Your health passively gets taken away in combat a certain amont depending on your level. levels 1-4 loses 1d4 hp, levels 5-8 loses 3d4 hp, levels 9-14 loses 6d4 hp, levels 15-18 loses 8d6 hp, and levels 19-20 loses 7d10. When doing an action, that action is buffed by 2x, spells are included. (for spells that have range are increased by 2x, curses durations are increased by 2x, times to cast are decreased by half, casting duration are increased by 2x, ect.)
When doing skill checks, you can choose to sacrifice a certain amount of hp to reach the amount that you would be satisfied with (excluding stealth, persuasion, and arcana).
If you are not in combat but you want to do an action, you gain an advantage with the sacrifice of 1 hp.
When you kill something, you gain a certain amount of hp deciding on what level you are. levels 1-5 gains 1d6 + 2 hp, levels 6-9 gains 3d6 + 4 hp, 10-12 gains 3d8 + 5 hp, levels 13-16 gains 5d10 + 4 hp, levels 17-18 gains 8d12 + 6 hp, and levels 19-20 gains 15d12 + 10 hp
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