My character has the lowest Hit Points in our party, who are all level 10 (I mean he is even lower than the Artificer of the party I am a Fighter)(My CON is 15) so I was wondering if there was any magic items that increase max Hit Points. I am more so looking for one that increases Hit Points permanently. This another question that is similar but different from this one that I asked.

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    \$\begingroup\$ Related on What spells are available to heal characters, increase their max HP, or grant temp hp? \$\endgroup\$
    – NotArch
    Commented May 19, 2021 at 15:23
  • \$\begingroup\$ @NautArch my CON score is 15. \$\endgroup\$
    – MemeMan
    Commented May 19, 2021 at 15:32
  • \$\begingroup\$ @KRyan we are all at level 10 \$\endgroup\$
    – MemeMan
    Commented May 19, 2021 at 15:33
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    \$\begingroup\$ @guildsbounty this was my unlucky rolling so when I level up I take chances rolling instead of the avarage hp, but I was hoping there was something that could even the gap. \$\endgroup\$
    – MemeMan
    Commented May 19, 2021 at 15:33
  • \$\begingroup\$ @mjt. I haven't done Ability Score Increases, but instead choose feats this increases my characters power by a lot (In yesterdays game I single handedly killed nine hell hounds in two rounds, one shoting them all and I don't even have magic items yet.) \$\endgroup\$
    – MemeMan
    Commented May 20, 2021 at 13:44

3 Answers 3


Since you're not maxed-out in Constitution...

Easiest way is by increasing your Constitution.

Some items that come to my mind are items like Amulet of Health which sets your CON score to 19. Setting or increasing that score will give you a great boost in HP.

Items that directly increase HP are harder.

You can also search for items that directly increase your HP or HP/level. The only one I found was the Berserker Axe, giving you 1HP / level.

Other non-item options

If feats, epic boons, or multi-classing is an option, then they might be useful for you to pick up if the items are difficult to come by. Multiclassing into Barbarian gives you a d12 hit die, the Tough feat gives you an additional 2HP/level, and Boon of Fortitude gives you an additional 40HP.


As you are only looking for magic items (and not other ways to boost your HP, such as Feats), here are some options. Most of them function by increasing your CON score.

Amulet of Health

Your Constitution score is 19 while you wear this amulet. It has no effect on you if your Constitution is already 19 or higher without it

You said your CON is presently 15, so this would ultimately be +2 HP per level.

Berserker Axe

while you are attuned to this weapon, your hit point maximum increases by 1 for each level you have attained.

Warning, cursed item.

Manual of Bodily Health

If you spend 48 hours over a period of 6 days or fewer studying the book's contents and practicing its guidelines, your Constitution score increases by 2, as does your maximum for that score

Warning: a given book can only be used once a century

Belt of Dwarvenkind

Your Constitution score increases by 2, to a maximum of 20.

Warning: beard

Ioun Stone of Fortitude

Your Constitution score increases by 2, to a maximum of 20, while this pink rhomboid orbits your head.

Gloves of Soul Catching

Your Constitution score is 20 while you wear these gloves.

This would, given your current CON score, give you +3 HP per level

I would add that there are also some magic item options out there that generate Temp HP, as well as ones that can heal you--effectively boosting your HP, but you were asking for a more permanent solution, so I left those out.

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    \$\begingroup\$ Lmao, @guildsbounty! "Warning: beard" :P \$\endgroup\$
    – MemeMan
    Commented May 19, 2021 at 16:10

By increasing your constitution you gain hp per level:

Ioun Stone of Fortitude (very rare) DMG p 176 increases your Con score by 2, so would give you 1 extra hp per level.

Manual of Bodily Health (very rare) DMG p 180 increases your Con score by 2, so would give you 1 extra hp per level.

Belt of Dwarvenkind (very rare) DMG p 155 increases your Con score by 2, so would give you 1 extra hp per level.

Amulet of Health (rare) DMG p 150 sets your Con score to 19. As you have 15 that would be 2 extra hp per level.

Gloves of Soul catching (legendary) Candlekeep Mysteries p 169 sets your Con score to 20. As you have 15, that would be 3 extra hp per level.

Do note that items that set your Con score to a flat value do not stack with other items that increase your con score.

You could use Wish to increase your HP/Con

There are also 5 items in the DMG that allow you to cast Wish and you could wish for an increase in constitution score. Namely: Luck Blade, Ring of Three Wishes, (Eye of Vecna + Hand of Vecna), Deck of Many Things (risky), Efreety Bottle (risky)

Why I think Wish would work: I know at least of one official campaign where a riddle has an ability score increase as a possible reward and wish as a less likely one. So the ability score increase is seen as the less powerful of the rewards. To me that is at least an indication that wish could grant an ability score increase. Specifically here:

ToA area 70, 1d4+1 int increase on a 91-99, wish on a 100

Flat hp increase

Berserkers Axe (rare) DMG p 155 gives you a flat 1 hp per level. But it does come with a downside.

Temporary hp

Some items also allow you to cast a spell that can grant you temp hp. But that would not be a permanent increase of health.

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    \$\begingroup\$ +1 very good points. The Amulet of Health is good also because it is "rare". \$\endgroup\$ Commented Jul 18, 2021 at 13:22

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