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 fast, 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 instantly, there’s time for somebody to do one thing.  If it would not kill you within the first 3 or 4 checks, there is perhaps time to your associates to get you again to civilization.  I like this when the means are restricted and/or demise saves are considerably powerful.  Reason being that if the percentages are appropriately powerful, then verify each spherical or each minute is successfully a demise sentence in lots of conditions.  So in order for you that, would possibly as nicely simply set the percentages low of surviving as a substitute of dragging it out.

A way 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 so forth.  Or give penalties when it goes too far the opposite method.  Down within the dungeon with little meals, no heat, and so forth. you would possibly “bleed out” as a result of despite the fact that 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 happening, however not so shut that it will not be safe if you retreat to it.

Last week I had a recreation session with some gamers new to this type.  Starting characters had been poor, and the sport was set in early winter (earlier than it will get too unhealthy).  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 method they might heal in any respect was to have certainly one of their healers make a reasonably troublesome verify to look after them, but it surely 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  They moved heaven and earth with their funds and barter some outdated weapons they discovered to get cloaks and footwear. Mission completed.