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Message: <blockquote data-quote="Oofta" data-source="post: 7443139" data-attributes="member: 6801845">The original pass felt overly complex, and as others have stated exhaustion can be a pretty harsh penalty.  It was also odd that you could take the dodge while at zero (but I may have misunderstood). I get that you want a grittier campaign with combat being more dangerous, that can be a bit difficult with 5E.Some of the steps I took<ul> <li data-xf-list-type="ul">Use the alternative rest rules.  A short rest is overnight, a long rest is several days usually a week or more.  This means fewer healing spells are available.</li> <li data-xf-list-type="ul">The enemy play mean (dependent on creature).  Unintelligent creatures may drag away unconscious combatants, intelligent/militaristic types double tap and/or focus on the healer.</li> <li data-xf-list-type="ul">Death is more permanent.  This is partly a campaign thing because of my setting.  The spirits of the dead travel through Nifleheim (the ShadowFell) where they are met by a guide to be taken to their final resting place.  If they delay, there's a chance of slowly evaporating and becoming an unintelligent undead/ghost with no chance of resurrection.  So revivify works, raise dead is iffy.</li> <li data-xf-list-type="ul">No guarantee of a fair fight.  If it's not a fair fight, the party should realize it fairly early on and have an escape route.</li> </ul>If I wanted to make it even worse I'd limit access to healing potions or decrease effectiveness of potions if you drink multiple (reset after a long rest).   Another simpler option would be to do something like the raise dead spell.  If you fall unconscious, you're at a -n to attacks, saves and ability checks until a long rest.A lot of what makes a gritty campaign "gritty" though is set dressing, not rules.</blockquote>

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