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Alternate Save Failure Results Edit
Failed massive damage Fortitude save rolls can be altered in several ways.
Dying Result: In stead of a failed Fortitude save againts massive damage resulting in instant death, a failed save results in a character being reduced to −1 hit point. The character becomes dying and unconscious, but can still become stable or be helped by his friends, just like any other character who is reduced to −1 hp.
Near-Death Result: Alternatively, in stead of a failed Fortitude save againts massive damage resulting in instant death, a failed save results in a character being reduced to −8 hp. The character is very close to death (having only a round or two to become stable or receive help), but isn’t automatically killed.
Variable Result: For and added bit of random change, a character who fails his Fortitude save against massive damage rolls 1d10 to determine his negative hit point total. A roll of 1 to 9 indicates the character is dying (at −1 hp on a 1, −2 on a 2, and so forth). A roll of 10 leaves the character with −10 hit points, which means he is dead.