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A brush with death is not so easily overcome, how many times will you fall before your body gives up on you?

Regular:
if you are healed back from unconsciousness you gain 1 level of exhaustion

Gritty mode:
if you are healed back from unconsciousness roll 1d6:
on an even roll you gain 1 level of exhaustion
on an odd roll you gain a grievous injury, that will require a number of days of recovery (which can be reduced by successful medicine checks)