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Message: <blockquote data-quote="TPK" data-source="post: 4088695" data-attributes="member: 58632">Hitting the healing surges sounds good to me. Imposing conditions that will modify your bonuses to those d20 rolls could be a bit of a pest and could also mess with the carefully engineered math of the game, so sounds bad to me.For a heroic if not terribly gritty solution:If you've been knocked to negative HP during the day, you wake up wounded _after_ you rest. You are three healing surges down, but on the upside you get to wear a bloody rag like a badass bandanna. Take off your rag after three days of rest (tended by nuns in a cloister, R&R with the ale and ladies and gentlemen of the night, whatever).But seriously, even slightly more lasting consequences of injury makes risking it seem rather more heroic.</blockquote>