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Message: <blockquote data-quote="Nebulous" data-source="post: 7878929" data-attributes="member: 31465">It really amounts to this, in answer to the OP.  In a game where you can survive what would normally be instant death from ogres, dragons, cliffs, burning and any of the other horrible things PCs suffer daily (with zero PTSD as well) then healing overnight hardly matters.   No one in real life can survive a giant's tree club to the head, and no one in real life can heal injuries with a nap.  It's kind of like a video game where you take a beating, heal up, and keep on going.  There's lots of ways to tweak the game here and there to suit your campaign, but in no way has D&D ever tried to model the setbacks caused by real life trauma, because that's not fun to roleplay. Also, you only get back half your HD after a long rest, not all of them.At the end of a long rest, a character regains all lost hit points. The character also regains spent Hit Dice, up to a number of dice equal to half of the character's total number of them. For example, if a character has eight Hit Dice, he or she can regain four spent Hit Dice upon finishing a long rest</blockquote>