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Message: <blockquote data-quote="JohnBiles" data-source="post: 4320967" data-attributes="member: 63128">When a monster that spreads disease hits you, you make a save at the end of the encounter.  If you fail, you are now at the Initial Effect stage.So the ranger should have made his save at the end of the encounter, and having failed it, he would then suffer Filth Fever's initial effect:  The target loses 1 healing surge.The disease does not progress until the end of your next extended rest.  At that point, the infected one rolls Endurance.  There are two target numbers.  The easier one is to remain stable at the current stage.  The higher one is to move left, towards a better stage.So after the first extended rest, the Ranger should roll Endurance.  For Filth Fever, you need an Endurance result of 16 to stay stable, 21 to improve.  If you rolled 15 or less, you get worse.If someone in the party has heal, they can roll Heal during the extended rest.  If the result is higher than the infected's Endurance roll, it can substitute for the Endurance roll in seeing if you stay stable or get better or worse.and you only suffer the effects of the stage you are at.</blockquote>