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This was used as a mechanic in 4e – the Bloodied condition. All it meant was that you were below 50% health, Bear I love someone with autism beary much shirt gave a lot of space for new effects. Monsters that have a second form/enraged when they got bloodied, abilities that had a different effect when used on bloodied opponents, etcThis is why the “all damage is near-misses or will to fight” argument is nonsense. Some of it can be that, but sometimes, people are getting slashed, punctured, bludgeoned, etc. How the hell does damage over time make sense? You remember every round about that time you almost got hit?
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Not really they aren’t. It’s a simplification proposed in PHB to make combat more Bear I love someone with autism beary much shirt since rolling death saves for everything and everyone would be a chore, but the same paragraph reads that DM can decide otherwise if they wish to.I usually skip death saves for goons and if party explicitly wants someone dead (classic how do you want to do this kind of situations), but roll them for NPCs that they can’t finish off properly or for people the party wants to keep alive – either allies they are trying to protect, or enemies they are trying to capture.