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Message: <blockquote data-quote="Lonely Tylenol" data-source="post: 4544898" data-attributes="member: 18549">This is basically the way I narrate 4e damage.  The characters in my game are becoming progressively more bruised, cut up, acid-burned, scorched, and frostbitten as they proceed through the dungeon.  However, the damage is not reflected by hit points, which indicate only your continued ability to act.  The damage is reflected by healing surges, which deplete over time as wounds accumulate.  Granted, an extended rest restores these, so there are no six-week bed rest sessions or broken limbs, but I haven't really been interested in that sort of thing since 1e.  Once 3.x made healing potions and wands rather affordable, every group I've played with has started each day with full hit points.I take waking up with a full tank of gas each morning to be a conceit of the genre.  Not that I don't describe burns, cuts, and injuries as turning into bruises and scars over time.  Adventurers in my games tend to look like they've been run over by trucks several times by about level 10.  The wizard in my current campaign has a particular talent for getting acid in his face.  This has come up when he tries to engage NPCs in conversation and they notice that he has the complexion of a burlap bag of beans.  Fortunately for him, he has a decent Intimidate skill, so it works to his advantage.</blockquote>