Lyxen
Great Old One
So you claim, where as in other sentences you call recovering hit points -> removing wounds. Which I find convincing evidence otherwise.
Because, ultimately, when you fall, dying, at 0 hp, it's not for lack of divine favor, luck, resolve, whatever other components are in hit points. They have contributed to keeping you alive, and in some rare cases, the lack of them might be the cause of your death, but monsters, on the other side, are not draining your luck, your divine favor or your resolve, they are hitting you with weapons and spells that deal physical damage for the most part (yes, there might be cases of psychic damage, but again, brain damage and nosebleed is an equally acceptable answer, very visual, very cinematic and used in many cases, see Stranger Things for example).
So, when you come down to the narrative side, because it's the point of this thread, there is only so much you can do to convincingly describe the loss of luck and divine favour when orcs are hitting you with axes. I use it, of course, to justify the axe not disembowling you, but it's much more narrative, full of fiction and visual to have at least a part being physical, even though the buffer of divine favour/luck/resolve keeps you going with just a scratch.
Again, it's not that I don't integrate them in hit points and healing, it's just that when playing narratively it works much better in the long run, it's more consistent internally and with the fiction that we are trying to emulate.
Perhaps or perhaps that is playing against tropes that certainly happens I suppose when it does go that route perhaps the subject is not so much a heroic personage and in 4e perhaps they are out of healing surges and/or failing a death check.
There are always good reasons, and indeed the lack of hit points (from any source) is the first cause of having someone "dying" in the first place, but the reason before that is the axes wielded by the orcs, these don't hit your resolve but your flesh...