Marijn (playing Hera): So I take ongoing damage at the start of my turn and save at the end?
DM (A): Oh yeah, you’re not used to taking damage, are you?
Marijn: No, what is this shit?
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Marijn (playing Hera): So I take ongoing damage at the start of my turn and save at the end?
DM (A): Oh yeah, you’re not used to taking damage, are you?
Marijn: No, what is this shit?

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DM: The ooze splits when it becomes bloodied. Thaddeus, you’re on 16 hit points?
Thaddeus (khajiit paladin): Yeah.
DM: I double swing you.
Thaddeus: I go to 4.
DM: Ongoing 5 damage, so you’ll go to 0 at the start of your next turn.
Una (genasi artificer): Except it’s my turn now, and I use a healing admixture to make Thaddeus spend a healing surge.
DM: Whatever.
DM: Hanako, the rot grubs bite you. You’ll take ongoing 5 damage, and since you’re adjacent to the swarm you’ll take 5 damage from their aura at the start of your turn as well.
Thaddeus (khajiit paladin): Hanako, you can make a saving throw now with a +2 power bonus.
Hanako (kitsune bard): I’m so sorry Thaddeus, I rolled a 3!
DM: First failed save increases the ongoing damage to 10. Your turn starts. Take 15 damage.
DM: You’re using non-lethal damage, but you can’t control the ongoing fire damage. She takes another five at the start of her turn. She has one hit point left.
Cordelia: Phew! Quick, stabilise her!
DM: Gronthil, a flash of godly intelligence goes through you. Until the end of your next turn, you get +5 to everything.
Calypso (human sorceress): Does that include ongoing damage?

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Celestial Cascade (shardmind bard): What is the flavour of ongoing 10 damage from a being hit by a water elemental?
DM: Uh...
Smitters (deva paladin): Clearly it’s wrapped you in squeezy water tentacles.
DM: It just wants a hug.
CC: I don’t want its stupid hug.
Smitters: Yeah, it’s a shitty hug.
DM: You should have been taking ongoing 15 fire damage, all up.
Amari (human vampire): ...I thought that was a joke.
DM: ...No.
DM: The yeti doesn’t die.
Yollok (sorcerer): Sad.
DM: It then starts its turn and dies from the poison you just applied.
Yollok: Yay!