I think that long term injuries should be part of a plot, or a story mechanism. Not something that may happen in a random basis.
For example, when fighting the BBEG one of the character receives a hit that would kill him outright, as dropping him directly to -10 or by massive damage. Instead of killing the PC, the DM determines he instead loses an arm. He is defeated, but not killed. He gets a second chance.
I did it once when playing Arcana Unearthed. Regeneration spells were rare, so the character had to find a way to overcome his injury. He finally found a mage that created a magical arm made of emerald.
The long term injury really added something for the game. It created an interesting story arc for the group. That's how I think long term injuries should be used.
If a long term injury rules are trivial like "damn I lost my arm again, handle me another regeneration scroll" or "ok DM, I've lost half my healing surges, consider I spent weeks in bed DM. Ok let's go back to the dungeon" than it's just a waste of book space.
For example, when fighting the BBEG one of the character receives a hit that would kill him outright, as dropping him directly to -10 or by massive damage. Instead of killing the PC, the DM determines he instead loses an arm. He is defeated, but not killed. He gets a second chance.
I did it once when playing Arcana Unearthed. Regeneration spells were rare, so the character had to find a way to overcome his injury. He finally found a mage that created a magical arm made of emerald.
The long term injury really added something for the game. It created an interesting story arc for the group. That's how I think long term injuries should be used.
If a long term injury rules are trivial like "damn I lost my arm again, handle me another regeneration scroll" or "ok DM, I've lost half my healing surges, consider I spent weeks in bed DM. Ok let's go back to the dungeon" than it's just a waste of book space.
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