I’ve been reduced to 0 HP (or below). Now what? You have a choice. You can either be tak­en out of the fight or you can sol­dier on.

1. If you are tak­en out of the fight, you fall to the ground, unable to con­tin­ue.
   1. You remain at 0 HP.
   2. You can­not par­tic­i­pate in the rest of the encounter UNLESS some­one admin­is­ters heal­ing mag­ic to you, e.g., cure light wounds.
   3. You gain one lev­el of exhaus­tion.
   4. If the blow that reduced you to 0 HP (or below) was a crit­i­cal hit, you take CON dam­age and are wound­ed and must roll on the table below, as per 2C‑E.
2. If you sol­dier on, you can keep fight­ing but you run the risk of seri­ous injury.
   1. You remain at 0 HP until you take fur­ther dam­age.
   2. You gain a lev­el of exhaus­tion.
   3. Any fur­ther dam­age you take is sub­tract­ed from your con­sti­tu­tion score.
   4. Any fur­ther dam­age you take wounds you. Roll 2d10 and add the dam­age you take from this attack to the result. Com­pare this num­ber to the wound table below, rolling accord­ing­ly for fur­ther details.
   5. If your con­sti­tu­tion reach­es 0, you die.
3. Wounds are bad news, hav­ing both imme­di­ate and long term con­se­quences, and heal slow­ly.
   1. Imme­di­ate:
      1. You might pass out from the pain. Make a Con save DC 10 (injury), 20 (maim­ing), or 25 (destruc­tion).
      2. You might die of shock. If you are maimed, make a sin­gle Wis save DC 7. If some­thing is destroyed, make a Wis save DC 12.
   2. Long Term:
      1. Injuries leave small scars and maim­ing leaves large scars. Destruc­tion is…worse.
      2. Injuries run a small risk of infec­tion, requir­ing a sin­gle DC 10 Con save the day after the wound. Maim­ing runs a high­er risk, requir­ing dai­ly Con saves DC 10 + num­ber of days since wound­ing. Destruc­tion runs an even high­er risk, requir­ing dai­ly DC 12 + num­ber of days since wound­ing. If infect­ed, a char­ac­ter is inca­pa­ci­at­ed for three days before dying.
   3. Heal­ing:
      1. Infec­tion and risk of infec­tion is end­ed with a DC 12 med­i­cine check (with an herbal­ism kit or equiv­a­lent).
      2. Injuries per­sist until all Con­sti­tu­tion dam­age is healed. Maim­ing per­sists until all Con­sti­tu­tion dam­age is healed and a DC 10 med­i­cine check is made dai­ly for sev­en days. Destruc­tion is per­ma­nent.
      3. Your con­sti­tu­tion score heals at the rate one 1 / long rest + 1 per HD spent (includ­ing dur­ing a short rest).
      4. Note that this does affect your max­i­mum HP.