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Message: <blockquote data-quote="S'mon" data-source="post: 7107918" data-attributes="member: 463">For my Wilderlands sword & sorcery game I just use negative hp, die at negative max hp. Also death saves are at 1 minute, 10 minutes & 1 hour, 1st save stabilises. That works to do what you want, the fallen are typically ignored.For my high magic Golarion game I just use the default rules, PCs die a fair bit at high level, but usually get brought back. Had a paladin PC permadeath recently to the (Legendary) Dark Rider/Headless Horseman's 'decapitation at 0 hp' power, but that was because the PC had a DNR order, the player preferred to bring in a new character.We've played 49 sessions, 2 perma-deaths, both that player's PCs - <a href="http://smonscurseofthecrimsonthrone.blogspot.co.uk/" target="_blank">http://smonscurseofthecrimsonthrone.blogspot.co.uk/</a> - so I don't think having enemies finish off the fallen creates excessive lethality.I do think finishing off the fallen is realistic as well as tactically optimal IRL, so I only avoid it if I want a lighter feel to the game. My Wilderlands game has a lot of solo adventuring and I wanted a chance for solo PCs to survive being defeated, so I use left-for-dead; characters may be left on the battlefield and wake up later.</blockquote>