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Whatever the checks are (loss of life saves, medical assist, heal spell, and many others.) having a variable time chart. Maybe one thing like fast, 1 minute, 10 minutes, 1 hour, 6 hours, 1 day, and many others. Check for “bleeding out” every interval on the chart. If one thing does not kill you straight away, there’s time for somebody to do one thing. If it does not kill you within the first 3 or 4 checks, there may be time in your pals to get you again to civilization. I like this when the means are restricted and/or loss of life saves are considerably robust. Reason being that if the percentages are appropriately robust, then examine each spherical or each minute is successfully a loss of life sentence in lots of conditions. So if you need that, may as properly simply set the percentages low of surviving as an alternative of dragging it out.
A method to have the situations have an effect on the therapeutic. I give boosts when characters have acceptable garments, aren’t sporting armor in unhealthy situations, are clear, dry, have the eye of a devoted healer, and many others. Or give penalties when it goes too far the opposite method. Down within the dungeon with little meals, no heat, and many others. you may “bleed out” as a result of though you bought bandaged, the surroundings is simply too terrible so that you can make it. Gives a powerful purpose to arrange a safe base camp close to the place the motion is going down, however not so shut that it will not be safe whenever you retreat to it.
Last week I had a recreation session with some gamers new to this model. Starting characters have been poor, and the sport was set in early winter (earlier than it will get too unhealthy). First outing, a pair nearly died. They tried to camp and heal. I defined that given a few of them solely had sandals and ragged tunics for garments, and incomplete armor that wasn’t a lot assist, the one method they may heal in any respect was to have one among their healers make a reasonably tough examine to look after them, however it was gradual. If the climate turned worse, even that restricted therapeutic would disappear. They tried that for two days, then ran for an remoted inn a day away. Second outing? They moved heaven and earth with their funds and barter some outdated weapons they discovered to get cloaks and sneakers. Mission completed. 
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