Shin Okada
Explorer
How about ruling that the hard cap is double max hp? It seems simple enough, and is arguably the intent. You gain 5 hp per round until you hit double max hp, at which point you must make a fort save each round until your temp hp goes down. At which point, the fast healing resumes giving you temp hp.
Example: PC has 200 hp. Once he gain 200 temp hp from the fast healing, he must save each round or explode. However, he cannot gain more temp hp. He's "full." If he slits his wrists for 15 damage to avoid the save vs. dying, he's back down to 185 temp hp, and resumes gaining 5 per round, again up to 200 in 3 more rounds, assuming no more damage to himself.
That seems to be a simple and good option. So, someone with high Fort save and Steadfast Determination feat can simply keep Max HPs + equal number of tempral HPs without worrying about exploding. Others need to consider what to do.
Still, It may be too beneficial for someone with Steadfast Determination. They can virtually have double their normal HPs. Others will likely to end up using spells like attune form and having normal HP limit (though they will be benefited from fast healing).
Also, I have a hard choice if I should give that feat to some of the monsters and villains, or not.
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