Several of my fellow OSR bloggers have designed injury tables that provide a range of possible results for when a PC drops to zero hit points. (Some examples are Robert Fisher’s, Trollsmyth’s and Norman Harman’s.
I like the idea in principle; it allows for non-lethal effects that keep beloved PCs alive, while simulating some of the ugly consequences to combat that can be found both in real life and in sword & sorcery fiction. But the versions I’ve seen include a number of ineffectual results where the target is unharmed, stunned for 1 round, gains bonus hit points from adrenaline, etc. That’s too forgiving for my taste! The PC is already in trouble; the table should indicate how much trouble results. So I’ve written my own table.
When a PC (or an important NPC, at the DM’s discretion) drops below 1 hit point, roll 1d8 and consult the following table. Reduce the die size to 1d6 or even 1d4 for relatively weak attacks, or increase to 1d10, 1d12 or even 1d20 for especially powerful, destructive attacks. When using a curative spell to deal with an injury from the table, the spell provides no other benefit; no hit points are regained.
|1||Scarring: -1 to Charisma; drops to -2 with three scars, -3 with six scars, -4 with ten scars, etc|
|2||Broken bone (DM chooses or roll randomly): broken ribs/collarbone/etc give -2 to attack rolls, broken arm/leg gives penalties as per severed limb; heals in 3d4 weeks or with cure serious wounds; if attack is cutting/piercing and target is unarmored, use arterial bleeding instead|
|3||Arterial bleeding: die of blood loss in 3d6 rounds, preventable with cauterization (1d6 damage and scarring) or any healing spell; if attack is bludgeoning, use broken bone instead|
|4||Disabled part (DM chooses or roll randomly): Missing eye gives -1 to attack rolls, mangled/missing fingers give -2 to attack rolls using that hand, ruined larynx/shattered jaw impairs speech and prevents spellcasting; -1 to Charisma; cure serious wounds reduces this to scarring|
|5||Slow death (gutted, massive internal injuries, spine shattered, etc.): incapacitated, die in 1d6 days; cure serious wounds reduces this to scarring|
|6||Mortal wound (heart pierced, throat cut, neck broken, etc.): incapacitated, die in 1d6 rounds; cure serious wounds reduces this to scarring|
|7||Limb severed (DM chooses or roll randomly): die of blood loss in 1d6 rounds, preventable with tourniquet, cauterization (1d6 damage) or any curative spell cast; -1 to Charisma; missing arm can’t be used for weapon/shield, missing leg halves movement rate; cure serious wounds reduces this to scarring|
|8+||Instant death (decapitated, skull crushed, torn to shreds, etc.)|
Have you used an injury table, whether a full-on death and dismemberment table or a broader critical hit table? If so, how has it worked for your game? What recommendations would you make for others who’d try that approach?