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Message: <blockquote data-quote="ValhallaGH" data-source="post: 4548849" data-attributes="member: 41187">It's an adaptation of the hostile environment / starvation rules.I think adding extra effects onto monster attacks is a jerk move, especially healing surge loss.  Only one of the M&M monsters I saw that takes away healing surges has an additional effect when the target is out (Death Titan).  Specifically, the target loses 1/2 their max hp if they don't have any healing surges left.As a player, anything that takes away my healing surges is scary, to the point that I want it dead right now or I might run away.  If I've now run out of healing surges, that's a terror to behold because I can't heal anymore; if they get through my hp (not really difficult for a tough encounter) then I'm toast.  If the adventure allows me to, I'm going to take an extended rest as soon as I can.  However, I've been in too many adventures where I desperately needed a day of rest but had to go fight the BBEG to think that that's actually an option most of the time.</blockquote>