this post was submitted on 16 Aug 2023
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Fun fact about going below 0 HP: Third Edition D&D tracked that. At 0 you were staggered, below that unconscious, and at -Con Score negative HP you died.
This being D&D 3.x (3.0/3.5/Pathfinder 1e), there were abilities that extended that limit, abilities that let you stay conscious below 0 HP. I've seen someone play a build that was always at negative HP, with a limit of something like -300 before dying, and got bonuses for being in the negatives.
It is worth noting that the -Con score was a 3.X house rule but Pathfinder 1e raw. It was just -10 otherwise, which could get pretty punishing if you were dropped by bad luck.
5e's up-and-down approach to unconsciousness isn't really an ideal resolution, although making them gain levels of fatigue almost makes it functional.