Guild Goodknife said:Instant grittiness rule: Instead of regaining all your healing surges after a 6 hour rest, you only regain 1.
Nightmare mode: You regain 1 per week.
Interesting idea. I like what I see about 4th ed but I cant help that the number of healing surges are a bit over the top for me. So some form of restriction on them (and no auto heal via an extended rest) may add a bit of realism/believability to the process. Regaining 1 surge per week might be too much though!