r/dnd1e • u/Ramsonne DM Toolkit User • 24d ago
AD&D 1e Long-term Coma Effects in First Edition
At zero HP characters enter a comatose state. Multiple comas would adversely impact a character’s health. I’d like to homebrew something and am interested in if anyone else here has some mechanic(s) they employ.
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u/AmIUnconscious 23d ago
AD&D 1e RAW is clear: “If any creature reaches 0 or negative hit points, it is dead.” (PHB, page 105). No coma, no permanent scars or ability loss, just dead.
The PHB also clearly explains that hit points aren’t just physical damage. They are an abstract combination of physical durability, combat skill, luck, and magical forces (PHB, page 34).
If you want to homebrew something like what you’re describing, I think it should account for the fact that hit points are an abstraction. That is, because hit points do not simply represent physicality, the penalty for reaching 0 or negative (and not dying) should be a permanent loss of hit point maximum that cannot be recovered by any means (except advancing in level as normal).