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Message: <blockquote data-quote="Blue" data-source="post: 7043975" data-attributes="member: 20564">Exhaustion is very hard to get rid of, you only get rid of one level in a long rest and even spells like Lesser Restoration won't touch it.  That's why I've never seen a Barbarian (Berserker) - exhaustion is too rough.This rule means characters who take more damage and therefore have a greater chance to get knocked to zero - your front liners - will be more penalized in this system then other PCs.  I would never play a tank with this.  Maybe an archer - lots of HPs but generally out of melee.  It also increases the roll of luck - someone falls to a lucky crit or failed save in an early encounter and they have a problem for the whole rest of the adventure.  It gets even worse if you update the damage when down is a failed death save to more levels of exhaustion, since it's fairly easy to get tagged in an AoE.Oh, and monsters won't be penalized except in very rare cases, just PCs.While you have achieved your goal of more realism, the currency you have paid for it with was fun.  You can decide if that's a win or not.</blockquote>