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Message: <blockquote data-quote="AbdulAlhazred" data-source="post: 4709334" data-attributes="member: 82106">No, all surges are surges that are used, both ones in combat and ones in short rests. There are a FEW powers that don't actually expend a healing surge, but still give a healing effect. Healing Word specifically causes the target to use a surge and heals surge value + 1d6 hit points of damage. Cure Light Wounds on the other hand does NOT expend a healing surge, either in or out of combat.There are a few other things that are interesting to note. During a short rest a character can expend each encounter power they have (any they didn't use in the previous encounter). At the end of the short rest all encounter powers recharge. There is no rule against taking multiple short rests in a row. Thus a cleric could use Healing Word twice (assuming he still has it available) in the short rest, expending 2 surges on himself or other party members and giving surge+1d6 healing. Then the party could take ANOTHER short rest and he could spend his healing word 2 times AGAIN and do the same thing. Each short rest is '5 minutes', so there may be story based considerations as to how many the party can take in a row.Only a long rest (or a few powers or magic items) can give a PC more surges. After an extended rest everyone will have all hitpoints and full surges, barring disease or some other DM imposed restriction.The MM does explain that all monsters have 1 healing surge per tier. HOWEVER monsters DO NOT have the Second Wind feature which all PCs have. Thus they cannot USE a healing surge unless there is a monster with a power allowing that or the DM equips the monsters with some kind of magic, or there is some other environmental effect of the area where the monsters are that gives them access to healing. Of course you can also make monster variants that have Second Wind if desired.</blockquote>

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