Healing 5e

Healing wounds is of the essence.

Healing for DnD 5e is used essentially as-is. Here is presented a "Lingering Injuries" add-on, inspired by DanDwiki [1]. The reason is to add deadliness to the system.

Lingering Injuries

If a character receives more damage than half their maximum HP in one turn or they become unconscious from HP loss, the player rolls a D20 and consults this table.

Roll	Injury	Effect
20	Surface wound	Gain Hemorrhage 1 (1d2 hemorrhaging damage for 1d2+1 rounds)
19	Flesh wound	Gain Hemorrhage 2 (1d4 hemorrhaging damage for 1d4+2 rounds)
18
17
16
15	Deep wound	Gain Hemorrhage 3 (1d6 hemorrhaging damage for 1d6+3 rounds)
14
13
12
11
10	Arm Injury	You lose the ability to use the injured arm.
9
8	Leg Injury	You lose the ability to use the injured leg.
7
6	Light Internal Injury	Add one level of Internal Injury and you take 1d2 Con damage.
5
4	Sight Injury	You are blinded on one eye.
3	Serious Internal Injury	Add two levels of Internal Injury and you take 1d4 Con damage.
2	Head Injury	You take mental ability damage: 1d4 Int, 1d4 Wis and 1d4 Cha. On your turns, make a DC 13 Con save or lose your action and reaction.
1	Critical Injury	Roll twice on this table, adding your Con bonus -1 to the result (min +0).

If any of your physical ability scores ever reach below 1, you die. If any of the mental ones reach below 1, you become unconscious and it's not possible to wake you unless the score becomes more than 0.

Keep track of each Lingering Injury. Each needs to be cleaned before a Long Rest (15 minutes, Medicine DC 10 check) to not risk infection. This is in addition to any specific medical care to heal the injury.

Creatures with unusual numbers of limbs or eyes may be affected differently.

Healing a Lingering Injury

A Lingering Injury is healed by:

• Following a Long Rest, make a Con check DC 22 minus days since the injury. Natural 20 counts as 21.
• Use a 3rd level or higher healing spell on the target
• 20 points of magical healing applied directly to the injury (not used to replenish HP loss)
• A Lesser Restoration spell with a Tooth Component*
  • An additional Lingering Injury can be healed if a Greater Tooth Component is used.
• A Greater Restoration spell (no material component needed)
• The target receives 1h medical care (Medicine DC 15) in conjunction with a Long Rest, three days in a row

Hemorrhage

The Hemorrhage condition comes in levels:

1. 1d2 hemorrhaging damage for 1d2+1 rounds
2. 1d4 hemorrhaging damage for 1d4+2 rounds
3. 1d6 hemorrhaging damage for 1d6+3 rounds

Hemorrhage damage reduce the maximum hit points of the character and applies a level of Exhaustion for every 1/4 of the hit point total so damaged. If a character ever receives hemorrhage damage equal or greater than their hit point maximum, they die.

The damage is rolled and applied at the start of your turn. If you have received different levels of the Hemorrhage condition, use the highest level and use the longest duration. Hemorrhage levles don't increase or decrease by application, but by the highest you have received or the longest duration, whichever is worse.

The Hemorrhage condition can be removed by:

• A Medicine check (DC 11 + Hemorrhage level)
• 3 points of magical healing per Hemorrhage level
• 1 point of fire damage per Hemorrhage level (note: avoid getting 0 HP again!)
• Using the spells Lesser Restoration or Greater Restoration

Removing the Hemorrhage condition doesn't restore lost hit point maximum or remove the Lingering Injury that caused it that still needs to be cleaned.

Limb/Sight Injury

If you receive a second injury of the same kind for limbs or sight, it's your choice how it lands on you, whether it deals a second damage to the injured body part or an injury to the second.

If an injured body part recives a second Lingering Injury, it is permanently disabled and probably will require amputation. It requires a Regeneration spell to restore.

Arm Injury

If your arm has a Lingering Injury, you can't use the injured arm for physical actions like lifting, shielding, attacking or crawling. You have disadvantage on Strength checks & saves and on attacks that requires the use of that hand (including Grapple). Your carry capacity is decreased by 1/4.

If your second arm also has a Lingering Injury, you are unable to perform any actions requiring arms. Your carry capacity is decreased by 3/4 due to lack of grip and the pain.

Leg Injury

If your leg has a Lingering Injury, your base speed is decreased by 10ft (to a minimum of 5ft of movement) and you take a -2 Dodge penalty. Any movement you make that isn't part of a Disengage, Tumble or movement to engage an enemy provokes opportunity attacks. You have disadvantage to climb and any Strength checks/saves involving your leg. If you Jump, Tumble or move further than your base speed on your turn (e.g: if you Dash), you have to succeed on a DC 11 Acrobatics check or fall prone.

If both of your arms have a Lingering Injury, your base speed is 0 and you can't perform any actions that require legs.

Internal Injury

The Internal Injury condition comes in levels and at the beginning of your turn you must succeed a Con save to control your damaged body:

1. DC 11 Con save or lose your action and reaction.
2. DC 14 Con save or lose your action and reaction.
3. DC 16 Con save or become Stunned.
4. DC 17 Con save or become Stunned and prone.
5. DC 17 Con save or become Dying (retaining HP). If you succeed on this save twice, regardless if you became Dying between successes, your Internal Injury level is reduced to 4.
6. You die.

You don't need to make Con saves out of combat, but your ability to do things is limited by the condition.

Multiple application of the Internal Injuries condition increases the condition's level. Each level of Internal Injury must be removed to remove the condition but only one Medicine check to keep the wound clean is needed per day.

Removing the Internal Injury condition doesn't remove the Lingering Injury that caused it and still remains and is at risk of inflammation.

Sight Injury

You are blinded on one side you have disadvantage on any attack roll that is not Str based, on any Dex saves, and any Perception checks that rely on sight. After 1d6 days you grow accustomed to the one-sided vision for Dex-based attacks and saves but the Perception penalties persist while you have the Sight Injury or if you are permanently blinded.

If all your sources of sight are injured or permanently blinded, you are blind.

Head Injury

Multiple Head injuries simply apply ability damage.

The risk of losing your actions go away after your next Long Rest.

Recovery

Temporary hit point maximum loss caused by hemorrhage is recovered:

• 1d8 points per long rest
• 1 point per 8 points of magical healing spells of lower than 3rd level
• 2d8 points per Lesser Restoration with a Tooth Component (4d8 with Greater Tooth Component)
• All hit point maximum loss is healed with Greater Restoration

Ability damage from Lingering Injuries is healed:

• Non-magic means to regain ability points is prohibited while fighting off an infection
• 1 point every 3rd Long Rest
• 1 point if applied 1h medical care (DC15) in conjunction with a Long Rest
• 1 point per 20 points of magical healing spells of lower than 3rd level
• 1d2 points per Lesser Restoration with a Tooth Component (2d2 with Greater Tooth Component)
• All such damage on one ability score is healed with Greater Restoration

Reducing Internal Injury levels:

• 1 level every 3rd Long Rest
• 2 levels exchanged for 2 Exhaustion levels by spending a whole day recuperating (maximum 4 levels)
• 1d2 for each Lesser Restoration with a Tooth Component (2d2 with Greater Tooth Component)
• All Internal Injury levels are healed with Greater Restoration

Reduce Infection levels:

• 1 for each day you receive 1h medical care (Medicine DC 15) in conjunction with a Long Rest
• 1d2 for each Lesser Restoration with a Tooth Component (2d2 with Greater Tooth Component)
• All infection levels are healed with Greater Restoration

Infection

An infection can spread from an untreated injury. If you have an untreated Lingering Injury following a Long Rest, you gain one Infection level for each. If you have any Infection levels after a Long Rest, you must make an infection Check (Con DC 10 + Infection level). If you fail, you take 1 Con damage and increase the Infection level by one. If you succeed, you reduce the Infection level by 1. If you decrease the Infection level to 0, the condition is removed.

If you received successfull medical care for 1 hour in conjunction with your Long Rest, you can make the check with advantage.

When you succeed on your seventh Infection check, the Infection clears up.

On the 4th and further Infection checks, the character takes 2 Con damage on a fail and 1 on a success.

Tooth Component

A Tooth Component can be used to enhance spells. These include either a pristine vampire, werewolf, dire wolf, ghoul or zombie tooth ground down as material component.

Pristine vampire or werewolf teeth also qualify as a Greater Tooth Component.

Lesser Restoration House Rule

Lesser Restoration can, in addition to its existing condition remedies, also use a Tooth Component as a material component to restore either a Lingering Injury or 1d2 ability damage (chosen by you). If a Greater Tooth Component is used, Lesser Restoration may remove two Lingering Injuries or 2d2 points of ability damage.

Scars

The character will retain scars from their injuries which can only be removed with a greater Restoration spell that specifically targets the scar.

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References

• https://www.dandwiki.com/wiki/Lingering_Injuries_and_Massive_Damage_(5e_Variant_Rule)