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Generally when a character with a few too many injuries (say... four?) gets attacked, I'll say something like "The enemy comes at you with a fearsome attack! With your injuries, it could prove deadly. What do you do?"

If someone takes a "deadly blow" like that, I'll generally say something like "You're down for the count! This could be the end of the line for you," then after the encounter is over, I just ask them if they want to play their death scene or come back with a fun new permanent injury or something.

All of which is to say: don't be afraid to make things deadly, and also don't be afraid to let your players decide what that means for their injured character. They might surprise you! Just follow your nose, and listen to your friends. 😊