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Message: <blockquote data-quote="tetrasodium" data-source="post: 9252225" data-attributes="member: 93670">Multiattack doesn't cut it because attacks are tuned for lower level PCs thanks to bounded accuracy.  Even if a multiattack monster does down a PC on the first hit it or something else still needs to hit two more times before any other PC in the initiative can heal the downed PC of even a single point.  So it's not just multi attack... It's multiattack plus positioning on the battlefield in order for the GM to effectively execute a PC before any other player in the initiative can healing word healing breeze cure wounds health potion 1hp lay on hands or whatever in order to completely nullify all of the damage done beyond zero.  A maralinth is really the only monster with enough attacks that deal enough damage for death to be a plausible risk.4e didn't work like 5e, edit:[scaling] was very different then</blockquote>