I know the topic of replacing Death Saves has been covered, but I wanted to take a version I've seen on other threads and weave it into my own (vitality at 0hp). Not looking for debate on whether one should use an alternative to Death Saves, but any abuses or loopholes you could see occurring. My players currently like the idea of being relevant, albeit reduced in ability and hovering at death's door, at 0hp.
Several DMs use some version of a homebrew rule, in lieu of Death Saves at 0 hit points, of:
gain 1 level of exhaustion. The purpose is largely to avoid "whack-a-mole." The rule has been criticized as easily leading to a death spiral, especially for front-line characters, though it is a simplistic rule to implement. What if the
exhaustion gained this way were easier to shed?
Much credit to folks in this thread and @6ENow!
Proposed System:
- At 0 hit points, PC gains 1 level of "combat exhaustion" and any concentration effects end. Combat exhaustion is the same as normal exhaustion and stacks with it, but is easier to remove by:
- 1 per short rest or lesser restoration
- All by a long rest, greater restoration, or potion of vitality.
- The PC makes a Concentration saving throw to gain the "staggered" condition and stay conscious. Failure means the character gains the "unconscious" condition. Once a player gains at least 1 hit point, they lose these conditions. A player can voluntarily "fail" the save (perhaps to avoid looking like a threat on the battlefield).
- If the save is failed by 5 or more, the PC gains a "lingering injury" per the DMG p272.
- A "staggered" PC loses reactions, cannot move unless they use the Dash action, and can only take a single Action or Bonus action on their turn. Each time the PC takes damage while staggered, they must make another Concentration saving throw as above.