
In the game Dungeons & Dragons, a negative constitution modifier can affect a character's health points (HP). While it is possible to have a negative constitution modifier, the rules state that a character's HP cannot decrease when levelling up. There is a minimum of one HP gained per level, meaning that even with a negative modifier, a character's HP will not decrease. However, players should be careful as a low constitution modifier can make a character more fragile and susceptible to damage.
| Characteristics | Values |
|---|---|
| Starting health | 1 |
| Constitution modifier | -5 |
| Hit dice | 1d6 |
| New health | -1 |
| Result | Death |
| Minimum hit points | 1 |
| Constitution score | 3 |
| Constitution modifier | -4 |
| Constitution score | 8 |
| Constitution modifier | -1 |
| Constitution score | 6 |
| Constitution modifier | -2 |
| Hit points | 6 |
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What You'll Learn
- Negative constitution modifiers can reduce a character's HP at first level and every level thereafter
- A character cannot have a constitution score lower than 3
- A character's HP will never go down from levelling up
- A character with a negative constitution modifier can die outright from gaining a level and going into negative health
- A character with a negative constitution modifier can gain negative hit points at each new level

Negative constitution modifiers can reduce a character's HP at first level and every level thereafter
In role-playing games like Dungeons & Dragons, a character's health or hit points (HP) are influenced by their constitution modifier. This modifier is calculated by adding a number, determined by the character's constitution score, to the roll of their hit die.
When a character levels up, their maximum HP increases by their hit die plus their constitution modifier. A negative constitution modifier can indeed reduce a character's HP at first level and every level thereafter. For example, a character with a constitution modifier of -5 who rolls a 3 on their hit die would add their modifier to reach -2, resulting in a new HP of -1.
However, it is important to note that the rules typically include a minimum HP gain of 1 per level. This means that even with a negative constitution modifier, a character's HP cannot decrease below 1 at first level or when levelling up. This rule ensures that characters with poor constitution do not die outright due to their low HP.
While a negative constitution modifier can impact a character's HP, it is still possible for players to create interesting storylines and memorable characters. The constant threat of dying can add an exciting element to the game, encouraging players to be more strategic and careful in their choices.
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A character cannot have a constitution score lower than 3
In the game of Dungeons and Dragons, a character's health is influenced by their Constitution score, which is determined by rolling a die and applying any relevant modifiers. This score directly impacts the character's maximum health points and their ability to withstand damage.
When creating a character, players might be tempted to allocate a low Constitution score to focus on other abilities. However, it is important to note that a character's Constitution score cannot be lower than 3. This limit ensures that characters have a minimum level of resilience and prevents them from being overly fragile in the game world.
The reason for this restriction is rooted in the game mechanics. According to the rules, each time a character gains a level, they roll an additional Hit Die and add their Constitution modifier to the roll, increasing their maximum health. While a negative Constitution modifier can reduce health gains, the game includes a safety mechanism that ensures a minimum gain of 1 health point per level.
This minimum gain rule prevents characters from losing health when levelling up, even with a negative Constitution modifier. However, it also means that a character with an abysmal Constitution score of 3 would still gain at least 1 health point per level, ensuring they don't start the game with negative health. This rule encourages players to be cautious about neglecting their character's health while maintaining a sense of balance and fairness in the game.
In conclusion, the restriction of a minimum Constitution score of 3 is a game design choice that prevents characters from starting with negative health or becoming too fragile. It strikes a balance between character customisation and ensuring that characters have a basic level of survivability as they progress through the game.
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A character's HP will never go down from levelling up
For example, let's consider a Level 1 Wizard with a Constitution modifier of -5 and a starting health of 1. When the Wizard reaches level 2, they add 1d6 - 5 to their max health. If they roll a 3 on the hit dice, they would add their Constitution modifier (-5) to reach -2. However, as the minimum number of hit points gained per level is 1, they would instead add 1 to their max health. So, their new health would be 2, not -1.
It is important to note that, while a negative Constitution modifier will not directly reduce a character's HP upon levelling up, it can still impact their overall health and durability. A character with a low Constitution modifier may have a lower maximum HP compared to a character with a higher modifier. Additionally, a negative Constitution modifier can affect other aspects of a character's abilities and stats, such as their stamina, endurance, or resistance to certain effects.
In some cases, a character with a very low Constitution modifier may find themselves in a situation where they gain negative hit points at each new level. This could eventually lead to the character reaching 0 hit points and dying. However, this scenario is unlikely to occur, as it would require consistently poor rolls and an extremely low Constitution modifier. Most campaigns and games are designed to avoid such outcomes, and players usually have the option to adjust their character's abilities and stats to prevent this from happening.
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A character with a negative constitution modifier can die outright from gaining a level and going into negative health
In Dungeons & Dragons, a character's health is determined by their hit points, or HP. When a character gains a level, their maximum hit points increase by their hit dice plus their Constitution modifier. This is calculated by rolling the hit die and adding the Constitution modifier to the roll, with a minimum total of 1.
A character with a negative Constitution modifier can, theoretically, die outright from gaining a level and going into negative health. This is because the Constitution modifier is subtracted from the roll of the hit die, which could result in a total that is less than the starting health of the character, causing their health to drop to 0 or below.
However, it is important to note that this scenario is highly unlikely to occur. Firstly, a character's Constitution score cannot be lower than 3, which would require rolling three 1s on the dice. Secondly, even with a negative Constitution modifier, a character would still gain at least 1 hit point per level, as per the Player's Handbook (PHB) errata. This rule ensures that a character's health cannot decrease due to levelling up, regardless of their Constitution modifier.
Additionally, the odds of starting with 0 or negative HP are extremely low, as it would require a significantly negative Constitution modifier. In most cases, the standard array for character creation sets a minimum modifier of -1, which is not low enough to cause a character to start with negative HP.
In conclusion, while it is theoretically possible for a character with a negative Constitution modifier to die from gaining a level, this scenario is highly improbable due to the various factors that would need to align for it to occur. The rules of the game, including the PHB errata, are designed to prevent characters from losing health upon levelling up, ensuring a more positive and balanced gameplay experience.
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A character with a negative constitution modifier can gain negative hit points at each new level
In Dungeons & Dragons, a character's health points are calculated by adding the highest number of their class' hit dice to their Constitution modifier. For example, a Bard's starting HP is 8 + CON. When a character gains a level, their maximum hit points increase by their hit dice + their CON modifier.
It is possible for a character to have a negative Constitution modifier, which can lead to losing health points when levelling up. However, this is rare, as it would require a very low Constitution score, which is determined by rolling a die. For example, to get a -5 CON modifier, one would need to roll three 1s on a 3d6 die.
Even with a negative Constitution modifier, a character will not lose health points when levelling up. According to the rules, a character always gains a minimum of 1 hit point with each level. So, if a character has a negative Constitution modifier and rolls poorly, they will still gain 1 hit point per level.
However, some players choose to ignore this rule and factor in the negative Constitution modifier, which can lead to a character gaining negative hit points at each new level. This can eventually result in the character having no hit points remaining and, consequently, dying.
In conclusion, while it is possible for a character with a negative Constitution modifier to gain negative hit points at each new level, this is not a common occurrence due to the low probability of having a very low Constitution score and the rule that ensures a minimum of 1 hit point gained per level.
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Frequently asked questions
Yes, a negative Constitution modifier affects your starting HP.
Yes, you can have a net negative maximum HP per level with a negative Constitution modifier.
Yes, you can die by levelling up with a negative Constitution modifier.
Yes, you add your Constitution modifier to your starting HP even if it's negative.
No, you cannot have a negative Constitution modifier with a 14 CON. 14 CON gives you a +2 modifier.

























