D&D 5E Slowed instead of Unconscious at 0 HP House Rule - Play Report

[OB1]

A little over a year ago, I start toying with a new 0 HP rule variant in this thread Original 0 HP Concept and continued to tweak while finishing up an existing campaign. Last month, during session 0 of our new campaign, I proposed the below version of that concept, and the players decided to adopt it. Last week, we had it come into play for the first time, and everyone agreed that the rule was fun and worked great, so we'll be keeping it.

Dropping to 0 HP

• When a character drops to 0 HP, they are Slowed, as per the spell, but remain conscious. All other effects of being at 0 HP remain the same (death saves at start of turn, failed death saves for taking damage)
• When a character regains HP, the period of Slow continues for 1 minute, or until a spell such as Lesser Restoration is cast to end the effect.
• When a character is brought back from the dead, the period of Slow lasts until after completing a short or long rest, or until a spell such as Greater Restoration is cast to end the effect.

In the session last week, we had 3 PCs drop to 0 HP, two in two different combats, and another after springing a trap out of combat (PCs are all level 3). In the first, the PC (an Artificer) was flying, and because he was slowed, didn't suffer a failed death save from falling to the ground. On his next turn (after succeeding on a death save) he was going to disengage and retreat, but instead pressed his attack when he realized that he would only be able to move 15' away and wouldn't have a bonus action to take a healing potion (I allow bonus action potion drinking). And because he would have to roll to see if a spell would go off this round or next, decided to make an attack instead and ended up killing the monster next to him, then moved 15' away.

The second PC (a rogue) found himself in a bit of serious trouble, surrounded by 3 monsters and fearing the auto death save fails from attacks, did use his action to disengage and move towards the rest of the party, who got between him and the monsters to protect him (along with the bard healing him above 0HP).

For the PC (a bard) who dropped to 0 from the sprung trap, she got to have a fun little RP moment as she failed her first death save, then tried to heal herself but rolled for the spell to go off the next round, then failed another death save before the spell took effect and brought her above 0 HP.

Ultimately, everyone felt like the change to the rule added a perfect amount of tension to the fight, enjoyed the change in tactics that it forced, and the PCs who fell liked the trade off of being able to keep their turn while having the increased danger of enemies still coming after them.

The only change I'm thinking about at this point is whether to apply this to monsters as well, either by giving them the same rule, or simply starting the effect when they drop to less than 15% HP. I may use the former option for humanoids and the latter for all other monster types.

 

[Baron Opal II]

Interesting! I would have the duration of the penalties be significantly longer, but I like the concept.

How is concentration affected? I presume that as long as you make your concentration check you can maintain it despite your mortally wounded status, seeing that the Artificer was able to land safely.

Is there ever a time when a PC, or anyone else, be unconscious and not dead?

 

[OB1]

Interesting! I would have the duration of the penalties be significantly longer, but I like the concept.

How is concentration affected? I presume that as long as you make your concentration check you can maintain it despite your mortally wounded status, seeing that the Artificer was able to land safely.

Is there ever a time when a PC, or anyone else, be unconscious and not dead?

I thought about longer durations, but ultimately felt like all that would do would be to encourage 5MWDs. That said, I think needing a short rest to end the slow after hitting 0HP and a long rest to end the slow after being resurrected could also work.

Hadn't thought about how this effects concentration spells, so thanks for that! Think I will apply disadvantage to concentration checks while at 0HP going forward (using the circumstantial disadvantage rule). But I'm also tempted to see if the group would agree to concentration being automatically broken when hitting 0HP, which seems reasonable to me. The Artificer get's his flight from his race, so that wasn't the issue there.
The sleep spell and certain monster effects (such as the Chasme's Drone ability) can still cause unconsciousness without being dead.

 

[DND_Reborn]

It is a nice idea, but I have found imposing a level of exhaustion when going to 0 hp and then using a few house-rules works well. The impact is similar to what you are doing in many ways, so it is a nice way to summarize it.

 

[OB1]

It is a nice idea, but I have found imposing a level of exhaustion when going to 0 hp and then using a few house-rules works well. The impact is similar to what you are doing in many ways, so it is a nice way to summarize it.

I toyed with various exhaustion based rules for 0hp, but ultimately landed on using Slow instead because it felt more cinematic to me. It's also a great trade off between players getting to do something on their turn besides roll a death saving throw and the increased danger of still being seen as a viable threat by the enemies. Being at 0hp is way more terrifying when you are conscious and requires much more immediate action by your teammates

 

[Maxperson]

Interesting! I would have the duration of the penalties be significantly longer, but I like the concept.

How is concentration affected? I presume that as long as you make your concentration check you can maintain it despite your mortally wounded status, seeing that the Artificer was able to land safely.

Is there ever a time when a PC, or anyone else, be unconscious and not dead?

Since there are no negative hit points, I would not make the slowing effect automatic. Perhaps a DC 10 or 12 con check to stay conscious and slowed, and unconscious if the con check is failed. Otherwise you've created a situation where PCs can't ever be knocked unconscious.

 

[DND_Reborn]

Sure, I agree with most of what you are saying anyway. Quick summary:

Your maximum levels of exhaustion is equal to 6 (we made 6 unconscious so 7 levels is death) + your CON modifier (acts as "free" levels of exhaustion).

We don't do death saves anymore.

 

[el-remmen]

A friend of mine who is starting up a new campaign is planning to use this variant by ThinkDM: Death Saves Revived


And I like it so much I plan to suggest to my current group that we use it.

• 0 Failed Death Saves: Prone (Cannot Stand)
• 1 Failed Death Save: Incapacitated
• 3 Failed Death Saves: Dead
• More Fails than Saves: Unconscious

Falling prone at zero HP signals that you do not have any more energy to fight. You have collapsed from the toll the battle has taken on you. While you cannot stand, your speed does not become 0, so you can still crawl around and take actions and make attacks at disadvantage in a last-ditch effort to defend yourself from the onslaught of death. You may also want to have casters drop concentration at zero HP.
On your first failed save, you become incapacitated. You have lost the power to fight. You can no longer impact the battle in a meaningful way, but you can still crawl around, grab McGuffins, and tell your teammates how you really feel about them before your dying breath.

Any time you have more failed death saves than successful saves, you are unconscious. Your unresponsiveness serves as a mechanical signal to your team that you’re not doing so hot, whereas under the current system they have no idea how many death saves you’ve passed or failed without metagaming. This also adds additional drama to each roll, since you can slip in and out of consciousness. Imagine you’ve fallen unconscious, and you revive with one last gasp of air to take your final act. On the flip side of the narrative, bad guys now have a legitimate reason to ignore an unconscious creature, who is surely slipping towards death, compared with the usual 60% survival rate for a creature in death saves.

I plan to have concentrating characters who fall to 0 hps have to make concentration check at disadvantage and will move the death save to the end of your turn, instead of the beginning.

 

[OB1]

Since there are no negative hit points, I would not make the slowing effect automatic. Perhaps a DC 10 or 12 con check to stay conscious and slowed, and unconscious if the con check is failed. Otherwise you've created a situation where PCs can't ever be knocked unconscious.

Not a bad thought, and I like that this gives higher con characters a better chance to stay conscious. I also like @el-remmen 's concept that you fall unconscious when you have more fails than saves. I'll suggest both ideas to the group on Friday and see if they want to make a change to the house rule.

 

[Blue]

Another possible route for unconsciousness would be to put it in the hands of the players. Fall unconscious = death save as normal. Stay conscious = death save at disadvantage. (Or the even stricter, two normal death saves.)