Helldritch
Hero
No one wants to go back to level drain. But a temporary unavoidable max hp reduction can be a good compromise. Especially if to have your hp back only after a save at the end of a long rest and to have these hp back, you need to spend HD to recover.It's what a number of monsters do, nightwalker with enervating touch, bite of a vampire and spawn, wraith life drain, wight, etc. coincidentally all the Level Draining monsters from AD&D. Maybe not scary enough ?
This reduction can mean a whole day of adventuring with reduced hp, and a potential of much more if you fail to save. And even if you save, the HD you have to take is again a reduction of you healing potential which can lead to a death spiral.
This is exactly what I do in my games and my players do not like undead. Nope, they do not like them at all.
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