2e Ravenloft had the Grim Reaper
"The chance that any mortally wounded individual (one reduced to 0 or fewer hit points) will attract the attention of a death spirit is equal to 5% per character experience level. Thus, a 15th level character on his death bed has a 75% chance of being visited by a grim reaper."
We had to fight the Grim Reaper off a few times in our campaign. Then we started casting negative plane protection and made use of amulets. Of course, driving him off granted the victim 10% of his original hit points back. I lost a few characters to him, but I can't say it didn't make us worry like hell when we went down.

"The chance that any mortally wounded individual (one reduced to 0 or fewer hit points) will attract the attention of a death spirit is equal to 5% per character experience level. Thus, a 15th level character on his death bed has a 75% chance of being visited by a grim reaper."
We had to fight the Grim Reaper off a few times in our campaign. Then we started casting negative plane protection and made use of amulets. Of course, driving him off granted the victim 10% of his original hit points back. I lost a few characters to him, but I can't say it didn't make us worry like hell when we went down.
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