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<blockquote data-quote="Velderan" data-source="post: 8933686" data-attributes="member: 7038056">So Pathfinder 2e handles death like this and I think it could be easily adapted to 5e to help you achieve what you're looking for:<ul>
<li data-xf-list-type="ul">When a character hits 0 HP, they gain 1 rank of the dying condition (2 if a crit put them down to 0 HP). Death saves are handled similarly to 5e where a save is rolled each round, with a crit save lowering your dying condition by 2 ranks, regular save 1 rank, fail increasing it by 1 rank, and a crit fail being the same except they die if they have the wounded condition. If a character gains 4 levels of the dying condition, they die. How do you get the wounded condition?</li>
<li data-xf-list-type="ul">Being healed to 1 HP or more brings them back to fighting shape, but they gain a rank of the wounded condition. If a player with the wounded condition gets knocked to 0 HP again, they gain the same number of dying ranks as their current wounded level. Each time they recover from dying, they gain another wounded level. So each time you go down to 0 HP the risk of actually dying increases. As far as I know, there's no mechanical penalties from having the wounded condition.</li>
<li data-xf-list-type="ul">Removing the wounded condition requires either being restored to full HP and resting 10 minutes or a successful Medicine check being used to restore HP.</li>
</ul></blockquote>

[QUOTE="Velderan, post: 8933686, member: 7038056"] So Pathfinder 2e handles death like this and I think it could be easily adapted to 5e to help you achieve what you're looking for: [LIST] [*]When a character hits 0 HP, they gain 1 rank of the dying condition (2 if a crit put them down to 0 HP). Death saves are handled similarly to 5e where a save is rolled each round, with a crit save lowering your dying condition by 2 ranks, regular save 1 rank, fail increasing it by 1 rank, and a crit fail being the same except they die if they have the wounded condition. If a character gains 4 levels of the dying condition, they die. How do you get the wounded condition? [*]Being healed to 1 HP or more brings them back to fighting shape, but they gain a rank of the wounded condition. If a player with the wounded condition gets knocked to 0 HP again, they gain the same number of dying ranks as their current wounded level. Each time they recover from dying, they gain another wounded level. So each time you go down to 0 HP the risk of actually dying increases. As far as I know, there's no mechanical penalties from having the wounded condition. [*]Removing the wounded condition requires either being restored to full HP and resting 10 minutes or a successful Medicine check being used to restore HP. [/LIST] [/QUOTE]

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