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Message: <blockquote data-quote="smathis" data-source="post: 4107258" data-attributes="member: 56465">One of the first  (if not the first) topics covered in the 1e DMG is Disease. Something that can be caught at random or as the result of a combat (with Giant Rats of all things) that could take days, weeks or months to heal. And, IIRC, sometimes the damage one takes from certain diseases can be permanent.Besides that, all sorts of monsters throughout D&D's history inflicted (sometimes permanent) ability score drain and level drain. Some of that stuff wouldn't heal back without a Wish spell or some other crazily high-powered spell.The fact is that D&D has always had some sort of core model way of handling long-term, even debilitating, injuries to a PC as the result of combat.But, and this is my opinion, it's never had a good way of doing it.Like it or not, 4e will also have some form of Persistent Conditions as the result of combat. I already know the mechanic for it. It was in one of the Design & Development articles on the Wizards site, IIRC.After you wake up you roll a save. If you roll 11+, the Persistent Condition goes away. If not it stays with you until you attempt another save the next morning.What's being attempted here (at least by me and at least a few others) is finding a way to apply Persistent Conditions -- or the Persistent Condition mechanic -- to a sort of Massive Damage rule. So that a Persistent Condition may be acquired as a result of getting hit really hard in combat.Note that something of this sort may already be a rule (or variant) in the 4e PHB or the DMG.</blockquote>

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