Prerequisite: Must have an ability that progressively increases unarmed strike damage, such as the monks martial arts feature
Hysterical strength is a rare phenomenon that allows people to surpass every limit for a short time, albeit at great cost.
if you have lost at least half of your total hitpoints and make an unarmed strike, you can use your reaction to roll damage for any number of unarmed strikes and take unresistable necrotic damage equal to the total roll. If you take damage in this way, you may roll extra damage dice equal to the amount you rolled before the attack if the attack hits. If this abilities effects cause you go reach 0 hitpoints, the physical strain instantly causes you to fail one death saving throw
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