Death and Dying
Your hit points measure how hard you are to kill. No matter how many hit points you lose, your character isn’t hindered in any way until your hit points drop to 0 or lower.
Loss of Hit Points
The most common way that your character gets hurt is to take lethal damage and lose hit points.
What Hit Points Represent:
Hit points mean two things in the game world: the ability to take physical punishment and keep going, and the ability to turn a serious blow into a less serious one.
Effects of Hit Point Damage:
Damage doesn’t slow you down until your current hit points reach 0 or lower. At 0 hit points, you’re disabled. If your hit point total is negative, but not equal to or greater than your Constitution score, you are unconscious and dying. When your negative hit point total is equal to your Constitution, you’re dead.
Massive Damage Rule
If you ever sustain a single attack that deals an amount of damage equal to half your total hit points (minimum 50 points of damage) or more and it doesn’t kill you outright, you must make a DC 15 Fortitude save. If this saving throw fails, you die regardless of your current hit points. If you take half your total hit points or more in damage from multiple attacks, no one of which dealt more than half your total hit points (minimum 50), the massive damage rule does not apply.
Disabled (0 Hit Points)
When your current hit point total drops to exactly 0, you are disabled. You gain the staggered condition and can only take a single move or standard action each turn (but not both, nor can you take full-round actions). You can take move actions without further injuring yourself, but if you perform any standard action (or any other strenuous action) you take 1 point of damage after completing the act. Unless your activity increased your hit points, you are now at –1 hit points and dying.
Healing that raises your hit points above 0 makes you fully functional again, just as if you’d never been reduced to 0 or fewer hit points.
You can also become disabled when recovering from dying. In this case, it’s a step toward recovery, and you can have fewer than 0 hit points (see Stable Characters and Recovery).
Dying (Negative Hit Points)
If your hit point total is negative, but not equal to or greater than your Constitution score, you’re dying. dying character immediately falls unconscious and can take no actions. A dying character loses 1 hit point every round. This continues until the character dies or becomes stable.
When your character’s current hit points drop to a negative amount equal to his Constitution score or lower, or if he succumbs to massive damage, he’s dead. A character can also die from taking ability damage or suffering an ability drain that reduces his Constitution score to 0.
Certain types of powerful magic, such as raise dead and resurrection, can restore life to a dead character.
Stable Characters and Recovery
On the character’s next turn, after being reduced to negative hit points (but not dead), and on all subsequent turns, the character must make a DC 10 Constitution check to become stable. The character takes a penalty on this roll equal to his negative hit point total. A character that is stable does not need to make this check. A natural 20 on this check is an automatic success. If the character fails this check, he loses 1 hit point. An unconscious or dying character cannot use any special action that changes the initiative count on which his action occurs.
Characters taking continuous damage, such as from an acid arrow or a bleed effect, automatically fail all Constitution checks made to stabilize. Such characters lose 1 hit point per round in addition to the continuous damage.
You can keep a dying character from losing any more hit points and make him stable with a DC 15 Heal check.
If any sort of healing cures the dying character of even 1 point of damage, he becomes stable and stops losing hit points.
Healing that raises the dying character’s hit points to 0 makes him conscious and disabled.
Healing that raises his hit points to 1 or more makes him fully functional again, just as if he’d never been reduced to 0 or lower. A spellcaster retains the spellcasting capability she had before dropping below 0 hit points.
A stable character who has been tended by a healer or who has been magically healed eventually regains consciousness and recovers hit points naturally. If the character has no one to tend him, however, his life is still in danger, and he may yet slip away.
DM’s Note: To give a more concrete example; let’s say that SkyClad is hit with Lightning Bolt that has enough damage to bring him to -5 HP. Since the total is not yet his Con score, SkyClad is “Dying”. In that same round, Findar cast a Cure XXX Wounds spell on him and rolls a total of 10hp for the spell. This DOES NOT take SkyClad to positive 5 HP but places the Kender in the “Stable” status (which restricts his actions, see above). If another character gives him a healing potion or casts another cure spell on the same round or the next, then SkyClad will leave the “Stable” status and will be able to receive healing normally and bring him to normal health status as if nothing happened.
Recovering with Help:
One hour after a tended, dying character becomes stable, the character must make a DC 10 Constitution check to become conscious. The character takes a penalty on this roll equal to his negative hit point total. Conscious characters with negative hit point totals are treated as disabled characters (see page 189). If the character remains unconscious, he receives another check every hour to regain consciousness. A natural 20 on this check is an automatic success. Even if unconscious, the character recovers hit points naturally.
He automatically regains consciousness when his hit points rise to 1 or higher.
Recovering without Help:
A severely wounded character left alone usually dies. He has a small chance of recovering on his own. Treat such characters as those attempting to recover with help, but every failed Constitution check to regain consciousness results in the loss of 1 hit point. An unaided character does not recover hit points naturally. Once conscious, the character can make a DC 10 Constitution check once per day, after resting for 8 hours, to begin recovering hit points naturally. The character takes a penalty on this roll equal to his negative hit point total. Failing this check causes the character to lose 1 hit point, but this does not cause the character to become unconscious. Once a character makes this check, he continues to heal naturally and is no longer in danger of losing hit points naturally.