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* ''VideoGame/Drakerider'' features a party of dragon riders whose only dragon is berserk and enslaved by the party against its will. Losing control of said dragon powers it up, but then it also has a fair chance of attacking its rider each turn, thereby decreasing his/her max HP. MaxHP restores sell for a whopping 12,000G at the item shops, so letting the dragon go berserk is a very bad idea.

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* ''VideoGame/Drakerider'' ''VideoGame/{{Drakerider}}'' features a party of dragon riders whose only dragon is berserk and enslaved by the party against its will. Losing control of said dragon powers it up, but then it also has a fair chance of attacking its rider each turn, thereby decreasing his/her max HP. MaxHP [=MaxHP=] restores sell for a whopping 12,000G at the item shops, so letting the dragon go berserk is a very bad idea.
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* ''VideoGame/Drakerider'' features a party of dragon riders whose only dragon is berserk and enslaved by the party against its will. Losing control of said dragon powers it up, but then it also has a fair chance of attacking its rider each turn, thereby decreasing his/her max HP. MaxHP restores sell for a whopping 12,000G at the item shops, so letting the dragon go berserk is a very bad idea.
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** Another example is the card Stigma Lasher, which causes any player dealt damage by it to be unable to gain life for the rest of the game. Interestingly, this card also has wither, making it apply HP Reduction to both creatures and players.
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** Some attacks deal "ability damage" that reduces the target's stats but heals when the character rests and "ability drain" which can only be healed magically. Constitution drain is essentially this trope, because a character's maximum hitpoints are calculated from it. A dead first level character who's resurrected (most resurrections cost the resurrected character at least one CharacterLevel to avert DeathIsASlapOnTheWrist) also permanently loses a point of constitution.

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** Some attacks deal "ability damage" that reduces the target's stats but heals when the character rests and "ability drain" which can only be healed magically. Constitution drain is essentially this trope, because a character's maximum hitpoints are calculated from it. A dead first level character who's resurrected (most resurrections cost the resurrected character at least one CharacterLevel to avert DeathIsASlapOnTheWrist) also permanently loses a point of constitution.constitution (since there's no such thing as a level zero character).
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* In ''WorldOfWarcraft'', on the Heroic version of the Spine of Deathwing encounter, every Hideous Amalgamation you defeat (which is necessary to pry open the plates and damage the Burning Tendons, which must be destroyed to win) reduces the maximum health of all raid members by 6 percent.

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* In ''WorldOfWarcraft'', ''VideoGame/WorldOfWarcraft'', on the Heroic version of the Spine of Deathwing encounter, every Hideous Amalgamation you defeat (which is necessary to pry open the plates and damage the Burning Tendons, which must be destroyed to win) reduces the maximum health of all raid members by 6 percent.
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* In ''WorldOfWarcraft'', on the Heroic version of the Spine of Deathwing encounter, every Hideous Amalgamation you defeat (which is necessary to pry open the plates and damage the Burning Tendons, which must be destroyed to win) reduces the maximum health of all raid members by 6 percent.
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* In ''VideoGame/XenobladeChronicles'', [[TurtlePower Mount Tortas]] have an attack that halves a character's maximum HP.
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* Vampires also do this in ''VideoGame/TheDungeonOfDoom'', but regular healing potions won't fix it. The cure is called a ''life'' potion, and its only effect is to reverse VampiricDraining.

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Moved Mt G example from Tabletop to Trading Card, added mention of Wither/Infect\'s interaction with indestructible creatures


* In ''TabletopGame/MagicTheGathering'', creatures with the Wither or Infect abilities deal damage to other creatures in the from of -1/-1 counters. Unlike regular damage, which creatures heal from at the end of each turn, -1/-1 counters represent a permanent reduction in both power and toughness (having toughness reduced to 0 will kill a creature) for as long as the creature is in play.


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* In ''TabletopGame/MagicTheGathering'', creatures with the Wither or Infect abilities deal damage to other creatures in the from of -1/-1 counters. Unlike regular damage, which creatures heal from at the end of each turn, -1/-1 counters represent a permanent reduction in both power and toughness for as long as the creature is in play. Having zero or lower toughness will kill a creature, which gets around indestructible creatures that wouldn't otherwise die from damage.
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* ''DungeonCrawl'':

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* ''DungeonCrawl'':''VideoGame/DungeonCrawl'':
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** ''EpicLevelHandbook'': The Lavawight and Shape of Fire have the blazefire ability which does exactly that.

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** ''EpicLevelHandbook'': ''TabletopGame/EpicLevelHandbook'': The Lavawight and Shape of Fire have the blazefire ability which does exactly that.

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[[folder:Tabletop Games]]
* ''TabletopGame/DungeonsAndDragons'':
** Some attacks deal "ability damage" that reduces the target's stats but heals when the character rests and "ability drain" which can only be healed magically. Constitution drain is essentially this trope, because a character's maximum hitpoints are calculated from it. A dead first level character who's resurrected (most resurrections cost the resurrected character at least one CharacterLevel to avert DeathIsASlapOnTheWrist) also permanently loses a point of constitution.
** The Vargouille monster could do this. If the victim of its attack failed a saving throw vs. poison, the {{Hit Point}}s of damage inflicted were lost permanently and could only be recovered by using a Wish spell. No form of healing magic would bring them back.
** ''EpicLevelHandbook'': The Lavawight and Shape of Fire have the blazefire ability which does exactly that.
** The ''Book Of Exalted Deeds'' has the Vassal of Bahamut Prestige Class, which uses bonus dice to deal permanent hit point damage to evil dragons.
* [[SubSystemDamage Aggravated Damage]] in ''TabletopGame/VampireTheMasquerade'' is sustained from fire, sunlight, and holy relics, and cannot be healed or regenerated by most normal means.
* In ''TabletopGame/MagicTheGathering'', creatures with the Wither or Infect abilities deal damage to other creatures in the from of -1/-1 counters. Unlike regular damage, which creatures heal from at the end of each turn, -1/-1 counters represent a permanent reduction in both power and toughness (having toughness reduced to 0 will kill a creature) for as long as the creature is in play.
[[/folder]]



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!!Non-video game examples:

[[folder:Literature]]
* In ''Literature/FateZero'', Lancer's Gáe Buidhe has wields a curse on whoever it attacks, making a WoundThatWillNotHeal. When asked to define this [[RPGMechanicsVerse in gaming terms]], WordOfGod said that its effect would be basically this trope. Also, Emiya Kitsurugi was cursed by the contents of the [[LightIsNotGood Holy]] [[ArtifactOfDoom Grail]], which was the ultimate cause of his demise, as it drained it's life force slow but steadily.
[[/folder]]

[[folder:Tabletop Games]]
* ''TabletopGame/DungeonsAndDragons'':
** Some attacks deal "ability damage" that reduces the target's stats but heals when the character rests and "ability drain" which can only be healed magically. Constitution drain is essentially this trope, because a character's maximum hitpoints are calculated from it. A dead first level character who's resurrected (most resurrections cost the resurrected character at least one CharacterLevel to avert DeathIsASlapOnTheWrist) also permanently loses a point of constitution.
** The Vargouille monster could do this. If the victim of its attack failed a saving throw vs. poison, the {{Hit Point}}s of damage inflicted were lost permanently and could only be recovered by using a Wish spell. No form of healing magic would bring them back.
** ''EpicLevelHandbook'': The Lavawight and Shape of Fire have the blazefire ability which does exactly that.
** The ''Book Of Exalted Deeds'' has the Vassal of Bahamut Prestige Class, which uses bonus dice to deal permanent hit point damage to evil dragons.
* [[SubSystemDamage Aggravated Damage]] in ''TabletopGame/VampireTheMasquerade'' is sustained from fire, sunlight, and holy relics, and cannot be healed or regenerated by most normal means.
* In ''TabletopGame/MagicTheGathering'', creatures with the Wither or Infect abilities deal damage to other creatures in the from of -1/-1 counters. Unlike regular damage, which creatures heal from at the end of each turn, -1/-1 counters represent a permanent reduction in both power and toughness (having toughness reduced to 0 will kill a creature) for as long as the creature is in play.
[[/folder]]

[[folder:Real Life]]
* Serious injuries to joints, to the point of requiring more than just ice, heat, and rest, may often decrease their maximum movement range and flexibility.
[[/folder]]

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!!Non-video game examples:

[[folder:Literature]]
* In ''Literature/FateZero'', Lancer's Gáe Buidhe has wields a curse on whoever it attacks, making a WoundThatWillNotHeal. When asked to define this [[RPGMechanicsVerse in gaming terms]], WordOfGod said that its effect would be basically this trope. Also, Emiya Kitsurugi was cursed by the contents of the [[LightIsNotGood Holy]] [[ArtifactOfDoom Grail]], which was the ultimate cause of his demise, as it drained it's life force slow but steadily.
[[/folder]]

[[folder:Tabletop Games]]
* ''TabletopGame/DungeonsAndDragons'':
** Some attacks deal "ability damage" that reduces the target's stats but heals when the character rests and "ability drain" which can only be healed magically. Constitution drain is essentially this trope, because a character's maximum hitpoints are calculated from it. A dead first level character who's resurrected (most resurrections cost the resurrected character at least one CharacterLevel to avert DeathIsASlapOnTheWrist) also permanently loses a point of constitution.
** The Vargouille monster could do this. If the victim of its attack failed a saving throw vs. poison, the {{Hit Point}}s of damage inflicted were lost permanently and could only be recovered by using a Wish spell. No form of healing magic would bring them back.
** ''EpicLevelHandbook'': The Lavawight and Shape of Fire have the blazefire ability which does exactly that.
** The ''Book Of Exalted Deeds'' has the Vassal of Bahamut Prestige Class, which uses bonus dice to deal permanent hit point damage to evil dragons.
* [[SubSystemDamage Aggravated Damage]] in ''TabletopGame/VampireTheMasquerade'' is sustained from fire, sunlight, and holy relics, and cannot be healed or regenerated by most normal means.
* In ''TabletopGame/MagicTheGathering'', creatures with the Wither or Infect abilities deal damage to other creatures in the from of -1/-1 counters. Unlike regular damage, which creatures heal from at the end of each turn, -1/-1 counters represent a permanent reduction in both power and toughness (having toughness reduced to 0 will kill a creature) for as long as the creature is in play.
[[/folder]]

[[folder:Real Life]]
* Serious injuries to joints, to the point of requiring more than just ice, heat, and rest, may often decrease their maximum movement range and flexibility.
[[/folder]]
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Maybe this\'ll work.

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[[folder:Real Life]]
* Serious injuries to joints, to the point of requiring more than just ice, heat, and rest, may often decrease their maximum movement range and flexibility.
[[/folder]]
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* In both ''VideoGame/BreathOfFireIII'' and ''VideoGame/BreathOfFireIV'', if someone was downed in battle and still down at the end, they would be brought back with 1 hp and have their max health reduced: 3 also has the Mandrake healing item that's cheaper to buy than most other healing items and heals you to full, but likewise causes you to lose some of your max HP. Also, both games contain a move called Disembowel which inflicts HPToOne at the cost of reducing the ''user's'' maximum HP.
** There's also [[ThatOneLevel Desert Of Death]] in ''VideoGame/BreathofFireIII'', where you also lose a percentage of your max HP if you keep walking when you're thirsty: unlike the previous examples which capped the cumulative HP loss to 50% of max or so, your max HP can drop even further this way.

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* In both ''VideoGame/BreathOfFireIII'' and ''VideoGame/BreathOfFireIV'', if someone was downed in battle and still down at the end, they would be brought back with 1 hp and have their max health reduced: 3 reduced. III also has the Mandrake healing item that's cheaper to buy than most other healing items and heals you to full, but likewise causes you to lose some of your max HP. Also, both games contain a move called Disembowel which inflicts HPToOne at the cost of reducing the ''user's'' maximum HP.
** There's also the [[ThatOneLevel Desert Of Death]] in ''VideoGame/BreathofFireIII'', ''VideoGame/BreathOfFireIII'', where you also lose a percentage of your max HP if you keep walking when you're thirsty: unlike the previous examples which capped the cumulative HP loss to 50% of max or so, your max HP can drop even further this way.
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** There's also [[ThatOneLevel Desert Of Death]] in VideoGame/BreathofFireIII, where you also lose a percentage of your max HP if you keep walking when you're thirsty: unlike the previous examples which capped the cumulative HP loss to 50% of max or so, your max HP can drop even further this way.

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** There's also [[ThatOneLevel Desert Of Death]] in VideoGame/BreathofFireIII, ''VideoGame/BreathofFireIII'', where you also lose a percentage of your max HP if you keep walking when you're thirsty: unlike the previous examples which capped the cumulative HP loss to 50% of max or so, your max HP can drop even further this way.

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* In both ''VideoGame/BreathOfFireIII'' and ''VideoGame/BreathOfFireIV'', if someone was downed in battle and still down at the end, they would be brought back with 1 hp and have their max health reduced. Also, both games contain a move called Disembowel which inflicts HPToOne at the cost of reducing the ''user's'' maximum HP until the next time they rest at an inn.

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* In both ''VideoGame/BreathOfFireIII'' and ''VideoGame/BreathOfFireIV'', if someone was downed in battle and still down at the end, they would be brought back with 1 hp and have their max health reduced. reduced: 3 also has the Mandrake healing item that's cheaper to buy than most other healing items and heals you to full, but likewise causes you to lose some of your max HP. Also, both games contain a move called Disembowel which inflicts HPToOne at the cost of reducing the ''user's'' maximum HP.
** There's also [[ThatOneLevel Desert Of Death]] in VideoGame/BreathofFireIII, where you also lose a percentage of your max
HP until if you keep walking when you're thirsty: unlike the next time they rest previous examples which capped the cumulative HP loss to 50% of max or so, your max HP can drop even further this way.
*** All above examples of max HP loss can only be cured by sleeping in an inn, sleeping
at an inn.the always-available free tent doesn't cure it and neither do any of the items.
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This trope is about games that additionally feature enemies whose attacks can deal ''permanent'' damage, reducing the target's maximum number of HP, so that even if they can heal, it's in their best interests to avoid getting hit and end the fights quickly. Often, such "permanent" damage ''can'' be healed later but in a much more costly/time consuming way.

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This trope is about games that additionally feature enemies whose attacks can deal ''permanent'' damage, reducing the target's maximum number of HP, so that even if they can heal, it's in their best interests to avoid getting hit and end the fights quickly. Often, such "permanent" damage ''can'' be healed later but in a much more costly/time consuming way.
way. Hence, such an attack can easily become ThatOneAttack.






* ''VideoGame/DawnOfWar'': From Dark Crusade onwards, Necron Pariahs reduce maximum HP with every melee attack until they or the target are dead.

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* ''VideoGame/DawnOfWar'': From Dark Crusade ''Dark Crusade'' onwards, Necron Pariahs reduce maximum HP with every melee attack until they or the target are dead.



* Ships in ''VideoGame/UnchartedWaters: New Horizons'' can be repaired after sustaining damage in battle, but constant damage wears down their maximum durability. Notably, there is no way to restore this permanent damage, except selling the used ship and buying a new one.

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* Ships in ''VideoGame/UnchartedWaters: ''VideoGame/UnchartedWaters II: New Horizons'' can be repaired after sustaining damage in battle, but constant damage wears down their maximum durability. Notably, there is no way to restore this permanent damage, except selling the used ship and buying a new one.



* ''VideoGame/TacticsOgre'': The pretty much the almost never used (a mercy by the programmers and the AI) skill called Oracle reduces the max HP of the target. The only one who actually uses it Lans Tartare, the leader of the Templar Knights in the game.

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* ''VideoGame/TacticsOgre'': The pretty much the almost never used (a mercy by the programmers and the AI) skill called Oracle reduces the max HP of the target. The only one who actually uses it Lans Tartare, the leader of the Templar Knights in the game.
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[[folder:Trading Card Game]]
* ''ChaoIslandTranquilCorruptGenocide'': One effect card can do this for up to five turns.
[[/folder]]

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* The spell Lunatic in ''SeikenDensetsu3'' reduces the target's maximum HP by 20%. It's very good when used at the beginning of boss fights, where it can knock off upwards of 10,000 HP.



* The spell Lunatic in ''SeikenDensetsu3'' reduces the target's maximum HP by 20%. It's very good when used at the beginning of boss fights, where it can knock off upwards of 10,000 HP.

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* The spell Lunatic in ''SeikenDensetsu3'' reduces the target's maximum HP by 20%. It's very good when used at the beginning of boss fights, where it can knock off upwards of 10,000 HP.
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* The spell Lunatic in ''SeikenDensetsu3'' reduces the target's maximum HP by 20%. It's very good when used at the beginning of boss fights, where it can knock off upwards of 10,000 HP.
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** The ''Book Of Exalted Deeds'' has the Vassal of Bahamut Prestige Class, which uses bonus dice to deal permanent hit point damage to evil dragons.
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* Dying in ''BattleHunter'' will cut your maximum HP in half (stacking geometrically, so dying again will reduce it to 1/4). You can pay [[WeWillSpendCreditsInTheFuture credits]] to restore your maximum HP to that of your maximum HP stat a point at a time. [[ContinuingIsPainful It's not cheap]]; you're probably better off SaveScumming.
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* ''VideoGame/DungeonCrawl'':

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* ''VideoGame/DungeonCrawl'':''DungeonCrawl'':

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* ''DungeonCrawl'' has the rotting status, which will gradually reduce your character's maximum HP while in effect. Like in the above example, you can repair small amounts of rot by using healing potions or wands while at full HP. Ghoul characters can also restore rotted HP by eating meat (preferably rotten), which helps offset the innate decay they suffer from. Then there's the spell called Borgnjor's Revivification, which fully heals you at the cost of ''permanently'' reducing your maximum HP.

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* ''DungeonCrawl'' has the ''VideoGame/DungeonCrawl'':
** The
rotting status, which status will gradually reduce your character's maximum HP while in effect. Like in the above example, you can repair small amounts of rot by using healing potions or wands while at full HP. Ghoul characters can also restore rotted HP by eating meat (preferably rotten), which helps offset the innate decay they suffer from. Then there's the spell called Borgnjor's Revivification, which fully heals you at the cost of ''permanently'' reducing your maximum HP.
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* ''DungeonCrawl'' has the rotting status, which will gradually reduce your character's maximum HP while in effect. Like in the above example, you can repair small amounts of rot by using healing potions or wands while at full HP. Ghoul characters can also restore rotted HP by eating meat (preferably rotten), which helps offset the innate decay they suffer from. Then there's the spell called Borgnjor's Revivification, which fully heals you at the cost of ''permanently'' reducing your maximum HP.
** ''Crawl'' also has Maximum MP Damage, though only two character races have to worry about it; deep dwarves and mummies both have emergency abilities that require you to sacrifice one point of MP. Deep dwarves can use their ability to recharge magical devices (like a wand of healing), whereas mummies can instantly restore their stats and some rotted HP.
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** ''EpicLevelHandbook'': The Lavawight and Shape of Fire have the blazefire ability which does exactly that.
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* A variation in ''VideoGame/GoldenSun'': Stats and classes are mostly determined by what Djinn are on a character, and using them in battle cancels the stat boosts (including HP) until summoned or reset. Some bosses have abilities that "drains" the Djinni, causing loss of all stats until they recover. The BonusBoss has one that [[ThatOneAttack hits every Djinn on every party member]], nearly guaranteeing TotalPartyKill.

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* A variation in ''VideoGame/GoldenSun'': Stats and classes are mostly determined by what Djinn are on a character, and using them in battle cancels the stat boosts (including HP) until summoned or reset. Some bosses have abilities that "drains" the Djinni, causing loss of all stats until they recover. The BonusBoss has and the FinalBoss's last form have one that [[ThatOneAttack hits every Djinn on every party member]], nearly guaranteeing TotalPartyKill.
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wrong lance


* In ''Literature/FateZero'', Lancer's Gae Bulg has wields a curse on whoever it attacks, making a WoundThatWillNotHeal. When asked to define this [[RPGMechanicsVerse in gaming terms]], WordOfGod said that its effect would be basically this trope. Also, Emiya Kitsurugi was cursed by the contents of the [[LightIsNotGood Holy]] [[ArtifactOfDoom Grail]], which was the ultimate cause of his demise, as it drained it's life force slow but steadily.

to:

* In ''Literature/FateZero'', Lancer's Gae Bulg Gáe Buidhe has wields a curse on whoever it attacks, making a WoundThatWillNotHeal. When asked to define this [[RPGMechanicsVerse in gaming terms]], WordOfGod said that its effect would be basically this trope. Also, Emiya Kitsurugi was cursed by the contents of the [[LightIsNotGood Holy]] [[ArtifactOfDoom Grail]], which was the ultimate cause of his demise, as it drained it's life force slow but steadily.
Is there an issue? Send a MessageReason:
None


* In ''Literature/FateZero'', Lancer's Gae Bulg has wields a curse on whoever it attacks, making a WoundThatWillNotHeal. When asked to define this [[RPGMechanicsVerse in gaming terms]], WordOfGod said that its effect would be basically this trope. Also, Emiya Kitsurugi was cursed by the contents of the [[LightIsNotGood Holly]] [[ArtifactOfDoom Grail]], which was the ultimate cause of his demise, as it drained it's life force slow but steadily.

to:

* In ''Literature/FateZero'', Lancer's Gae Bulg has wields a curse on whoever it attacks, making a WoundThatWillNotHeal. When asked to define this [[RPGMechanicsVerse in gaming terms]], WordOfGod said that its effect would be basically this trope. Also, Emiya Kitsurugi was cursed by the contents of the [[LightIsNotGood Holly]] Holy]] [[ArtifactOfDoom Grail]], which was the ultimate cause of his demise, as it drained it's life force slow but steadily.
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Characters in VideoGames and TabletopGames suffer ridiculous amounts of bodily harm, but unless their HitPoints [[CriticalExistenceFailure reach zero]], they usually remain fully functional and can be restored back to perfect health within seconds by consuming a HealingPotion or [[HealThyself using some healing magic]].

This trope is about games that additionally feature enemies whose attacks can deal ''permanent'' damage, reducing the target's maximum number of HP, so that even if they can heal, it's in their best interests to avoid getting hit and end the fights quickly. Often, such "permanent" damage ''can'' be healed later but in a much more costly/time consuming way.

In any system where you have BodyArmorAsHitPoints, a move that steals or destroys the armor in question will invariably reduce the target's maximum HP. In some {{game system}}s, a LevelDrain has this effect due to maximum HP being derived from experience level.

Compare HealingMagicIsTheHardest, where even magical healing is scarcely available. WoundThatWillNotHeal is a more general narrative trope.
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!!Video game examples:

[[foldercontrol]]

[[folder:Hack-and-Slash]]
* In the first ''VideoGame/{{Diablo}}'', the Zombie [[UndergroundMonkey variation]] Black Death could do this with their punches.
[[/folder]]

[[folder:Real-Time Strategy]]
* ''VideoGame/DawnOfWar'': From Dark Crusade onwards, Necron Pariahs reduce maximum HP with every melee attack until they or the target are dead.
* Dark Glass Corruption from ''VideoGame/RiseOfLegends''.
[[/folder]]

[[folder:RPG -- Eastern]]
* Ships in ''VideoGame/UnchartedWaters: New Horizons'' can be repaired after sustaining damage in battle, but constant damage wears down their maximum durability. Notably, there is no way to restore this permanent damage, except selling the used ship and buying a new one.
* The ''Franchise/FinalFantasy'' series:
** In ''VideoGame/FinalFantasyXII'', a status ailment called "Disease" prevents healing, by reducing the victim's maximum HP any time they take damage.
** ''VideoGame/{{Final Fantasy XIII-2}}'' adds the Wounding mechanic, wherein certain attacks and monsters reduce the target's maximum HP to force the player to avoid long battles. Although such wounds are thankfully covered by AfterCombatRecovery, no magic and only two specific potions (one of which is [[{{Panacea}} Elixir]]) can heal them in combat.
* In both ''VideoGame/BreathOfFireIII'' and ''VideoGame/BreathOfFireIV'', if someone was downed in battle and still down at the end, they would be brought back with 1 hp and have their max health reduced. Also, both games contain a move called Disembowel which inflicts HPToOne at the cost of reducing the ''user's'' maximum HP until the next time they rest at an inn.
* A slightly weird version occurs with the Dark Chips in the fourth and fifth ''VideoGame/MegaManBattleNetwork'' games. They deplete the ''user's'' maximum HP by one point.
* ''VideoGame/TacticsOgre'': The pretty much the almost never used (a mercy by the programmers and the AI) skill called Oracle reduces the max HP of the target. The only one who actually uses it Lans Tartare, the leader of the Templar Knights in the game.
* A variation in ''VideoGame/GoldenSun'': Stats and classes are mostly determined by what Djinn are on a character, and using them in battle cancels the stat boosts (including HP) until summoned or reset. Some bosses have abilities that "drains" the Djinni, causing loss of all stats until they recover. The BonusBoss has one that [[ThatOneAttack hits every Djinn on every party member]], nearly guaranteeing TotalPartyKill.
[[/folder]]

[[folder:RPG -- MMO]]
* In ''VideoGame/{{RuneScape}}'', some creatures could transmit "disease", which randomly decreases stats including constitution, which affects maximum life points. Barrelchest Mk II, a [[NinjaPirateZombieRobot pirate zombie robot]] (ItMakesSenseInContext) directly drains constitution as part of its special attack. Instead of eating various food, this kind of damage could only be restored quickly with much more expensive super restore potions.
* In ''VideoGame/CityOfHeroes'', Incarnate abilities from the Degenerative Interface line give all of your and your pets' attack powers a chance of applying this effect and/or Toxic damage over time.
[[/folder]]

[[folder:RPG -- Roguelike]]
* In ''VideoGame/{{Rogue}}'', vampires' attacks do this. The loss can be recovered by drinking healing potions while already at maximum hit points, but at greatly reduced efficiency: 1 hit point per potion of healing or 2 hit points per potion of extra healing.
[[/folder]]

[[folder:RPG -- Western]]
* In the ''Franchise/DragonAge'' series, traps and {{Non Lethal KO}}s inflict [[http://dragonage.wikia.com/wiki/Injuries injuries]] on the characters. In the [[VideoGame/DragonAgeOrigins first game]], these included both permanent health damage and other stat penalties, but only the former was present in the [[VideoGame/DragonAgeII sequel]]. Injuries can generally only be removed by returning to the PlayerHeadquarters or consuming a specific item. In ''DAO'', only Spirit Healers could remove injuries magically (but not from themselves); in ''[=DA2=]'', Spirit Healers can instead protect the entire party from injuries for with a high-level perk.
[[/folder]]

[[folder:Wide Open Sandbox]]
* ''VideoGame/AssassinsCreedII'' uses BodyArmorAsHitPoints, and all but the ultimate suits of armor wear down upon sustaining damage, reducing maximum [[CallAHitPointASmeerp synch bars]] until it is repaired by a smith.
[[/folder]]
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!!Non-video game examples:

[[folder:Literature]]
* In ''Literature/FateZero'', Lancer's Gae Bulg has wields a curse on whoever it attacks, making a WoundThatWillNotHeal. When asked to define this [[RPGMechanicsVerse in gaming terms]], WordOfGod said that its effect would be basically this trope. Also, Emiya Kitsurugi was cursed by the contents of the [[LightIsNotGood Holly]] [[ArtifactOfDoom Grail]], which was the ultimate cause of his demise, as it drained it's life force slow but steadily.
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[[folder:Tabletop Games]]
* ''TabletopGame/DungeonsAndDragons'':
** Some attacks deal "ability damage" that reduces the target's stats but heals when the character rests and "ability drain" which can only be healed magically. Constitution drain is essentially this trope, because a character's maximum hitpoints are calculated from it. A dead first level character who's resurrected (most resurrections cost the resurrected character at least one CharacterLevel to avert DeathIsASlapOnTheWrist) also permanently loses a point of constitution.
** The Vargouille monster could do this. If the victim of its attack failed a saving throw vs. poison, the {{Hit Point}}s of damage inflicted were lost permanently and could only be recovered by using a Wish spell. No form of healing magic would bring them back.
* [[SubSystemDamage Aggravated Damage]] in ''TabletopGame/VampireTheMasquerade'' is sustained from fire, sunlight, and holy relics, and cannot be healed or regenerated by most normal means.
* In ''TabletopGame/MagicTheGathering'', creatures with the Wither or Infect abilities deal damage to other creatures in the from of -1/-1 counters. Unlike regular damage, which creatures heal from at the end of each turn, -1/-1 counters represent a permanent reduction in both power and toughness (having toughness reduced to 0 will kill a creature) for as long as the creature is in play.
[[/folder]]
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