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Message: <blockquote data-quote="DND_Reborn" data-source="post: 8141216" data-attributes="member: 6987520">FWIW, we used close to this system, gaining a level of exhaustion when you went to 0 HP, for over a year and it worked well.Due to the penalties already built into levels of exhaustion, IMO you don't really need more penalties--they'll come in time.We also added the Concentration check mechanic at 0 HP and with any hits after, to remain conscious.You only removed the exhaustion penalties (instead of having a staggered condition) with rest or magic, as usual. Regaining HP didn't help remove the effects of exhaustion.Finally, you gain "free" levels of exhaustion equal to your CON modifier. After these are used up, you suffer the effects as usual. For example, with CON 16 you could suffer three levels of exhaustion, and then the 4th would impose disadvantage on ability checks, the 5th would be half speed, etc.IMO it is a simple mechanic to exploit, using Exhaustion to represent physical trauma. Like I said, we used this for over a year so if you want to know more about how it played out, let me know.</blockquote>