Oh for the love of ... Look, Low Fantasy was a bad choice of words. I already admitted that. I should have said something like 'less cinematic'. Could you please ignore my poor choice of words and concentrate on the meaning behind them? I find fast healing by magic, far more believable than fast healing by force of will, or heroics. 4E fails to suspend my disbelief due to the ability of characters to 'magically' heal, without making use of magic.We should be able to agree that a definition invented in this very thread and which is the direct opposite of the previously accepted definition isn't a very good definition at all.
I don't favour high-action or high-cinema story-telling. I don't favour 4E's assumption that characters start out as heroes. Particularly because to me (and the majority of my gaming group) DnD has been about levels 1-6, where you're still trying to find your feet. Stories about BECOMING heros. Those are the stories I find interesting, and 4E does not seem conducive to that type of story.
Who needs to know?
The character doesn't need to know - he's not in a condition to make use of the knowledge, since he can't take any actions.
The player doesn't need to know, because the player understands the death save mechanic.
The other characters might want to know, but they can't tell just by glancing at him. They need to get closer so they can determine what state he's in. DC 15 Heal check - if they fail, they can't tell, and if they succeed, they can tell that he's not in danger of immediate death (since a DC 15 Heal check stabilises the character, and he's no longer required to make Death Saves).
My biggest issue with this is around the natural 20 'auto heal' you get when rolling death saves.Hold on, I have to make my stabilization roll. 87. Dang, still bleeding out I guess. Maybe I can make it a non-lethal wound with a lucky roll next round.
08! Yes! I guess it's not life-threatening after all.
(To paraphrase: 4E fans do not claim that 4E wounds and healing are realistic. Just that unrealistic wounds and healing are not new to 4E.)
Bob gets knocked down to -8 HP, and fails two death saves. Fred examines him to determine how close to death he is, and sees that in moments Bob will slip away. Then Bob's player rolls a 20, and Bob stands up and fights on as if he'd never been close to death.
Either you're about to die (but might stabilize (slip into a coma but stop dying)), or you're not about to die.
Yes, previous editions were unrealistic. I never said they were realistic. I just feel that they're more realistic than 4E when it comes to wounds and dying.
I can handle "he's stabilized" but I can't handle "oh, actually he's okay now, and ready to kick ass".
I'd be interested to see a system which handled this with accuracy (but still did not include specific injuries), but I have never heard of such.