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Message: <blockquote data-quote="Hriston" data-source="post: 7352728" data-attributes="member: 6787503">I agree that serious injury is possible. It's just that it isn't represented by hit points, as per your second bullet. Also, I wouldn't say it's impossible for anyone to be seriously injured, since death can be assumed to have been caused by serious injury.I can't speak for 3rd or 4th edition, but there's nothing in 5e that I'm aware of that absolutely precludes the addition of an injury track if that's desirable, but yes, it does seem to embrace an interpretation of hit point damage as not representational of any serious physical injury. Using the Gritty Realism and/or Slow Natural Healing options may help achieve something like this in 5e, but to really nail it down I think you'd have to get rid of short rest healing all together. I think the simpler solution is to add a separate injury track, like the Lingering Injuries option, that doesn't rely on hit points to represent injury.</blockquote>