DeathOrDismemberment

If you get taken down to 0 HP, you fall unconcious and roll on the following table.

1d10effect
6–10your exhaustion level increases by 1
4–5light (temporary): roll on the bodyparts table and apply -1 to the mentioned ability; duration 6d4 days (magical healing x = decrease by x days).
2–3severe (permanent): roll on the bodyparts table and apply -2 to the mentioned ability. Roll a death save each round.
1severe (permanent) and you have already failed two death saves. Roll a death save each round.

Bodyparts

1d4bodypartconsequence light/severeeffect
1Arm broken/severed unusable; scarring
2Leg broken/severed half speed, -DEX; scarring
3Torso gored/gutted random: -STR or -CON
4Head concussion/brain damage random: -INT, -WIS or -CHA; scarring

scarring: permanent -2 to diplomacy. Stacks.

Damage while on 0: Each time you take damage and every turn thereafter, you have to roll a death save (max. 1 roll/turn). In addition, every instant death effect (suffocation, deadly poison etc.) counts as 2 failed death saves and you have to roll 1 death save every turn thereafter (max. 1 roll/turn).