Powered by the Apocalypse games take diverse approaches to representing injury, stress, and deteriorating health. Unlike traditional RPGs with their focus on hit points, PbtA harm systems often try for other narrative consequences. Dungeon World 1e and many of its descendants are an exception: they maintain familiar territory with a hit-point system, though adding tags and debilities to create narrative weight. This approach helps transition traditional players to PbtA. (For a long discussion...
