When at a very high level(15+) and on the ropes of 4 or less hit points you gain insane dexterity out of desperation and strength your armor class increases by 5 and your enemies armor class decreases by 7, after you win the battle you gain 2 levels of exhaustion. If at 2 hit points left you also gain a strength modifier of 8+ and at the end of the battle you gain 3 levels of exhaustion.
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