I've been thinking that the Mortal Wounds and Tampering with Mortality tables in ACKS were good in theory, but end up being a pain in the schwartz in practice. It also seems to me that once one PC cleric gets to 7th level, all the risk goes out of the game (except for level-draining undead). Basically there are no permanent consequences short of a TPK. Conversely it kind of sucks that there's no way to get a wounded character back into the action while the melee is still going on.
I though that maybe something closer to AD&D1 might be better. (I'm not talking about the current campaign by the way, just future theoreticals).
How about something like this:
- When someone is brought to between 0 and negative 3 hit points, he's totally messed up, all he can do is crawl at 1/3 his normal combat speed or drink a potion, or activate a magic item that has a single command word. If he is healed to 1 hit points he's back in the game.
- If someone goes to negative 4 hit points he's unconscious and bleeding out, losing 1 hit point per round until treated or he reaches negative 10 plus his level, at which point he dies. If magical healing is used before death, and enough hit points are healed to get him to 1 hit point or more, he's back in the game.
- Instead of the various wound effects and so forth, how about any time you go to -4 or less, and are saved, you lose 1 point of an ability score at random. There should be no magic work-around for this. However, maybe adding an ability score increase at levels, 3, 6, 9 and 12 would mollify it a bit.
- If you are raised from the dead by restore Life and Limb, you should lose 1 point of Constitution and save vs. death or loose a second. (Thus Reincarnation becomes really appealing to the frequently bechopped.)
- Use the Hackmaster reincarnation table instead of the ACKS one.