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Message: <blockquote data-quote="Sejs" data-source="post: 3509323" data-attributes="member: 4910">You keep the randomed HP you had before (well, minus the last one on account of the level loss), and adjust the total based on your new con modifier.  So if you were a dwarf with an 18 base con, and your +2 racial adjustment brought that up to 20... then you get reincarnated as an elf, your new con is 16.  20, eliminate the old racial adjustment, brings it to 18, apply the new racial adjustment, it's now 16.  The difference in con modifiers means you lose 2hp per level.  As if you'd had a 16 con the whole time.If you've been reincarnated as a race that has racial HD, generally speaking, ya gotta start taking those racial HD as your next available levels.  You don't suddenly shoot up several HD spontaneously, and you don't shed even more class levels to kind of ret-con them with racial HD.  You just have your next couple of levels pre-selected for you.</blockquote>