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Message: <blockquote data-quote="jgsugden" data-source="post: 8145397" data-attributes="member: 2629">I've always believed the benefit of this rule is in the threat of the instant death, not in the actual instant death.  It creates the "risk" of death that provides some reason for caution when PCs get to lower hp totals.  That encourages actual fear when the hp totals are low ... but it is mostly an illusion because few things can deal that high level of damage when used at level appropriate places after PCs reach 3rd level.In AD&D, my house rules was that your PC died when they reached negative hps equal to their constitution, and they lost 1d4 hps per round when unconscious. We lost a lot of PCs to heavy blows when at low hps, even with the lower average damage of that edition.  5E is much better.</blockquote>