CON 16, reducing it to 9. Another hit of 9 damage would kill you.</blockquote>

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