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Ways to pick up a level of exhaustion and how to remove it:
1. Not eating any rations in a day.
2. Half rations for two consecutive days
3. Being critically hit
4. Being downed HP0 or less.
5. Traveling double speed for two consecutive days.
One level is gained for every 8 hours of rest given full rations were had the day before. Exhaustion cannot be lowered with half rations or less.
What are the 6 levels of exhaustion?
1. Disadvantage on ability checks
2. Speed halved (including travel speed)
3. Disadvantage on saving and attack rolls not including death saving throws. You can't suffer affects when you are unconscious.
4. Hit point max temporarily halved. Any hitpoints will be transferred into temporary hitpoints and can't be replenished if lost until you lower your exhaustion level below 4.
5. Speed is 0 for travel and cut to 1/6th for combat. You're crawling.
6. If you aren't already unconscious, you are now unconscious and require three death saving throw to succeed before failure or you parish. You cannot recover if exhausted at level 6 and will require someone to basically feed you. You will remain unconscious for 8 hours afterwards, lowering your level to 5. You then may recover but will need to rest an additional 8 hours in order to travel.
The additional ways to become exhausted are balanced by slightly relaxed consequences.