Damage, injury and death.

Injury and the risk of death are constant companions of those who explore fantasy gaming worlds. The thrust of a sword, a well-placed arrow, or a blast of flame from a fireball spell all have the potential to damage, or even kill, the hardiest of creatures.

### **Hit Points**

Hit points represent a combination of physical and mental durability, the will to live, and luck. Creatures with more hit points are more difficult to kill. Those with fewer hit points are more fragile.

A creature’s current hit points (usually just called hit points) can be any number from the creature’s hit point maximum down to 0. This number changes frequently as a creature takes damage or receives healing.

Whenever a creature takes damage, that damage is subtracted from its hit points. The loss of hit points has no effect on a creature’s capabilities until the creature drops to 0 hit points.

### **Wound Points**

While Hit Points describe how good you are at shrugging off damage, turning potentially lethal blows into glancing ones and keep going despite being badly bruised, wound points represent how much massive trauma your body can take before quitting this world. A character has fewer wound points than hit points, and they are recovered much slower than hit points.

A character's starting wound point total depends on size, constitution and level, and is calculated by adding the character's constitution bonus and wound point proficiency bonus to his or her base wound point score based on size.

**Wound Point Size Modifier**

 Small
 Medium
 Large
 Huge
 Gargantuan

So for example a 7th level halfling fighter with Constitution of 14 has 9 wound points, 3 from Small size, 2 from Constitution and 4 since fighters have **high** proficiency advancement in wound points. A 7th level human wizard, with 14 constitution will have 7 wound points (4 from size, 2 from Constitution and 1 from **low** proficiency advancement).

A character loses a wound point when:

* He takes a critical
* He falls below 1 hit point.
* He fails a death save.

If a character falls below 1 hit point, and has some feature that lets him or her remain concious despite this, they still take 1 wound point, and may as a result die from the wound.

When you have 0 remaining wound points, you are dead.

### **Damage Rolls**

Each weapon, spell, and harmful monster ability specifies the damage it deals. You roll the damage die or dice, add any modifiers, and apply the damage to your target. Magic weapons, special abilities, and other factors can grant a bonus to damage. With a penalty, it is possible to deal 0 damage, but never negative damage.

If a spell or other effect deals damage to more than one target at the same time, roll the damage once for all of them. For example, when a wizard casts fireball or a cleric casts flame strike, the spell’s damage is rolled once for all creatures caught in the blast.

#### **Critical Hits**

When you score a critical hit the target takes a wound point damage, as well as hit point damage. In addition you get to roll extra dice for the attack’s damage against the target. Roll all of the attack’s damage dice twice and add them together. Then add any relevant modifiers as normal. To speed up play, you can roll all the damage dice at once.

For example, if you score a critical hit with a dagger, roll 2d4 for the damage, rather than 1d4, and then add your relevant ability modifier. If the attack involves other damage dice, such as from the rogue’s Sneak Attack feature, you roll those dice twice as well.

#### **Damage Types**

Different attacks, damaging spells, and other harmful effects deal different types of damage. Damage types have no rules of their own, but other rules, such as damage resistance, rely on the types. The damage types follow, with examples to help a GM assign a damage type to a new effect.

##### **Acid.**

The corrosive spray of a black dragon’s breath and the dissolving enzymes secreted by a black pudding deal acid damage.

##### **Bludgeoning.**

Blunt force attacks—hammers, falling, constriction, and the like—deal bludgeoning damage.

##### **Cold.**

The infernal chill radiating from an ice devil’s spear and the frigid blast of a white dragon’s breath deal cold damage.

##### **Fire.**

Red dragons breathe fire, and many spells conjure flames to deal fire damage.

##### **Force.**

Force is pure magical ehahahadead and a spell such as chill touch, withers matter and even the soul.

##### **Piercing.**

Puncturing and impaling attacks, including spears and monsters’ bites, deal piercing damage.

##### **Poison.**

Venomous stings and the toxic gas of a green dragon’s breath deal poison damage.

##### **Psychic.**

Mental abilities such as a mind flayer’s psionic blast deal psychic damage.

##### **Radiant.**

Radiant damage, dealt by a cleric’s flame strike spell or an angel’s smiting weapon, sears the flesh like fire and overloads the spirit with power.

##### **Slashing.**

Swords, axes, and monsters’ claws deal slashing damage.

##### **Thunder.**

A concussive burst of sound, such as the effect of the thunderwave spell, deals thunder damage.

### **Damage Resistance and Vulnerability**

Some creatures and objects are exceedingly difficult or unusually easy to hurt with certain types of damage.

If a creature or an object has **resistance** to a damage type, damage of that type is halved against it.

If a creature or an object has **vulnerability** to a damage type, damage of that type is doubled against it.

Resistance and then vulnerability are applied after all other modifiers to damage. For example, a creature has resistance to bludgeoning damage and is hit by an attack that deals 25 bludgeoning damage. The creature is also within a magical aura that reduces all damage by 5. The 25 damage is first reduced by 5 and then halved, so the creature takes 10 damage.

Multiple instances of resistance or vulnerability that affect the same damage type count as only one instance. For example, if a creature has resistance to fire damage as well as resistance to all nonmagical damage, the damage of a nonmagical fire is reduced by half against the creature, not reduced by threequarters.

### **Dropping to 0 Hit Points**

When an attack drops you to 0 hit points or below, you also take onewound poit. As a result of this you may either die outright or fall unconscious, as explained in the following sections.

#### **Instant Death**

If you take as much damage as your max health in one attack, you instantly die

#### **Falling Unconscious**

If damage reduces you to 0 hit points and fails to kill you, you fall unconscious. This unconsciousness ends if you regain any hit points.

e d20, you regain 1 hit point.

##### **Damage at 0 Hit Points.**

If you takeany damage while you have 0 hit points, you suffer a wound point. If the damage is from a critical hit, you suffer two wound points. If the damage equals or exceeds your hit point maximum, you suffer instant death.

#### **Stabilizing a Creature**

The best way to save a creature with 0 hit points is to heal it. If healing is unavailable, the creature can at least be stabilized so that it isn’t killed by a failed death saving throw.

You can use your action to administer first aid to an unconscious creature and attempt to stabilize it, which requires a successful DC 10 Medicine check.

A stable creature doesn’t make death saving throws, even though it has 0 hit points, but it does remain unconscious. The creature stops being stable, and must start making death saving throws again, if it takes any damage. A stable creature that isn’t healed regains 1 hit point after 1d4 hours.

### **Monsters and Death**

Most GMs have a monster die the instant it drops to 0 hit points, rather than having it fall unconscious and make death saving throws. Alternatively it can be assumed that most monsters automatically fail all their death saves, and will as such bleed out in a matter of a few rounds.

Mighty villains and special nonplayer characters are common exceptions; the GM might have them fall unconscious and follow the same rules as player characters.

### **Knocking a Creature Out**

Sometimes an attacker wants to incapacitate a foe, rather than deal a killing blow. When an attacker reduces a creature to 0 hit points with a melee attack, the attacker can knock the creature out. The attacker can make this choice the instant the damage is dealt. The creature falls unconscious and is stable.

### **Temporary Hit Points**

Some spells and special abilities confer temporary hit points to a creature. Temporary hit points aren’t actual hit points; they are a buffer against damage, a pool of hit points that protect you from injury.

When you have temporary hit points and take damage, the temporary hit points are lost first, and any leftover damage carries over to your normal hit points. For example, if you have 5 temporary hit points and take 7 damage, you lose the temporary hit points and then take 2 damage.

Because temporary hit points are separate from your actual hit points, they can exceed your hit point maximum. A character can, therefore, be at full hit points and receive temporary hit points.

Healing can’t restore temporary hit points, and they can’t be added together. If you have temporary hit points and receive more of them, you decide whether to keep the ones you have or to gain the new ones. For example, if a spell grants you 12 temporary hit points when you already have 10, you can have 12 or 10, not 22.

If you have 0 hit points, receiving temporary hit points doesn’t restore you to consciousness or stabilize you. They can still absorb damage directed at you while you’re in that state, but only true healing can save you.

Unless a feature that grants you temporary hit points has a duration, they last until they’re depleted or you finish a long rest.