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Message: <blockquote data-quote="Quickleaf" data-source="post: 6234743" data-attributes="member: 20323">Sure! First let me say that for getting grey area into wounds, you're on the right track; I think stealing from the Dragon Age games where you accrue injuries when you drop to 0 (or maybe when you make or fail death saves) is the way to go. The question is, just what do those injuries look like mechanically?So, what I meant by "adjusting narrative" is that when a PC drops to 0 HP, treat them as being stunned and knocked prone and about to pass out for a round, rather than the DM default of "you're bleeding out." This simple change reduces the sense of the "revolving door of death" because when the PC is healed now, they can stagger to their feet heroically and fight on. It also asked sense if you have a bard or warlord or other "shouting healer", so the 0 HP PC can still hear their friend calling them back to the fight,  Does that make sense?When I said "adjusting encounter design" I was more thinking the overall lethality can really be upped in 4e compared to the complaints that 4e PCs never die. However, if you don't need convincing that it is very possible to kill 4e PCs with hard (but fair) encounters... I suppose that you could use or create monsters that impose lingering effects on the PCs. Wights that drain healing surges, lycanthropes that inflict disease, that sort of thing. I have really run with this idea in my current campaign, thou it requires lots of homebrewing.</blockquote>

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