OK, back to the old revising of death saves discussion. I think I like this, and ask for thoughts and comments.
Each round of combat costs 1 HP in addition to any HP lost by other means. This represents getting tired from the exertion of combat.
Rolling a 1 on an attack roll results in a self-inflicted injury of 1d4 HP. The roll may still result in a successful attack if the roll plus any modifiers equal or exceed the AC of the target.
When a creature is reduced to 0 HP, it becomes unconscious until its next turn.
On its next turn it becomes conscious with an Exhaustion level of 2.
Over exertion at 0 HP can cause an additional level of Exhaustion at the DM’s discretion.
At 0 HP a creature cannot engage in combat, attack, cast a spell, dash, disengage, dodge, help, or ready any of these actions, or at the DM’s discretion attempting any of these actions causes an extra level of Exhaustion.
At 0 HP a creature is vulnerable to a death blow.
A creature may use its action to inflict a death blow on another creature at 0 HP.
Any creature receiving a death blow becomes unconscious and will die if not healed by magic or a successful DC10 medical check within 2 rounds or 12 seconds. Level 1 or lower healing magic, or a successful medical check results in the creature becoming stable, but unconscious for 1d12+1 rounds, after which time the creature revives with 0 HP.
If a player character receives a death blow or is reduced to 0 HP by a critical hit, the player in the group with the highest medical skill modifier determines the nature of the injury in a accordance with a roll on the following lingering injury table.
Roll(1d8+1d12) | Result |
2 | Lose an Eye |
3 | Lose a Leg or a Foot |
4-7 | Limp |
8-11 | Minor Scar |
12-13 | Broken Ribs |
14-15 | Internal Injury |
16-17 | Horrible Scar |
18-19 | Festering Wound |
20 | Lose an Arm or Hand |
The DM will determine the nature of lingering injuries for non-player characters
In addition, any creature receiving a death blow receives 3 additional levels of exhaustion. If this increases the level of exhaustion to 6 the creature is dead.