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Message: <blockquote data-quote="Syrsuro" data-source="post: 4896123" data-attributes="member: 58162">I think I would go for an option that put more choice in the players hands, while compensating that choice with added risk. Something like: When you drop to 0, you can choose to go down (and be relatively safe) OR to stay standing, be slowed and unable to take a standard action (normally restricted to a move and a minor). However, if you choose to do so, you can attempt a standard action instead of one of the other two actions (i.e. a minor and a standard or a move and a standard). Doing so requires you to roll an immediate death save (in addition to the one you would normally roll at the end of the round) and if you fail this save (and are still alive and at 0 or lower hit points), you fall unconscious upon completion of the action. I am a bit concerned with Warforged (and possibly others) who never fail death saves with this approach however. I'd be inclined to add a specific (overriding the general) rule that Warforged and any other character with special abilities to avoid failing death saves must still make this save normally. Carl</blockquote>