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Message: <blockquote data-quote="Blue" data-source="post: 7174466" data-attributes="member: 20564">The insta-death rule depends on their max-HP, so for mimicing that doing it at high level play vs. low level play is quite different.Either way though this will have some rather dramatic effects on play.  It dilutes all healing, since it needs to cover the full amount instead of "start from zero" no matter how much below zero.  But the other aspect is that it will be a lot harder to drop someone, which means that you lose one of your tools for creating tension.  Plus with PCs staying up longer you need to throw more at them to challenge them, but slipping a little over the edge from challenge means actually dead PCs.  Personally, I'd hate to be a player where the DM softballs it so there's no real threat, but you are taking away your margin if the dice are finicky.</blockquote>