A creature that is taking bleed damage takes the listed amount of damage at the beginning of each of its turns. Bleed represents an open wound that continues to cause harm until treated.

Effects

  • Takes the listed bleed damage at the start of its turn each round.
  • Most bleed effects deal hit point damage; some cause ability damage or ability drain instead — these are noted in the effect that applies them.
  • Multiple bleed effects do not stack; only the highest bleed value applies. A new bleed effect replaces an existing one only if it deals more damage.
  • Creatures that are immune to critical hits are immune to bleed damage.

Ending the Condition

  • A successful DC 15 Heal check as a standard action stops all bleed on the creature.
  • Any spell or effect that restores hit points (or ability score damage) stops the corresponding bleed, even if no hit points are actually restored (e.g., the creature is already at full HP).
  • Regeneration and fast healing do not automatically stop bleed — the damage still occurs each round and is then healed.

Related Conditions

  • Dying — a creature reduced to negative HP while bleeding may die quickly without treatment.
  • Disabled — at 0 HP, a creature with an active bleed effect risks falling to –1 HP and becoming dying.

Common Sources

Critical hit feats (such as Bleeding Critical), certain monster attacks (claws, rakes), and spells like bleed (0-level). Rogue sneak attacks with the bleeding attack talent also inflict bleed damage.