3catcircus
Adventurer
To me... if it is reasonable that hit point damage does not equate with physical injury, then it is equally reasonable that physical injury does not equate to hit point damage. Having a bleeding liver and a sliced up face won't necessarily impact your fighting ability, so there is no reason that a person at full hit points might not have some physical injuries.
Someone recovering all their hit points, particularly through something like hit dice expenditure and the natural recovery process, may not have all their physical injuries removed, they've just gotten used to them such that they no longer affect the character's ability to mitigate further damage.
But the common sense response is that a sliced up face will affect your fighting ability as you continuously need to wipe blood out of your eyes, distracting you. A bleeding liver will affect your fighting ability as your abdominal cavity fills with blood (or it all leaks onto the ground) and you slowly lose strength, become disoriented, possibly fall unconscious and die from exsanguination. Or maybe that internal bleeding throws a clot and you stroke out.
I strongly recommend obtaining a copy of "Battle Resume in Medieval Warfare: Wounds, Weapons, and Armor" for some good info on the effects of wounds, fatigue, and injury on the physical and spiritual aspects of being able to continue fighting and on recovery after the battle.
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