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Message: <blockquote data-quote="Gadget" data-source="post: 6410389" data-attributes="member: 23716">It seems that what the OP may be after is the party experiencing a bit more attrition over the course of an adventure, which is a slightly different desire and play style than just the loaded 'realism' term.   I can see the appeal of wanting the party to feel more 'warn down' over time adventuring.  Others have good suggestions with exhaustion levels that I like, and I think RangerWickett may be on to something with a narrative solution to this 'problem', although I feel his proposal his a bit too bookkeeping heavy for my taste.  Ultimately, I think there may be advice in the DMG on this very subject, but if I were to implement a similar house rule, I would keep the Hit Dice recovery the same as standard, and make the Hit Point recovery for a long rest be up to half of a PC's total HP total.  That way a person can be really spent (1 HP at the end of the day, all or most Hit Dice spent) and he will still feel it the next day.  But care should be given to make sure that the Hit Point recovery is not shifted to a back pack full of healing potions, or wand of cure (not that they will have that in this edition), etc.  Otherwise, you might as well keep it the same.  Also, those with magical healing will end up feeling more pressure to spend more of their spell load out on keeping the party going.</blockquote>