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Here are the rules: Starvation and Thirst Characters might find themselves without food or water and with no means to obtain them. In normal climates, Medium characters need at least a gallon of fluids and about a pound of decent food per day to avoid starvation. (Small characters need half as much.) In very hot climates, characters need two or three ...


8

Wizards of the Coast's Unearthed Arcana: Variant Rules (PDF) details this under "Players Make All Rolls": When a character forces an opponent to make a saving throw, that player instead makes a saving throw check. The bonus to the d20 roll for a saving throw check equals the effect’s save DC −8. The DC for this check equals 11 + the target’s ...


7

That kind of decay is probably best represented by ability damage. He's not "technically" starving, but he's not eating well enough to really support him, right? Poor health = Constitution damage; physical weakness = Strength damage; broken will = Wisdom damage. You could add others too, if you wanted. If he's forgotten how to deal with people like ...


1

One other way to represent malnutrition would be negative levels. These are already not healed by simple hit point restoration, and you can rule the effect to be something along the lines of "1 negative level per 6 months the NPC was imprisoned, and 1 restored level per 2 months he spends recovering." If your PCs have access to magic capable of restoring ...


1

Create your own Disease. Since you have this tagged as house rules, I think the best option here would be creating your own disease. It would have some type of strength and dexterity penalty to describe the persons inability to move and lack of exercise over his captivity, since his body is shutting down that would also indicate some kind of constitution ...



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