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Core Rulebook / Chapter 9: Playing the Game / General Rules / Hit Points, Healing, and Dying / Conditions Related to Death and Dying

Doomed

Source Core Rulebook pg. 460 4.0
Your life is ebbing away, bringing you ever closer to death. Some powerful spells and evil creatures can inflict the doomed condition on you. Doomed always includes a value. The maximum dying value at which you die is reduced by your doomed value. For example, if you were doomed 1, you would die upon reaching dying 3 instead of dying 4. If your maximum dying value is ever reduced to 0, you instantly die. When you die, you’re no longer doomed.

Your doomed value decreases by 1 each time you get a full night’s rest.