Single demise save – you would possibly or won’t die instantly.  Also enjoyable variants the place you do not make the save till somebody checks on you.

Whatever the checks are (demise saves, medical assist, heal spell, and so forth.) having a variable time chart.  Maybe one thing like quick, 1 minute, 10 minutes, 1 hour, 6 hours, 1 day, and so forth.  Check for “bleeding out” every interval on the chart.  If one thing would not kill you immediately, there’s time for somebody to do one thing.  If it would not kill you within the first 3 or 4 checks, there could be time in your pals to get you again to civilization.  I like this when the means are restricted and/or demise saves are considerably robust.  Reason being that if the percentages are appropriately robust, then examine each spherical or each minute is successfully a demise sentence in lots of conditions.  So if you would like that, would possibly as effectively simply set the percentages low of surviving as a substitute of dragging it out.

A method to have the circumstances have an effect on the therapeutic.  I give boosts when characters have acceptable garments, aren’t sporting armor in dangerous circumstances, are clear, dry, have the eye of a devoted healer, and so forth.  Or give penalties when it goes too far the opposite approach.  Down within the dungeon with little meals, no heat, and so forth. you would possibly “bleed out” as a result of regardless that you bought bandaged, the atmosphere 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 happening, however not so shut that it will not be safe once you retreat to it.

Last week I had a recreation session with some gamers new to this fashion.  Starting characters had been poor, and the sport was set in early winter (earlier than it will get too dangerous).  First outing, a pair virtually 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 approach they might heal in any respect was to have one in every of their healers make a reasonably tough examine to look after them, nevertheless it was sluggish.  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 previous weapons they discovered to get cloaks and footwear. Mission completed.