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Message: <blockquote data-quote="Undrave" data-source="post: 7926341" data-attributes="member: 7015698">Surgeless Healing was super rare in 4e. Cure Wounds and Healing Word were all surge based. They also scaled better since the basis was the healed character's 1/4 max HP value. Your solution is interesting but feels a bit too fiddly. And 5e HAS rules for Instant Death: Of course this doesn't applies to higher level that much but still... 1 HP isn't a sure thing. And taking damage after your down to 0 means you auto fail 2 Death Save, so if you fail on your turn you're dead... You could rule that taking half your max HP equals one failed Death Save. Also, in 4e, your Death Saves didn't reset until you took a rest, so there was consequences to dropping to 0 HP. That also seems like a decent variant to me.</blockquote>