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At the beginning of a combat, all participants roll initiative (d20 + Dex). Everyone ends up with a number, and take their turns from highest to lowest. Initiative count 20(losing all ties) means that lair actions happen after any creature whose total for the initiative roll was 20, and before any creature whose initiative roll was 19. So, for example, a ...
At the beginning of combat, all combatants roll initiative. The combat round then counts down from highest initiative to lowest. Lair Actions automatically get an initiative "roll" of 20.
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