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Message: <blockquote data-quote="Irda Ranger" data-source="post: 4244830" data-attributes="member: 1003">We know that the rules were in flux right up until the end. Some things have changed even since DDXP.  I think we have  to assume that any conflict between KotS and prior sources (such as the PHB Lite) must be resolved in favor or KotS (unless a WotC staffer or someone with a PHB (Morrus?) says otherwise).  That being said ...This is the KotS rule. Per above, I think we have to assume this is the official result.Real answer: no idea.  Hit Points, Healing and Dying (KotS, p.12) does not address temporary HP.Best guess: I'd go with #4.  A grant of temporary HP to a Neg HP character sounds like Healing the Dying (KotS, p.12) to me.  Note that in the Healing in Combat section it notes in the last sentence that "some powers don't require a character to spend a healing surge at all." Sacred Flame could be an example of this.Of course, you lose those temp HP eventually, so I'd make sure you recover more HP by some other means ASAP.By the way, the Half-Elf Cleric pre-gen's Sacred Flame grants 3 temporary HP, not 2.No, I don't know the official ruling.  I'd still go with #4 though, as Healing the Dying seems like the most applicable rule.  My ruling for the loss of those temp HP (assuming no further healing occurs before their loss) is that you drop exactly to 0 and begin making Saves vs. Death again.</blockquote>