![]() Without getting into the minutiae, I submit that this is an improved system over negative HP. This drops your survival odds from 60% to 26%! There was also a set of rules in Tomb of Annihilation called “Meat Grinder Mode” that set the death save DC to 15. ![]() If you get hit, you lose 1 death save criticals count as 2 hits. There’s an interesting little mechanic that instantly revives you with 1 HP when you roll a 20, and an opposite mechanic that gives you two death saves when you roll a 1. A creature who lives is stable at 0 hit points and needs time to recover. ![]() So, if you get 3 successes, you live if you get 3 failures, you die. Under this system, when you reach 0 HP, you fall unconscious and you begin making “death saving throws.” Each death save is a DC 10 check (no modifiers). When D&D went to 5th Edition, they dropped the notion of negative hit points and came up with a new system called “death saving throws.” Death Save Mechanics ![]()
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