Periapt of Wound Closure

- Category: Wondrous Item
- Rarity: Uncommon (Requires Attunement)
While wearing this pendant, you gain the following benefits.
Life Preservation. Whenever you make a Death Saving Throw, you can change a roll of 9 or lower to a 10 , turning a failed save into a successful one.
Natural Healing Boost. Whenever you roll a Hit Point Die to regain Hit Points, double the number of Hit Points it restores.
Tactical Applications
Combat Strategy: Stabilizes dying characters and provides advantage on death saving throws, offering crucial survival benefits in combat. Essential for emergency healing and death prevention.
Class Synergies:
- Any Class: Universal utility for survival and death saving throw improvements
- Frontline Combatants: Perfect for tanks and melee fighters at risk of going unconscious
- Support Characters: Essential for healers and characters responsible for ally survival
- High-Risk Builds: Excellent for characters with dangerous combat roles and survival concerns
Build Considerations: Provides passive survival benefits without requiring attunement. Most valuable for characters frequently at risk of death.
Acquisition Methods
Crafting Requirements: Requires healing magic, stabilization enchantments, and life-preserving crystals. Creation cost 10,000-18,000 gp and takes 10 weeks.
Common Sources:
- Healing temples and medical organizations
- Treasure hoards of legendary healers and life-saving specialists
- Commission from enchanters specializing in healing magic
- Found in the collections of medical researchers and survival experts
- Rewards from grateful organizations for life-saving services
Alternative Acquisition: Sometimes discovered in battlefield sites or obtained from healing creature encounters.
Value & Trade
Estimated Value: 12,000-22,000 gp, with consistent demand among adventurers and combat specialists.
Trade Considerations: Popular among all combat-focused characters and anyone prioritizing survival.
Character Integration
Roleplay Elements: Suggests experience with dangerous combat, medical knowledge, or professional roles requiring survival expertise.
Character Concepts:
- Battlefield medic with life-saving expertise and healing specialization
- Dangerous combat specialist requiring reliable survival protection
- Character with extensive experience in high-risk situations and emergency medicine
- Support specialist dedicated to ally survival and emergency response
Adventure Hooks
The Survival Mission: High-risk adventures where death prevention determines success and survival.
The Medical Emergency: Crisis scenarios where stabilization abilities enable rescue and treatment.
The Dangerous Combat: Encounters with lethal enemies where survival benefits provide crucial advantages.
The Life-Saving Quest: Adventures requiring survival expertise to protect allies and complete missions.
Variants & Customization
Greater Periapt of Wound Closure (Very Rare): Enhanced healing and additional life-saving abilities.
Periapt of Life Protection (Rare): Includes death immunity and enhanced survival benefits.
Combat Medic's Periapt (Rare): Optimized for battlefield healing with enhanced emergency capabilities.
Specialized Variants:
- Emergency Response Periapt: Enhanced for crisis situations with rapid stabilization
- Battlefield Periapt: Optimized for combat healing with damage resistance
- Guardian's Periapt: Includes ally protection and group survival benefits
Lore & History
Origins: Created by ancient battlefield medics who needed reliable methods for preventing death during combat.
Historical Significance: These periapts enabled crucial military victories through enhanced soldier survival and battlefield medicine.
Cultural Impact: Represent the dedication to life preservation and the mastery of emergency healing.
Magical Craft: Demonstrates understanding of healing magic and the complex processes required for death prevention.
Balancing Notes
Introduction Timing: Appropriate for levels 5-12 when death becomes a significant threat and survival is crucial.
Campaign Impact: Provides meaningful survival benefits balanced by specificity to death prevention situations.
Survival Focus: Most valuable in high-lethality campaigns and dangerous combat scenarios.
Encounter Design
Recommended Challenges:
- High-lethality combat where survival benefits determine character continuation
- Emergency scenarios where stabilization enables rescue and treatment
- Dangerous exploration where death prevention provides safety margins
- Group survival situations where life-saving abilities protect allies
Tactical Adjustments: Death saving throw encounters may need scaling when survival bonuses are present.
Related Items
Healing Items: Other items that provide healing and life preservation benefits for emergency situations.
Survival Equipment:
- Items that enhance survival capabilities and emergency response
- Equipment for battlefield medicine and emergency healing
- Tools for professional medical work and life-saving operations
Complementary Equipment: Items that enhance healing abilities or provide additional survival benefits.
Roleplay Opportunities
Medical Mastery: Characters develop expertise in emergency medicine and life-saving techniques.
Survival Leadership: Death prevention capabilities create opportunities for leading dangerous missions.
Healing Authority: Life-saving abilities enable consulting work for medical organizations and emergency response.