Injury Check

When a creature is reduced to 0 Hitpoints, it becomes Disabled and risks suffering a significant Injury. Each time the creature takes damage, including the attack that reduced the creature to 0 Hitpoints, it must make an Injury Check:

Injury Check = d20 + Resilience + penalties
Summary of Penalties
  • −10 for every Malady affecting the creature.
  • −10 if damage dealt exceeds Healing Value (and the creature is already Disabled)

The result of the check determines the severity of the injury (See chart). If the creature already has one or more Maladies (i.e. Injuries, Diseases, etc), it suffers a cumulative -10 penalty to this check per malady it already has (i.e. -10 for one malady, -20 for two, etc.) An additional -10 penalty applies if the creature is already Disabled and the damage suffered from the attack exceeds its Healing Value (this reflects the intensity of the attack). Since each injury is a malady that causes further penalty to the Injury Check, the more Injuries (and other maladies) a creature has, the more likely they are to suffer a Critical or Lethal Injury.

Natural 20

A creature that rolls a Natural 20 on an injury check does not take an injury, regardless of the normal result.

Severity of Injury
Resilience Check (after penalties)Severity
20+No Injury
10 to 19Moderate
0 to 9Severe
−10 to −1Critical
−11 or lessLethal


A creature must make a Injury Check when:

  • An attack reduces a creature's Current Hitpoint Total to 0 and causes them to become Disabled.
  • A creature suffers damage while they are Disabled.
  • Certain circumstances (i.e. Falling, Traps) and Powers may require a creature to make an Injury Check even if the creature is above 0 Hitpoints.