[RPG] If an elf is stable with 0 HP, do they regain all hit points after a long rest of 8 hours or 4

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In my most recent session, the entire party except one character was downed (reduced to 0 HP), but they were all stabilised by the cleric (the only member that was left standing). One of the downed characters is an elf.

Because of the elf's Trance trait, normally when they sleep/meditate, it only takes 4 hours to finish a long rest. However, in this instance, they are not meditating, but just stable with 0 hp.

Would it take the elf 4 hours or 8 hours to finish a long rest and regain all their HP?

Best Answer

A stabilized elf can finish a long rest in 1d4+4 hours.

The rules for “Stabilizing a Creature” state (emphasis mine):

A stable creature doesn't make death saving throws, even though it has 0 hit points, but it does remain unconscious. The creature stops being stable, and must start making death saving throws again, if it takes any damage. A stable creature that isn't healed regains 1 hit point after 1d4 hours.

Only after the elf regains 1 hit point can the elf begin their 4-hour long rest:

a character must have at least 1 hit point at the start of the [long] rest to gain its benefits.

So an elf with 0 hit points can complete a long rest in 1d4+4 hours from the moment they are stabilized: 1d4 hours to regain 1 hit point1, and 4 hours to complete the long rest.


1 A non-negligible level of support has been given to the ruling that a creature can take a short rest while unconscious and spend hit dice to regain hit points after only one hour.