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Message: <blockquote data-quote="Amaroq" data-source="post: 5070326" data-attributes="member: 15470">Just tossed this at my players, Zaran, after narrowly avoiding a TPK.What I decided to go with was:- The character who hit exactly zero hit points and made her first save, no lasting effect.- The character who went negative past his Healing Surge value, I offered a negotiated injury to; he's still debating it.- The character who actually failed 3 saving throws, I offered the choice of  a.) A negotiated injury, permanent until / unless magically removed  b.) Death followed by Raise Dead and its usual penalties  c.) Death followed by reincarnation with a racial change (undead, deva, etc)  d.) Permanent deathI think she's taking a.), with a Scarred mechanic I offered along the lines of: -2 Bluff, -2 Diplomacy, +2 Intimidate.Just for your calibration .. not sure how often your characters run to-or-below zero.I think I'll give her the option of removing the "game mechanic" effects of the scar while keeping the "character" element after a game week has passed.</blockquote>