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Temporary hit points in Dungeons & Dragons are a mechanic that allows "a buffer against damage" (PHB 198). There are a few spells of note that can affect a character based on how many hit points they currently have, most notably sleep, power word stun, and power word kill.

Does temporary HP count towards the HP total for determining resistance for these effects?

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No; temporary HP is not actual HP.

The rules distinguish temporary hit points as separate and distinct from actual hit points (emphasis mine):

Some spells and special abilities confer temporary hit points to a creature. Temporary hit points aren't actual hit points; they are a buffer against damage, a pool of hit points that protect you from injury.

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Because temporary hit points are separate from your actual hit points, they can exceed your hit point maximum. A character can, therefore, be at full hit points and receive temporary hit points.

As you can see, the rules clearly specify that temporary hit points aren't actual hit points. Thus, spells that affect characters based on their HP, such as sleep ("Creatures [...] are affected in ascending order of their current hit points"), power word stun ("If the target has 150 hit points or fewer, it is stunned."), and power word kill ("If the creature you choose has 100 hit points or fewer, it dies.") don't consider temp HP at all in determining whether the creature is affect.


Rules designer Jeremy Crawford unofficially confirms this answer in a 2017 tweet:

I did my best to search, but couldn’t find anything. Do Temporary Hit Points count for purposes of determining whether or not a creature is affected by Sleep or Power Word Kill?

Hit points and temporary hit points are never added together.

So no, temporary HP is not considered for the effects of those spells unless explicitly stated otherwise in the spell description. It's generally just a damage buffer, nothing more.

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    \$\begingroup\$ Unfortunately, despite the PHB saying that temporary hp are a "buffer against damage", they are not. They are a buffer against losing actual hp, but they are not a buffer against damage, because when you are hit for damage, you take just as much damage regardless of whether you currently have temporary hp or not. Not at all a sleight against this answer, which is great. Just a sleight against the wording in the PHB, which doesn't mean what it says. \$\endgroup\$
    – Kirt
    Oct 31 at 22:24
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Temporary Hit Points would NOT influence the outcome of any of those spells.

I believe you will find your answer here. This is a similar question, but the top answer sounds like it's delving into the very topic your touching on here.

But, I will also attempt to help. There is a difference between both "hit points" and "temporary hit points." It even states it in the PHB PG 198.

Because temporary hit points are separate from your actual hit points, they can exceed your hit point maximum.

There is also the little tidbit you mentioned that Temporary Hit Points are a buffer against damage. The Sleep spell, Power Word Stun and Kill all call for the total number of "hit points" which, as indicated in the above block quote, are separate from Temporary Hit Points. They are also not inflicting damage, and because Temporary Hit Points are only taken into account when taking/dealing damage are not utilized.

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  • \$\begingroup\$ I might also add that Temporary Hit Points aren't ONLY taken into account when dealing/taking damage, as there are special instances that take them into consideration when determining specific outcomes. But these are few and far between and tied to very few spells, traits, or magic items. I will add this as a comment because it does not contribute to the answer for the original poster, but still adds to the explanation of Temporary Hit Points. \$\endgroup\$ Apr 11, 2018 at 7:44

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