Well, that's one interpretation. The other is you still have mangled limbs, but you keep going on, because you're soldiering on.
Hit Points (as found in D&D since its first edition) will probably be always require some "careful" handling.
In 4E, that other interpretation is wrong. Nothing about it fits the way people recover from those kind of injuries. You are not slowed if you have a mangled leg, you are not weakened if you have a mangled arm, and it is not easier for you to take a bleeding wound and/or pass out, as it would be to a character who was devastated by injury but only just got to the point where they were up and walking.
Furthermore, it would be wrong to amend the mechanics to reflect these sorts of injuries, as there are many powers which slow or weaken their targets but do less damage to compensate. Why even bother using those when doing enough damage takes care of that on its own? It would also be wrong to say "well, my character can run just fine even though his knee's bent the wrong way because he's that much of a trooper". You can go fine through that but when some hobgoblin wings you with a flail it slows you down? No.
In 3E it's more open for interpretation, yes, in that you can get wounded badly enough that you can't recover from it for several days or even a week. But in 4E you can recover from even the worst combat wounds with a good night's sleep. The two possible explanations are a) no combat wounds are ever severe enough to heal in more than a day or b) this is
Fist of the North Star where no matter how many bones snap and muscles tear dudes are in one of two states: combat-ready or exploderated. And explanation B is inconsistent with the presence of badstats other than exploderation.
Mustrum_Ridcully said:
If you have been just damaged brought to -3 hit points and bled for two rounds, and then have been fully healed by a heal spell - are your clothes still covered in blood? If you're down to 50 % hit points, are you limping or tired, or still running around as if nothing happened?
In 4E, the answers are: your clothes were never covered in blood to begin with, unless it was the blood of your enemies. "Bloodied" does not mean you bathed in the stuff, it means you took a single wound that bled or otherwise exposed you to environmental damage effects like drifting mushroom spores or tiny but voracious sharks. If you're shocked into unconsciousness by a blow that shaves off the last of your hitpoints and a cleric drops Cure Serious Wounds on you (or, uh, Clarion Call of the Astral Sea, that being the other utility that reliably restores more than half health) then you're back to consciousness and your wound closes over. If you're down to 50% hit points you have been battered around a lot but only taken a single wound that actually mattered. Angelic Presence wears off when you're bloodied - enemies previously trembling in fear realize they can actually hurt you. Dragonbreath recharges right away when the dragon gets bloodied - it's content to take things in moderation but the shock of one of those overgrown monkeys in a tin can actually _hurting_ it gives it an adrenaline rush. And lastly, if you run out of healing surges and have to move around on a local or global scale when you're bloodied, you're not actually slower or less aware than you previously were. You can try to play it up a little bit for effect, but don't be that guy in a knee brace who sets down his crutches and does the Roger Rabbit.
Mustrum_Ridcully said:
Having to decide whether your character is tired or not, or is covered in blood or not, and having to decide whether your fighting techniques are super-powered or the mix of skill and luck (controlled by the player, not the character) can be both very important to your "immersion" in the character.
Yes they are. But sometimes you can make the wrong decisions. For example, a fighter who shatters Orcus's exarch's skull with his mailed fist and says "oh, I'm just an ordinary guy" is like Scrooge McDuck saying "ach, I'm no' rich, laddie". Just because you don't shoot off pretty sparklies that doesn't mean you don't have a Destiny waiting for you, just as powerful in its own way as the archmage-aspirant wizard who pinioned the exarch's arms with glowing bands of mystic force.