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Message: <blockquote data-quote="happyhermit" data-source="post: 6996012" data-attributes="member: 6834463">Grim subject. The death save rules actually are pretty representative of reality in this case, though I doubt they were designed for it. If someone's throat was slit, it would take them 18 seconds (3 rounds) to actually die, likely quite a bit longer.Depending on how badly the "throat was slit", with fast and good trauma care it need not necessarily be fatal. Healing magic in D&D far surpasses modern medicine, so it should have a chance at saving someone if applied in seconds.Now, it is incredibly risky IRL, but it is even if you give the NPC death saves and run everything according to those rules (NPC and monsters don't have death saves by default). As mentioned, the attacker could ensure the death is final.</blockquote>