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Message: <blockquote data-quote="KarinsDad" data-source="post: 5452480" data-attributes="member: 2011">I doubt this is true most of the time.I suspect that many DMs take x XP of monsters and throw them at the PCs based on the suggested XP in the DMG. They might adjust the monsters slightly, but unless the group has multiple healers or no healers, or the PCs get knocked unconscious a lot, or wipe through their foes easily a lot, I doubt that most DMs make any significant adjustments. Anything in the middle probably doesn't result in significant adjustments on the part of most DMs.The people who make the adjustments are the players. If the fight is going against them, they pull out more action points and Dailies. If the fight is not going against them, they often do not.I really don't consider "low amount of healing available" encounters to be thrilling. A hot dice streak by the DM and a cold dice streak by the players can easily result in a TPK if the group has little healing in it.The main resource that PCs typically have and their main edge over NPCs is their healing. Focused fire by PCs works significantly better than focused fire by the NPCs because a seriously damaged PC can be healed and hence recover whereas a seriously damaged NPC typically cannot. Take away the PC's healing edge and it just means that encounters become more swingy and more susceptible to the dice gods.</blockquote>