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Message: <blockquote data-quote="MoonSong" data-source="post: 7134786" data-attributes="member: 6689464">Another idea, this one straight from my personal heartbreaker. Change the normal getting to 0 rules. When you get to 0, you can attempt a "death save" to stay in the fight, then again at the end of your turn and then again each time you receive damage.   If you fail you are out of the fight but stable, unless you exceed three turns in which case you simply die. Regardless you can no longer be healed and at the end of combat you die anyway. If you don't want to, you just remain unconscious but stable. If you are stable, no healing will wake you up until you are fully healed or complete a short rest.  Another one, just have monsters heal to full each time they down an enemy.</blockquote>