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Message: <blockquote data-quote="Charlaquin" data-source="post: 8141035" data-attributes="member: 6779196">I am also not a fan of the whack-a-mole effect, but I don’t like having a separate pool of “meat points.” I would rather handle hits taken after 0 hp with some sort of abstract wounds system. Which was what lead me to replacing death save failures with exhaustion levels initially.My plan for my next campaign (which I’m currently shooting for a March start), I plan to use the following house rule:As mentioned above, when at 0 HP, you have to concentrate (as if concentrating on a spell) to remain conscious. Taking damage while at 0 HP results in death save failures and forces a concentration save as normal. If you lose concentration, you fall unconscious and become unstable. Regaining HP while unconscious stabilizes you but does not restore you to consciousness - you only regain consciousness after 1d4 hours.My thinking is that this version of the rule will preserve the utility of Healing Word and other such in-combat healing spells being able to keep an ally who has been knocked down to 0 HP in the fight for another round, without the attendant whack-a-mole effect of characters at 0 bouncing in and out of consciousness every round.</blockquote>