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Message: <blockquote data-quote="Staffan" data-source="post: 7835965" data-attributes="member: 907">This is, as has been pointed out, extremely brutal. You could instead steal an idea from Pathfinder 2: when you recover from being at death's door, you gain a level of Wounded. This has no immediate effect, but if you start dying again, every level of Wounded counts as an immediate failed death save (the rules implementation in PF2 is slightly different, but the same basic idea: bouncing up and down reduces your margin for error).You lose Wounded when you receive medical attention (a successful Medicine check taking 10 minutes - in PF2 this also heals you some, taking the place of 5e's short rest) or if your hit points become full and you rest for 10 minutes.</blockquote>