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Message: <blockquote data-quote="TaranTheWanderer" data-source="post: 7533188" data-attributes="member: 15882">I've thought about this a bit and it's something I'd like to try too.  It would be nice to find a smooth way of doing this.What if, each round they stay up, they automatically fail a death save.  Every time they are hit, they have to roll another death save(instead of auto-failing).  They can fall unconscious at any time and continue making death saves.By having them auto-fail, they are limited to 3 extra rounds to do something before they die or get knocked out.  Getting hit is less of death sentence but staying up gives them a little bit of time for that extra hit or to cast a healing spell etc...Concentrating on spells should be difficult at this point, I'd think, too.  Getting knocked to 0 still makes you auto-lose concentration on any spell you have up.I'd also have them take a level of exhaustion to do this.The question is this:  what if they choose to stay up, then decide to go unconscious or get healed to 10hps and then get hit to 0 again?  Do they get to restart their death saves again or do death save failures stack?  Can they choose to 'stay up' again?If yes, I'd definitely make it cost a level of exhaustion each time they choose to stay up instead of going unconscious.</blockquote>