Combat wounds, environmental hazards, and other situations can lead to a special condition called exhaustion. Exhaustion is measured in four levels. An effect can give a creature one or more levels of exhaustion.

  • Level 1: You are visibly injured, stressed, or fatigued.

  • Level 2: You have disadvantage on all tests.

  • Level 3: Your vital stats* are halved.

  • Level 4: You are dead.

*Hit point maximum (round up), spirit point maximum (round up), and movement speed. Any increase or decrease to these stats are also halved.

Accumulating Exhaustion: If an exhausted creature suffers another effect that causes exhaustion, its current level of exhaustion increases by the amount specified in the effect's description. A creature suffers the effect of its current level of exhaustion as well as all lower levels.

Removing Exhaustion: An effect that removes exhaustion reduces its level as specified in the effect's description, with all exhaustion effects ending if a creature's exhaustion level is reduced below one. A dead creature can't benefit from any effect that removes exhaustion.

Long Rests and Exhaustion: When an exhausted creature finishes a long rest, it makes a Medium (3+) Strength test. If the creature succeeds, the rest reduces the creature's level of exhaustion by one.

The Bestow Life spell can remove exhaustion.