Upon reaching 0hp you can choose to not become unconscious, instead gaining the "last stand" condition until you either die or increase your hit points above 0.
- A character that enters last stand is still considered to be dying and must make death saving throws as usual
- A character in last stand is not unconscious and can take a single kind of action a turn (e.g an action or a reaction, but not both)
- A character in last stand does not die upon reaching the usual 3 failed death saving throws, failed saving throws have no intrinsic effect
- A character in last stand that fails their death saving throw gains a level of exhaustion, this exhaustion cannot be removed except through a long rest
- Taking damage while in last stand triggers a death saving throw, a success on this death saving throw merely prevents further exhaustion from being added and cannot stabilize you
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