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Cast from Hit Points

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You've just run out of your source of magic, whether it's Magic Points or other Phlebotinum, and you desperately need to cast a spell to save the day. What do you do? Spend your own Life Energy on the spell in place of whatever would normally power it. The spell is then Cast From Hit Points.
The cost of the life energy thus expended will vary. In extreme cases, a spell cast from HP may cost the caster their life, resulting in a Heroic Sacrifice; this is often done for the purpose of Taking You with Me. When done by multiple casters at once, this qualifies as a Combined Energy Attack. Lesser versions may result in a decreased lifespan, which is typically given in round numbers such as years. Whether this is cut from physical longevity or some kind of cosmic clock depends on the series. At its mildest, casting from HP leads to immediate physical effects such as fatigue or a Psychic Nosebleed. Casting from hit points in a way that causes irreversible/cumulative damage to the caster is Power Degeneration, while fueling a Super Mode from hit points is a Heroic RRoD. (Or a Villainous one.)
The effects of this on the magic itself vary as well. A spell cast from HP may work normally, but more often than not the plot demands that the use of life itself must amplify the effect dramatically. If done well, this may represent the caster's Moment of Awesome.
Some fantasy settings have this as their standard system of magic. In those cases, the process will typically exact a price significantly less than the life of the caster. Particularly common in settings featuring magic which has limits and obeys scientific (or pseudo-scientific) principles to some degree. A common form of the Dangerous Forbidden Technique if the costs are exceptionally steep.
Not every spell used for Taking You with Me involves casting from HP. A parting shot may hurt the caster, but unless it is the act of casting that does this, it doesn't qualify as casting from HP. Usually, you can be healed after casting from HP — when there is no way to recover at all from the loss, it's Cast from Lifespan instead. When the sacrifice is of mental rather than physical health, see With Great Power Comes Great Insanity. A revival spell that harms the caster likely falls into Sacrificial Revival Spell.
For obvious reasons, this trope is particularly common for depictions of Blood Magic that just require blood and not death to function.
Sister Trope to Pain & Gain, where a character gets stronger/gains power by taking physical damage. Compare Living Battery, Cast from Calories, Cast from Stamina, and Full Health Bonus. Polar opposite of Mana Shield where getting hit drains energy instead of HP. Its offensive opposite is Death or Glory Attack where the attack has the user take damage or face severe consequences if the move or strategy fails.
Do not confuse with Lovecraftian Superpower.
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Natsume's Book of Friends — Whenever Natsume frees a Youkai from his late grandmother's (and his own) servitude, it has a physically draining effect.
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Wizard101:
Upon completing Wizard City, Death wizards obtain the Sacrifice spell, which deals 250 damage to the caster in exchange for healing your target by 700 Hit Points. Unlike most examples, the player is allowed to heal themselves with this spell.
Upon either reaching Level 22 or completing the Krokosphinx (whichever comes first), Fire wizards obtain the spell Immolate, which deals 200 damage to the caster in exchange for dealing 600 damage to an enemy.
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In Tactics Ogre: The Knight of Lodis, Euphare's Energy Transfer skill lets her give up 1/4 of her HP to restore another character's MP.
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Sierra's Betrayal at Krondor and Betrayal in Antara drained stamina and hitpoints to cast spells, making it tricky to judge how much power to put into it. Characters' skills start to degrade once you use up stamina (either through magic or damage from enemies), and resting outside only recovers stamina up to a certain percentage. Even the one healing spell, Gift of Sung, only heals at a 1:1 caster to target ratio, so even when you have two spellcasters when you get Pug/Milamber in Chapter 8 (and restore a small, small percentage of his magical ability), you can't heal everyone above the amount of health you had at the beginning of the battle. Particularly problematic is the spell "Mad Gods' Rage": it calls down a series of lightning bolts at a cost of 3 stamina/health per bolt, until either the caster dies or all enemies are dead.
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Genshin Impact:
Xiao's Elemental Burst, Bane of All Evil, has him equip his Mask of Power, boosting his damage and jumping skills (setting him up for a killer plunge attack), but it drains his health until the effect ends on its own or he leaves the field.
Hu Tao's Elemental Skill, Guide to the Afterlife, has her sacrifice a portion of her health to increase her damage and imbue her weapon with Pyro, which actually works out well for her because she gains a damage boost when her health is at half its maximum or lower. If her health gets too low, she can circumvent it by using her Elemental Burst to restore some of it.
Kuki Shinobu's Elemental Skill, Sanctifying Ring, sacrifices approximately 30% of her current health. Fortunately, it also heals the on-field character at 1.5 second intervals while damaging surrounding enemies until the time limit runs out. The skill can easily heal more HP to Shinobu than it takes, but as Shinobu is often switched out to make way for more damaging characters, not being careful will cause Shinobu's health to go very low, leaving her vulnerable to being finished off by enemies in the few seconds she needs to spend on the field to use her skills. Like Hu Tao, her Burst is also buffed if she's at less than 50% health.
The Hydro Traveler's Elemental Skill, Aquacrest Saber, drains their health when used in its held form (4% per second, meaning that holding for the full six-second duration will take out 24% of the Traveler's health). Fortunately, the Sourcewater Droplets generated while using the skill allow the Traveler to regain some of the health lost. 
Lyney's Prop Arrows consume a portion of his health (if it is over 60%) in exchange for delivering greater damage to his foes, and his first Ascension passive, Perilous Performance, allows the summoned Grim-Malkin Hat to refund some energy toward Lyney's Burst, as well as increasing its damage, whenever Lyney drains HP. His Elemental Skill, Bewildering Lights, allows him to restore a portion of his health.
Neuvillette's unique Charged Attack, Equitable Judgment, drains 8% of his HP per half-second if his HP is over 50%, for a maximum of 48% drain over its three-second duration (a Necessary Drawback for its lack of a stamina drain and ridiculous damage). Fortunately, both of his Elemental Talents generate Sourcewater Droplets - like with the Hydro Traveler, these can be used to mitigate the health drain in addition to speeding up the charge.
Icefang Rush, Wriothesley's Elemental Skill, increases the damage of his attacks at the cost of draining his HP while it is active. His first Ascension Passive gives him a way to restore his health (via a special Charged Attack) if it drops below 60%.
Furina's skill, Salon Solitaire, increases the party's damage-dealing skills at the cost of draining the health of all members with over 50% HP. Note this is only true of its Ousia form; its Pneuma form forgoes the Salon members' damage-dealing in favor of the Singer of Many Waters, who focuses on healing the party. At her sixth Constellation, Hear Me — Let Us Raise the Chalice of Love!, a Pneuma-aligned Furina will drain health from the rest of the party to increase her attacks' damage for ten seconds after activating the Singer.
Gaming's special Plunge attack, Charmed Cloudstrider, deals Pyro damage to his enemies in exchange for draining some of his HP. This effect cannot bring Gaming's health below 10% (although if his health is that low, it leaves him open to being finished off. Combined with his passive talents requiring his health to be over 50%, most guides advise running Gaming with a healer in the party).
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MapleStory:
While not specifically magic per se, the Warrior class gains skills that, in exchange for Attacking Multiple Enemy's in a Single Attack, required payment from both HP and MP — counterbalanced by the fact that these guys happen to have the highest amount of HP out of the classes in the game, hands down.
In an inversion, the Mage class gains a defensive buff that allows them to redirect up to 80% of the damage they receive to their MP.
The Melee-based Brawler path of the Pirate class also learns a skill that converts HP into MP. The higher level the skill, the less HP you have to use to gain MP.
The Demon Avenger plays this trope straight, literally casting from his/her own hit points — because s/he does not have an MP meter!
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The Rise of Skywalker: Rey learned how to use the Force for Healing Hands, but mentions using it drains the user's health. At the end, Ben Solo heals a mortally wounded Rey while heavily injured himself. He saves her, but dies in the process.
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City of Trees establishes that certain beings with magical abilities, like witches, use their own energy when casting magic. It is possible for a magic user to overexert themselves, with potentially deadly consequences.
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In Pokémon Detective Pikachu, much like the video games the film is based on note  or rather the video game the film is based on is based on Volt Tackle is a very powerful move, but it damages the user by a lot. When Tim suggests Pikachu use Volt Tackle on Charizard in the underground battle ring, he refuses. During the climax, Pikachu hits a possessed Mewtwo with a Volt Tackle hard enough to send the latter crashing into a building, nearly knocking Pikachu out, too.
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In Sunrider, Sola and Asaga both have a Super Mode called Awaken that drains their hit points. It works in slightly different ways for each of them: Sola’s version only consumes a fixed amount of HP on activation and has a set duration of three turns, while Asaga’s version has an indefinite duration and has an ongoing HP cost that increases for every turn that Awaken stays active. Thankfully, Asaga’s version can’t kill her outright; the worst it can do is drop her to 1 hit point and then switch off.
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Bioshock Infinite. If Booker has the Health For Salts gear equipped, when he runs out of Salts he will use Health to cast Vigors instead.
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Tatsunoko vs. Capcom has Baroque mode, which to execute you must be willing to give up red health (meaning health that can be healed on the sidelines). However, the more punishment you take means the more health you can exchange to power up, and that means the stronger you'll be under its influence.
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The prologue of Magic for Liars sees Ms. Webb uses an alarm spell that amplifies her scream. Torres later says that this spell has fallen into disuses because of the physical toll it takes on the mage; Ms. Webb is hoarse for days afterward.
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Starcraft:
The Stimpack upgrade for the Terran Marines allows them a short-term boost of speed and reflexes. Side effects include insomnia, weight loss, mania/hypomania, seizures, paranoiac hallucinations, internal hemorrhaging, and cerebral deterioration, represented by a loss of hit points in-game. In the Brood War expansion they give you medics, letting you use multiple stimpacks while countering the side effects, making a squad of marines with a few medics a very formidable force.
The Zerg Defiler in Starcraft and Undead Lich in Warcraft III both have abilities that allow them to consume allied units to restore mana — allowing them to cast from other people's hit points.
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Wynncraft has its own take on the trope. One of the abilities a Warrior can learn is the Fallen archetype ability Blood Pact. The ability allows the player to use their health to cast spells, but only if they do not have the mana required to use the spell.
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The Mighty Thor: Thor's most powerful attack, the God Blast, channels his life energy through Mjolnir, combining their power for an attack that can drive away a hungry Galactus.
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In Dungeons & Dragons Online: Eberron Unlimited, one of the abilities gained by Paladin's, 'Divine Sacrifice', allows the paladin to sacrifice 5 HP to make an attack with a large damage boost. The HP are lost even if the attack misses, but in a setting where mid-level characters can have over a thousand HP, it's an insignificant price. There is also an item allowing you to sacrifice 25 HP to regain 50 spell points, three times when fully charged (5 if using the Epic version).
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The Rune of Condemnation in Suikoden V, being the child rune of the Rune of Punishment, is just like that. It can heal too depending on which spell you use.
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In Bleach, Coyote Starrk tears off pieces of his soul to form exploding wolves, leading to the erasure of half of his Fusion Dance who is more accurately half of his soul.
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Descent has the Fusion Cannon, a Wave-Motion Gun which drains your shield energy if you charge it too long (and it does less damage if you do so).
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In Destiny, there is an exotic scout rifle you can acquire by completing a quest after beating the King's Fall raid. The Touch of Malice has a unique perk that causes the last bullet in the magazine to regenerate, at the cost of your health.
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 Cast from Hit Points / int_1d26524a
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Melete's curses from The Silver Eye require energy, and when she's exhausted or in pain, it's harder to generate that energy. When Velvare ignores his basic needs of sleep, rest, and food, the only thing holding him together is Melete's direct supply of energy, and it drains her.
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In Fell Seal: Arbiter's Mark, the Marked class’s Wrathful Blow and Wrathful Burst are powerful dark-elemental attacks that consume a quarter of the user’s HP. The Demon Knight class has many powerful attacks that consume anywhere from a sixth to a quarter of their HP. The secret Lich class’s Blood Magic passive lets them spend HP instead of MP to cast spells.
 Cast from Hit Points / int_1e2ad266
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Wild ARMs 4 and Wild ARMs 5 both have a move simply titled "Sacrifice" which uses a little MP, which brings self down to 1 HP, but deals damage proportional to it. Since all HP returns to max after battle, this is not as Awesome, but Impractical as it sounds for random encounters. Sacrifice returned in Wild ARMs XF, attached to the main character's class. Her armor also came with the natural ability to put her to half HP instead of 1 HP.
 Cast from Hit Points / int_1ee88520
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1.0
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Every time Rico/Oltara or Imnity cast a spell in Duel Savior Destiny, they burn away a 'page' of their life. When they run out, they'll die. Otherwise, they're not really killable through normal means.
 Cast from Hit Points / int_1ef8b483
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Ancient Domains of Mystery allows this as a standard game mechanic for spellcasting: if you don't have enough Magic Points to cast a spell, you can "exhaust yourself" casting it, expending Hit Points to pay the remaining cost. The cost may be fatal, which is to be expected in this game. Amusingly, however, a sufficiently skilled caster can pay for a healing spell from hit points and heal more damage than he just took. In addition, some older versions allowed casting spells from books and still have a greater healing rate than HP loss, without any other cost.
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In Kingdom Hearts II, Axel "puts his whole being into an attack" and disintegrates on the spot. Luckily for him, this ends up reviving his original, human self in a later game.
 Cast from Hit Points / int_1ff419c5
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Meritous: Revival at a Checkpoint Tile costs "some of your natural vitality" so it can be only done a limited amount of times, but Merit has actual Hit Points, so the "hit points" in this case is some kind of Life Energy. Merit can revive five times.
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In Dragon Quest III, the double-edged sword is a weapon version of this before it became a skill to be used.
 Cast from Hit Points / int_21e2f10d
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Shadow Era also has several cards that can damage the user. Some items (such as Rusty Sword) damage the user when destroyed, while others can constantly drain from your health for some benefit (like Enraged which allows the player to draw an extra card at the cost of one health a turn).
 Cast from Hit Points / int_229af961
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In the Lost Kingdoms games, you'll start using health for the cost of cards instead of magic stones. In the second game, you could cast yourself to death if you use too much health since the first game left you with some mercy health if you overcasted.
 Cast from Hit Points / int_2375ee5f
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In Othercide, when a Daughter uses a reaction skill she must sacrifice some percentage of her maximum health. This is even more worrisome than in other games, because your Daughters can only heal by sacrficing the life of another Daughter of equal or higher level. Patches have since changed the game so that Daughters will recover some health per day, this decision was done mostly to make reaction skills viable in early game.
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Symphogear has the Superb Song. Using this skill allows the user to unleash the full power of their Symphogear, but at the cost of intense backlash damage onto their own body, which can even be fatal.
 Cast from Hit Points / int_252237eb
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1.0
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 Symphogear
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Cardfight!! Vanguard G: The ability of the Peacemakers to materialize units from Cray on Earth is quite the case of Blessed with Suck, as it requires imagination that "chips at your own life away". The side effects are various and horrific: one suffers from Rapid Aging and dies on-screen, another is almost paralyzed, and a third becomes an Empty Shell to cope with the pain. The others aren't that badly damaged, but one is in constant state of burn-out, and another is tricked into knocking himself in a coma via his own power. Notably, the reboot removes the cost of this ability.
 Cast from Hit Points / int_25cb5111
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1.0
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 Cardfight!! Vanguard G
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Reborn as a Vending Machine, I Now Wander the Dungeon: Boxxo can spend Points to use his functions, cast magic, or to repair himself, and he also passively loses 1 Point per hour. He concludes that running out of Points will shut him down.
 Cast from Hit Points / int_264e8ad3
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 Reborn as a Vending Machine, I Now Wander the Dungeon
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The Name of the Wind uses a system similar to this — Sympathy is essentially a magical form of energy transfer. If you are good at it, and don't care about your own health, you can transfer the heat of your blood into something to set it on fire. This is not good for you. One upside is that instead of running out of mana, sympathists run out of fire.
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Psychic Force 2012 has the Hyper Charge ability, which increases the length of a character's psychic energy gauge at the cost of their health. When fully-charged, Hyper Charge can grant a player the ability to use 200% of their psychic energy, but turn them into a One-Hit-Point Wonder.
 Cast from Hit Points / int_26ed5f69
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Most spells in Castle Falkenstein are cast from ambient thaumic energy, but it takes time to gather this, so mages in a desperate hurry may cast from hit points instead; this is called "unraveling" and can be fatal (though if it isn't, you get better eventually).
 Cast from Hit Points / int_286b0fc9
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Bloodborne has a variant of this — you can give yourself 5 extra bullets for your gun/s by draining some of your health. There's also three weapons that require you to sacrifice health in some way.
The first, a sword, constantly drains your health in exchange for a damage buff as long as it is transformed. It also costs a portion of health to use its strong attack.
The second, a giant mace, transforms via your character plunging it into their torso. It doesn't cost any other health.
The third is a wheel that you can spin to increase its damage for 20 seconds at the cost of health drain.
 Cast from Hit Points / int_295048d5
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Dicey Dungeons:
A class's Limit Break is charged by taking non-Shield or Armor damage, which activates their special move when used. This can also be done by intentionally clicking on any burning dice to charge the meter at the cost of 2HP per dice. This is invoked with the Rhino Beetle Rule in the Bonus Round, where you'll receive 2 damage each turn your Limit Break's not charged.
The Shadow Dice duplicates any dice at the cost of losing health depending on its value while the Candle reduces the dice value by 1 at the cost of 1HP, though it's reusable unlike Nudge.
The Nail Bat adds 3 extra damage to its total but saps 2HP from you every turn.
In Reunion, Front Line exchanges 3HP for 3 Shield stacks and also returns your dice.
 Cast from Hit Points / int_2990bf98
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Castle of the Winds forces the player to draw on their own constitution when they run out of magic, lowering their max HP in order to keep decreasing mana into the negatives until the player dies. Can turn into a bit of a nail-biter when you're forced to do so, as it has a nastily unpredictable habit of suddenly killing you. Also turns into a Good Bad Bug, though.
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The Tiamat Sacrament: If Az'uar lacks runes, he can spend his own HP as "dragon essence" to substitute the missing runes. However, doing so is dangerous without the Essence Filter relic, which reduces the HP consumed.
 Cast from Hit Points / int_29d129d0
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There are several such spells in Guild Wars almost all of which belong to Necromancers. Several Blood Magic spells and some Death Magic have a minimal Energy cost, but require you to sacrifice a percentage of your HP to use them. See this wiki page for a listing of such skills.
 Cast from Hit Points / int_2a04866b
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Early on in Bloodrayne 2, Rayne comes across a pair of supposedly legendary anti-vampire handguns called the Carpathian Dragons. Since they process blood for ammo, you reload them by draining mooks (which you also have to do to heal yourself, so you now have to balance keeping your health and ammo topped up). The Dragons can still be fired if their reservoirs run empty, but they'll drain blood directly from Rayne — which means that each shot saps a little of your health.
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Physical skills in Shin Megami Tensei: Strange Journey and Shin Megami Tensei IV use MP instead. Since physical-based demons usually don't have a lot of MP, this translates to their physical skills getting very few uses, unless you invests in rare and expensive MP-healing items.
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Alchemical items in Hollow Earth Expedition supplement Mysteries of the Hollow Earth.
The Life Channeling enchantment allows the user to power the item by inflicting either non-lethal damage on themselves or lethal wounds on other creatures.
Blood Offering drawback. An item recharges its powers (so they can be cast again) by inflicting lethal wounds on other creatures.
Exhausting drawback. Each time an item is used it inflicts a point of non-lethal damage on the user.
Toxic drawback. Each time an item is used it inflicts a point of lethal damage on the user.
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The heroine of Market of Monsters has the power to (among other things) heal wounds at an accelerated rate, but doing so uses up energy and is harder if not impossible to do if she's ill, hurt extremely badly, sedated, or weak.
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In Huntik: Secrets & Seekers, there is a spell called "Soul Burn" which trades life force for enhanced powers, for a short time. Used in episode 26 by Sophie Casterwill.
 Cast from Hit Points / int_2c4a4759
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Energy Transfer allows the caster to pay life points to give their own special attack energy to an ally (who is, presumably, better at fighting than the Lunar Mage, and could put that energy to better use). Heal Foo transfers life points on a one-to-one ratio; Energy Transfer actually consumes life points.
 Cast from Hit Points / int_2dc12aeb
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Odin Sphere:
Although there are no actual attacks of this nature, the "V" alchemy potion causes the player's next attack to inflict armor piercing damage in direct proportion to their HP, at the cost of reducing their HP to one afterwards.
The damage from the Variance potion is 5 times current HP minus 1, since that last point is used to keep you alive. Nice damage, but incredibly risky, even if you've got an Ancient Crystal to revive yourself in case you do get hit.
 Cast from Hit Points / int_2e79ce7a
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Lyrical Nanoha gives one of these to Nanoha in the third season. It's called the Blaster System and it boosts Nanoha's power and gives her a set of Attack Drones that can cast her spells independently of her, for a potential boost of better than 4x her already monstrous power level. The cost of this is placing an immense strain on Nanoha's body and dealing physical damage to herself and to Raising Heart; when she used Blaster 3 in the climax of the third season, she lost 8% of her total magical power and had to spend the next few years on enforced vacation to recover it.
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The Outpost: It's revealed the people possessed by the spore kinjs are fueling their reproduction with their own bodies' energy, which is slowly killing them.
 Cast from Hit Points / int_2f1933a4
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Shin Megami Tensei:
In much of the series, special physical attacks (which do not involve simply using the 'attack' command) take a small chunk of the caster's HP to use. Of course, when enemies use the same attacks on the party, they effectively get to do so without losing any HP. It's not true for Shin Megami Tensei III: Nocturne, in which at least most phys enemies do damage themselves. Ditto with the Devil Survivor sub-series, where enemies' HP counts and meters are available at all times (save for certain bosses' HP counts) so you know the computer is not a cheating bastard in this sense.
At the climax of Persona 3, the main character's 11th-Hour Superpower to seal away Death uses up 100% of his hit points. He hangs onto life for about a month after the final battle, apparently running on pure willpower, before slipping into a coma and dying.
There's also the Recarmdra spell, which fully heals/revives all other allies in exchange for the caster's life (or reducing their HP to 1 in games where that would be a really bad idea).
Physical skills in Shin Megami Tensei: Strange Journey and Shin Megami Tensei IV use MP instead. Since physical-based demons usually don't have a lot of MP, this translates to their physical skills getting very few uses, unless you invests in rare and expensive MP-healing items.
Persona 5 makes Persona's Physical and Gun skills both require a percentage of your HP to use.
 Cast from Hit Points / int_2f203125
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Pokémon XD: Gale of Darkness has two moves of its own. Shadow Half halves the HP of everyone on the field — yourself included. Shadow End is basically a shadow version of Double-Edge; it does massive damage, but hits you with some nasty recoil. In Pokémon Colosseum, Shadow Rush also does recoil damage, but not in XD.
 Cast from Hit Points / int_2fd96163
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Fire Emblem:
In Fire Emblem Gaiden and its remake, Echoes: Shadows of Valentia, Clerics and Mages burn their own HP to cast spells. Each magic-using class has its own way of compensating for this: Clerics have the Nosferatu spell which drains enemy HP, male Mages Class Change into Sages and regain HP every turn, and female Mages Class Change into Priestesses that can attack with swords in addition to spells.
One of the Erk/Pent Support Conversations in Fire Emblem: The Blazing Blade features Erk casting too many spells in a short period of time and passing out. His mentor, Pent, has to transfer some of his magic to Erk to save his life and is very angry at Erk when he wakes up for risking himself. The implication is that all magic users "cast from hit points," all the time. Naturally, Gameplay and Story Segregation prevents this from affecting their actual HP.
Micaiah's "Sacrifice" ability in Fire Emblem: Radiant Dawn worked the same way, where she gives up 1 HP for every 1 HP restored to her target (and could be used until the target was fully healed or Micaiah was at 1 HP). Most players consider its only uses to be level grinding (it grants XP to Micaiah, who can then be healed to give XP to the healer as well), particularly after she class changes and can use a proper staff, and the fact that it heals status conditions for free.
The devil weapons in Fire Emblem Fates and Fire Emblem: Three Houses reduce HP whenever the unit enter battle (it doesn't matter if they attack or not), instead of a chance of backfiring. Fates has the Ganglari (not to be confused with the Ganglari wielded in the first act prior to the route-split), the Berserker's Axe, and the Sacrificial Dagger, while Three Houses brought back the Devil Axe and the Devil Sword.
Fire Emblem Heroes: A new skill introduced in the game, Fury, grants a character a boost to all of their stats at the cost of losing a few points of HP after every combat.
 Cast from Hit Points / int_2ffcbd43
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There's a curse that forces this on characters from Diablo II. Very nasty for Squishy Wizards, who often have less hit points than mana. Specifically, the spell that does this causes one of two curses. If mana is greater than life, cast from HP curse shuts down the squishier players in short order. If life is greater than mana, however, it just causes a reduction to defense scores (the game's math is such that "defense" is rarely practical by the time this curse comes around, especially for the squishy ones). Since the effect is determined by the one creature it is cast on, rather than every creature in the effected area, teamwork tactics quickly reduce the threat this curse presents from "screwed" to "not good"
 Cast from Hit Points / int_3038d75c
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Beastieball: Various moves will reduce the Stamina of a Beastie using it to achieve their effects, most severely the defensive move Torch Pass, which reduces the user's stamina by 100 (the maximum) to remove the incapacitating wiped condition from an ally and then tag them in.
 Cast from Hit Points / int_303e9b47
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In Naruto, jutsu require chakra and stamina to be used. In most cases, ninja get to the point where they're unable to use jutsu when they're low on chakra, but if they run out, they die.
Rock Lee's Eight Gates are a straighter example of this. The more he opens, the more powerful he becomes, but the greater the strain it puts on his body. It's stated that if anyone opens all eight gates (known as Hachimon TonkÅ� no Jin, or Eight Gates Released Formation (Eight Inner Gates Formation in the dub)), he or she will die, which is why the eighth and final gate is called Shimon — the Gate of Death. In Lee's case, his muscles actually ripped when he opened the fourth gate, appropriately named ShÅ�mon — the Gate of Pain.
How powerful can a ninja be when all Eight Gates are open? Powerful enough to be able to curbstomp a Physical God. Demonstrated when Guy performed this technique and went to wipe the floor with Madara, who at that time was the Ten-Tails host and was previously curb-stomping the most powerful ninjas in the world. Guy even gets complimented by Madara for being the first one to actually give him a challenge, but points out that it would only be a matter of time before Guy's technique ends and all Madara has to do is wait it out since it didn't (or couldn't, anyway) kill him. Madara was using Perfect Susano'o, said to be impenetrable. Guy's final attack shattered it and blew away most of Madara's chest and torso, although thanks to the Ten Tails' near-inexhaustible chakra and Healing Factor, Madara survived. Said technique was mastered by Might Dai, Guy's own father. How strong was he with it? Enough to where he was able to go toe-to-toe with all Seven Swordsmen of the Mist at the same time in order to save his son and his comrades. While the battle did take his life, he manages to kill four of the Swordsmen and left the other three severely beaten.
Choji Akumichi's "Butterfly Mode", at least when it's introduced, is in the form of a pill that rapidly burns off all of the body's fat and muscle. As Choji was, it was entirely likely that it would kill him, he only survives because he was just fat enough that he still had enough nutrients to keep him alive until he could get medical aid. In Shippuden, Choji shows during the war arc that he's become able to use butterfly mode to no adverse effects, though it still slims him down (presumably because he can manifest it through his own chakra, instead of requiring the pill.)
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Etrian Odyssey:
Etrian Odyssey: This is the entire modus operandi of the protagonist in the remake, the Highlander. The majority of his moveset consists of skills that consume his (and in a few cases the entire party's) HP, with effects ranging from powerful multi-target attacks to strong Status Buffs.
Etrian Odyssey IV: Legends of the Titan: The Bushi class of explorers can deal more damage to enemies and bosses by sacrificing some of their HP. Their moveset is risky overall, but with good planning they can deliver a ton of damage this way.
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The Outer Limits (1995): In "Corner Of The Eye" the female alien gives Father Jonascu an ability to heal by giving up her own life force. Or so her compatriots say. She is later shown to be alive and well, assuming it's not an alien with the same disguise.
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 The Outer Limits (1995)
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In Pokémon Live!, Mewtwo hits MechaMew2 with enough of Ash's memories to make him faint, and when he wakes up, he can't remember the fight or what happened afterwards.
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The Witcher (2019): Magic requires a conduit to be drawn from. Fringilla finds this out the hard way when she levitates a stone without drawing from the bunch of flowers on the table and finds her hand rotting. She and her mage followers use their own life forces to fuel magic later as well.
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 The Witcher (2019)
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In Final Fantasy Tactics Advance, Backdraft does a portion of its damage to the user as fire damage, but the user can avoid this with something that enables them to resist, be immune to, or absorb it.
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Semblance in RWBY work this way as being a manifestation of Aura.
Jaune's Semblance allows him to bolster the Aura of others by giving them his own. Fortunately, he has a lot of Aura to work with.
Yang's Semblance is a more minor example: the more damage her Aura takes, the more powerful her attacks become, though it means nothing if her enemy can simply dodge her rather-predictable attacks, much like Neopolitan did before.
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In Tales of Wyre, Nwm often does this, since he can heal himself afterward.
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The Sak and Nasak techniques from Phantasy Star II and Phantasy Star III work this way. They kill the user but fully restore any other living party member's HP. They require 1 TP to cast as well, though. Furthermore, Megid in PSII deals damage based on half of the life of Rolf's party members being siphoned away. The espers in Phantasy Star IV also have the ability to extend lives at the cost of their own lifespan. This is only plot-related, though, since the aforementioned techniques don't exist in-game.
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Legend Entertainment's Shannara (which is a videogame based on the books) has this for elfstones. "Mostly, the elfstones cannot be used twice without rest, or the user will be drained to the point of death." The elfstones themselves are also destroyed if used twice in succession. Naturally, Davio has to die by using them twice in a battle near the end-game. (And earlier on, you can save Shella if you agree with Davio using the elfstones a second time, and Davio doesn't die, but does lose the elfstones, which instantly forfeits the game). In the books, some magic works like this too: in The Elfstones of Shannara, Allanon's magic ages him substantially. Luckily he can recharge, which also handily explains why he's never around except when adventuring needs to be done.
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Comix Zone: Using any of Sketch's special attacks will cost him a small amount of life, but curiously only if he does so via the special attack button. If he performs the attack via directional input on the D Pad combined with pressing the attack button, this is averted.
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In the old crossover story What Insertion?, this is the primary downside of Sunburst's Furnace move. It acts as an internal Sunny Day, greatly enhancing the Flareon's Fire-type moves, allowing it to use Flame Wheel, lessening the damage from Water-type moves, and enveloping the battlefield in a heat wave. However, Sunburst's internal temperatures rise to the point where they're too much for him to take, steadily sapping at his energy the entire time until he either fully expels the excess heat or his opponent does it for him.
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Genocide Online: "Oath" boosts player's stats significantly, but it also drains your HP every second, so it must be used wisely.
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Dungeon Keeper Ami uses her Keeper powers to punch the Horned Reaper so hard that she pulps her own hand and wrist. It takes time to recover, even with magical healing, but it's effective.
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In the Dragon Ball games, energy attacks are derived from an external Ki meter separate to health, with few exceptions.
In the Dragon Ball Z: Budokai games, the Tri Beams are one of those exceptions. The Neo Tri Beam in 3 has two different versions: if done correctly, it drains very little from Tien, but if done incorrectly, he replays the end of the Cell battle and collapses, most of his health gone.
In the second Budokai, there's a special mode which acts as a regular versus match, with the only difference being that your health and ki bar are merged together. Meaning that replenishing your Ki also replenish your health, and that every special attack also drains your health, effectively becoming this trope.
Dragon Ball Z: Hyper Dimension differs from other DBZ fighting games in that instead of having a Ki meter, special attacks drain the player's health. Conversely, charging up can heal you.
Dragon Ball FighterZ: In addition to Tien's Tri-Beams, which come in two variants note a level-1 version that does modest damage while draining a little health, and a level-3 version that can be fired repeatedly for high damage but drains a large chunk of health with each shot, there is also Android 16's self-destruct attack. If it lands, it's a One-Hit Kill, but it will reduce 16's HP to 1 (although any health sacrificed performing this attack can be recovered).
In Dragon Ball Xenoverse, the "I'll turn you and your planet into space dust!" Z-Soul increases the power of Vegeta's Galick Gun in exchange for making it drain a portion of the user's health.
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I Became the Villain the Hero Is Obsessed With: Super Villain Protagonist Da-in can use Mind over Matter and Psychic Teleportation powers, but if he goes too far using them, especially teleporting long distance, a Blood from the Mouth and/or a Heroic RRoD follows.
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Toriko's Autophagy. If he runs out of energy and needs more, his Gourmet Cells "eat" his own body to gain more power. If the Autophagy goes unchecked, Toriko's body will eat itself to death.
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Demons in Demon: The Fallen can enhance their powers by drawing energy from hitpoints... except that said hitpoints belong to their followers, not them.
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In MechWarrior Living Legends, when your mech is at the heat red-line and you're out of coolant, lasers effectively become this. Every time you fire them at the red-line, you essentially trade your armor for firepower. Continuing to fire them will result in your arms melting off, and your fusion reactor being breached. In aircraft that spam laser weapons, such as the Sulla "A" variant, it's commonly said that its "ammo" is its armor.
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In Penguindrum, Momoka Oginome claims to be able to do this. She says that she can change the fate of living beings via her Destiny Diary, but adds that she'll have to pay a price: suffering bodily harm in exchange for what she wants to do/fix/etc.. To save a bunny from dying, she cast a "fate changing spell" in the Diary and got a cut on her hand in exchange; later, to rescue her friend Yuri from her abusive father, she cast another one and got severe burns that landed her in the hospital. In fact, when Yuri tried to touch the Destiny Diary, Momoka stopped her from doing so to avoid a possible backlash from hitting her.
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In the BYOND game NE Stalgia, which is an online game inspired by early 8-bit RPGS, there is a warlock class which uses HP for spells. One spell, Shift, consumes health from the warlock and restores the health of another party member.
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There's Soulfire, which allows a caster to infuse some of their own soul into their spells to boost the power and effect of the spell. Unlike Hellfire, however, Soulfire isn't destructive, but rather constructive. Harry ends up using Soulfire to generate a powerful hand-like construct of force to beat the hell out of a Denarian spellcaster. The drawback behind using Soulfire, of course, is that it uses your soul as the fuel to empower your spells. Partially drained souls in The Dresden Files universe do regenerate, and pretty quickly if you do soul-affirming things — but as Bob explains it very succinctly, if you subtract five from five...
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In Memories of Ice, the third book of the Malazan Book of the Fallen series, the use of healing magic in great quantities is fatal for Karnadas, the Destriant (High Priest) of the Grey Swords after he expends the last of his energy on healing Shield-Anvil Itkovian after he's already healed several of the other Grey Swords.
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Supernatural: Castiel's abilities take on this shape after he rebels, as he is now acting on his own without the support of Heaven and no longer has unlimited power at his disposal. When he takes the Winchesters back in time, the effort leaves him coughing up blood and then comatose. He also reacts with some discomfort when performing a locating spell, which may have drained him slightly.
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 Supernatural
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A rare example in Power Rangers is the Lifeforce Megazord. It's powered by the Rangers' life energy, making it very powerful but slow and prone to damage the rangers operating it. It's only used for a handful of episodes before being stolen by the demons and destroyed in "The Fate of Lightspeed." Unlike nearly every other Megazord ever seen, it's unclear if the Lifeforce Megazord is constructed of smaller Zords or is simply a Humongous Mecha all on its own.
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Yu-Gi-Oh!:
In the game of Monster World, Bakura (a white magician) converted his hit points to magic points to keep up a magic barrier when Zorc was blasting them. This is also the main rule in the Ancient Egyptian precursor to the Magic & Wizards/Duel Monsters game; Monster Spirits are summoned by sacrificing Ba (life force) instead of the modern life points system. Damage is also taken by decreasing the life force of the duelist, implying that a defeated duelist dies.
Dark Bakura's second tabletop RPG employs this for all the character cards. When a character uses his/her Ba to empower/summon a Monster Spirit or gets damaged, it decreases their Hit Points.
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Theia - The Crimson Eclipse: Rudra has the Life Schism skill, which sacrifices half of his HP to heal the party.
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Super Metroid: Using the Shinespark drains your energy with the distance traveled. If you drop to 30 the shinespark is immediately interrupted.
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Sorta in Discworld. For a Wizard to do something, it takes as much energy to do something magically as it does physically, unless you can harness an outside force. Having no outside force makes the Wizard rely on the leverage of his mind, meaning if they try to do something too difficult, their brain flicks out their ears. Example: Galder Weatherwax makes a protrusion of stone on the University fall, allowing him to zoom upwards.
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Elden Ring:
Spirit Ashes typically consume FP (mana) to summon whichever creature they represent, but four particular Ashes instead consume HP (which may be a good or a bad trade, depending on your build): the Land Squirt, the Miranda Sprout, the Soldjars of Fortune, and the legendary Mimic Tear.
Like in Bloodborne, some Ashes of War drain some of your health when used. For example, Sepukku hurts you for 10% of your maximum HP to temporarily boost your weapon's attack power and its capacity to inflict blood loss.
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Destroy All Humankind. They Can't Be Regenerated.: Hajime trades his Catastrophe for Emi's Hatred, a card that allows a player to convert their own life points directly into one of their monster's attack points for one turn.
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Perpetual Players: Without a magic battery magicians who can't focus their energy risk burning themselves in the process of charging a spell. Something that has happened to Deacon on more than one occasion through the first episodes.
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The Dark Knight in the 3D remake of Final Fantasy III does this with its signature "Souleater" skill, which deals heavy damage to all enemies and some damage to the knight. Played entirely for gameplay function rather than drama.
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Final Fantasy VII has an independent materia with a similar effect, switching the values for your total HP with that of your total MP, so you would have a character that has only a few hundred HP, but thousands of MP, taking the concept of a Squishy Wizard to the extreme.
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Final Fantasy XII has Soul Eater, a spell that takes of 20% of your Hit Points to inflict massive damage. Behold!
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Final Fantasy XIV:
Alisaie ends up creating a sword of light during the Scion's fight against the Warriors of Darkness. However, Urianger notices the weapon draws heavily upon Alisaie's aether, leaving her heavily drained. To that end, he ends up giving her a special rapier designed to stymie that sort of thing, effectively changing her from the Gladiator class to the Red Mage job, whose lore works on preventing this trope.
Y'shtola is in a similar situation as well after losing her sight while in the lifestream she sees using her aether but as Matoya told her if she continues to use this method it will shorten her lifespan and eventually kill her.
Conjury involves using the land's ambient aether to heal others. In the Conjury quest line, you learn that Sylphie refuses to follow poper procedures when it comes to healing magic and she uses her own aether instead, which puts her life in danger when she attempts to cast Raise. Slyphie's mother had done the same thing in the past and it eventually killed her. Slyphie eventually learns to use the land's aether and she becomes a proper healer.
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World of Warcraft:
Many classes have spells and abilities that convert health into that classes form of mana. There are also spells that force a target to do this, and spellcasters tend to have a lot less health than mana. Special mention should be made of the warlock class whose main (if not sole) method of gaining mana in combat is by sacrificing their own health with Life Tap. In the revamped talent system in Mists of Pandaria, Warlocks even get a full tier of talents based around such spells.
Paladins had the now-removed Seal of Blood/Martyr, which would reflect all the damage the paladin did back at them but made them do significantly more damage. The spell had to be removed because the damage they did was too much and too fast for the healers to keep up with; they'd literally burst themselves to death.
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 World of Warcraft (Video Game)
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Final Fantasy: The 4 Heroes of Light 's Spiritual Successor Bravely Default 's Dark Knight class has almost all its skillset built around this trope, as well.
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 Final Fantasy: The 4 Heroes of Light (Video Game)
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Europa Universalis IV: The strength of countries is mostly determined by their combined development, which comes in three types. One of the Downloadable Content allows the player to consume this development for an immediate infusion of resources. Since Administrative development is considered the least useful (with production and trade income being the meta), many players use the Min-Maxing approach of exploiting that development to avoid bankruptcy.
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Elita One, in The Transformers episode The Search For Alpha Trion, had the power to stop time at a localized level, but doing so drained her Hit Points.
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1.0
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 The Transformers
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In Sentinels of the Multiverse:
The hero Nightmist has multiple spells that damage her as well as achieve whatever the intended effect was, and her standard form's power draws two cards but hits her in the face for 2. She mitigates it with some fairly impressive healing options, plus a relic that allows her to deflect one instance of damage per turn, meaning that she can make a fairly impressive tank if she can keep her equipment out.
Absolute Zero's playstyle is built around this, because opening the suit to let his power out also lets hot air in to hurt his altered body. His base set's power is to hit himself in the face, and he has multiple one-shots that hit him as well as the enemy. He uses Module equipment to turn ice damage into health and convert fire damage into outgoing frozen misery for whoever it hits (or direct it inwards to heal him if you have both out; with the right gear, setting him on fire will actually make him healthier).
The Harpy has several cards that damage herself as well as enemies. One of her deck's key ongoings, Applied Numerology, exists both to mess around with her powers, and to mitigate self-damage effects.
Dr Medico's Void Guard deck tends to involve hitting himself with energy or toxic damage to boost his healing output. He can also heal himself all the way up given a good run with Regeneration, though, so he can do really well if handled correctly and outfitted with the right cards.
Fanatic's Sacrosanct Martyr and her Prime Wardens variant's power involve hitting herself with radiant damage in order to do things. She has a bit of healing to offset it, plus armour that stops her dying and resets her health to 10. For bonus points, her most damaging one-shot scales based on how much punishment she's taken.
Lifeline's cards generally damage him for some bonus: for example, he has one that hits him and three opponents for 3 infernal damage, or one that pings him with Infernal but lets him play 2 or draw 3. He can wear armour to help him survive, though, and when he goes on a tear through enemy minions Vitality Battery can cover a lot of ground.
Akash'Thriya's giant HP pool isn't just there for show: a bunch of her stuff to speed up the environment deck in order to more effectively use her Primordial Seeds involves hitting herself for toxic or psychic damage, and her main damaging power hits her before it hits anyone else. It also makes her really good at drawing fire from villains who target the highest HP.
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The Binding of Isaac:
Devil deals grant Isaac some of the best items in the game, at the cost of lowering his red hearts (or sometimes soul hearts).
The Razor Blade and Blood Rights are items that deal damage to Isaac in exchange for a temporary damage boost/room-wide damage burst, respectively. These are usually considered poor, but can be good if you want to lower your red hearts without losing soul hearts, such as if you are playing as Eve or Samson.
Magic Skin creates a random item and can be used as often as Isaac likes. However, each use permanently lowers Isaac's maximum health for the rest of the run, replacing one of the normal 12 heart spots with a useless broken heart.
Tainted Eve has this as her gimmick: after shooting for a while, her health is turned into blood clots that shoot alongside with her, giving her extra firepower and they can absorb some hits, but it makes her easier to kill. She also comes with the Sumptorium item, which she can use to reabsorb all the blood clots back into health (assuming they weren't killed).
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 The Binding of Isaac (Video Game)
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In Inuyasha and Yashahime: Princess Half-Demon both the titular Inuyasha and his Daughter Moroha can use a technique called Blades Of Blood where they coat their claws in their own blood and then launch it at foes. As this is more of a panic button kind of attack, they'll usually save it until they've already been wounded though on more than one occasion Inuyasha has injured himself willingly to be able to use the attack. Typically during moments when he doesn't have the Tessaiga and Iron Reaver Soul Stealer is lacking in either power or range.
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 Inuyasha (Manga)
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The Adventures of Dr. McNinja:
Frans Rayner's laser-shooting eye doesn't come with a power source of its own, so using it burns so many "calories" that he's left physically powerless after one use. As such, he tries to use it only to finish off an opponent.
The Doctor's grandfather happened to gain magic powers by eating a talking pig, but his use of the magic always drains or harms him physically. When he casts a major spell to protect his grandson from a ghost wizard's curse, the toll kills him.
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 The Adventures of Dr. McNinja (Webcomic)
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In Elminster in Myth Drannor, Cormanthor's greatest elven high mage sacrifices his life to create the city's mythal, his life's work.
 Cast from Hit Points / int_4dfeb58c
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 The Elminster Series
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Dragon Ball FighterZ: In addition to Tien's Tri-Beams, which come in two variants note a level-1 version that does modest damage while draining a little health, and a level-3 version that can be fired repeatedly for high damage but drains a large chunk of health with each shot, there is also Android 16's self-destruct attack. If it lands, it's a One-Hit Kill, but it will reduce 16's HP to 1 (although any health sacrificed performing this attack can be recovered).
 Cast from Hit Points / int_4e388d62
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 Dragon Ball FighterZ (Video Game)
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The Elemental Blaster in Blaster Master Zero III is a powerful Wave-Motion Gun equivalent to the Acceleration Blast that will annihilate anything in its path. However, you get exactly one shot of the weapon; not only does the weapon only have a single charge at a time, but it drains your life and weapon energy to their lowest points when charged and released, and it cannot fire half-charged. You are forced to use this weapon against two Planade-G copies and Planade-G itself; for the copies, you get enough pickups to fully recharge and restock, and Planade-G is the last boss Jason fights on foot before the Time Skip leading up to the Brutal Bonus Level.
 Cast from Hit Points / int_4eb362ad
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 Blaster Master Zero III (Video Game)
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Of Fire and Stars: Spells require part of the mages' energy, so the more they cast (or if these have greater power) it drains them progressively.
 Cast from Hit Points / int_5003bfe4
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In the under-advertised game Magi-Nation, ALL spells and abilities were cast from hitpoints. There was no MP or Mana to speak of, so monsters and your own character would use the same life force to cast magic with that they'd use to absorb damage from the enemy. Additionally, summoning your Mons cost the protagonist life energy equal to the beastie's hitpoints — in the video game its remaining HP would be refunded to the hero at the end of the battle. All this combined made for an interesting level of strategy wherein you would have to decide whether the loss of life was worth being able to kill the enemy that much faster (and also made heal spells rather dubious in their usefulness — the amount healed is almost always lower than what it costs to cast in the first place).
 Cast from Hit Points / int_505bdb62
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In Hazard's Wake, Path is an Expy of Tellah, so he does this.
 Cast from Hit Points / int_50f8e52e
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 Hazard's Wake (Webcomic)
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The Dominus Glyphs in Castlevania: Order of Ecclesia consume HP when used. Equipping all three and casting them as a Union Glyph will kill you outright. Usually.
 Cast from Hit Points / int_512b4b82
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 Castlevania: Order of Ecclesia (Video Game)
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In Batman: The Brave and the Bold, B'wana Beast pulls a Heroic Sacrifice this way, straining his powers to death to tear apart a revived super-Starro (after the Hunter had already drained him to revive it in the first place).
 Cast from Hit Points / int_5178149f
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 Batman: The Brave and the Bold
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The Witcher Role Playing Game: Similar to its predecessor, casting magic carries a significant risk. Mages who cast spells with a Stamina Cost higher than their Vigor stat take damage from the strain. Fumbling when casting a spell also damages the mage. It is easily possible for a mage to kill themselves trying to cast a spell that's above their means.
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 The Witcher Role Playing Game (Tabletop Game)
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Arkham Horror 3rd Edition: Agnes Baker's special ability invokes this with Blood Magic. She can choose to substitute the usual Sanity cost of a spell for Stamina damage and gain a boost to the spellcasting roll.
 Cast from Hit Points / int_5251e609
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Knights of the Old Republic 2 has an interesting variation on this. There is a series of three powers called Force Body. The first enables you to split the cost of any other Force power 50/50 between your health and Mana Meter. The second and third split the cost 40/40 and then 30/30, actually reducing the cost of the power in question. Given 1: Force points regenerate fast 2:you need to blow a turn to use it 3:After the first few levels nothing really dents your force point pool enough to warrant it.
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The spells Bone Spirit and Blood Star in Diablo (1997) drain both mana and hit points when cast. Their spell icons are red to signify this.
 Cast from Hit Points / int_5555282
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 Diablo (1997) (Video Game)
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In Everworld, magic-users are shown to weaken if they use too much power, leading Jalil to wonder if magic burns calories. Merlin, for example, is so tired after his battle with Loki that it's months before he is able to fully recover.
 Cast from Hit Points / int_564115c7
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 Everworld
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Radiant Arc: Derek is based on the traditional Final Fantasy Dark Knight in that he can sacrifice HP to deal high damage to enemies. This is balanced by his ability to add Lifesteal to his attacks, allowing him to recover the cost of his abilities if he does enough damage.
 Cast from Hit Points / int_56706332
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As mentioned above, casting or controlling a spell in the Slayers d20 game is based on stamina (a Fortitude saving throw modified by caster level), and deals subdual damage to the caster based on the spell's difficulty and your margin of success. You get a hefty bonus to your control checks by voluntarily taking lethal damage, or it might happen anyway if you botch horribly enough.
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 Slayers
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On Challenge of the GoBots, Leader-1's force field works like this. It can protect him and those standing near him, but the energy drain on him is enormous, so he can only maintain it briefly and is left exhausted afterward.
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 Challenge of the GoBots
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Critical Role: Tal'Dorei Campaign Setting: The Blood Domain Cleric sub-class has an ability called "Sanguine Recall" which allows them to instantly recover a spell slot by injuring themselves. The more damage they take, the more powerful the spell slot they recover.
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 Critical Role: Tal'Dorei Campaign Setting (Tabletop Game)
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Played with in Pretty Guardian Sailor Moon, where the audience assumes this rule for why Usagi shouldn't use her crystal. We later find out the object is dangerously neutral in regards to reacting to Usagi's emotions, and Beryl rightfully points out Sailor Moon could end up killing everyone else.
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The spell Equilibrium in Skyrim. It converts your health into magicka. Of course, if you're not careful with its use, you're liable to kill yourself...
 Cast from Hit Points / int_5908ee91
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 The Elder Scrolls V: Skyrim (Video Game)
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At the climax of Persona 3, the main character's 11th-Hour Superpower to seal away Death uses up 100% of his hit points. He hangs onto life for about a month after the final battle, apparently running on pure willpower, before slipping into a coma and dying.
 Cast from Hit Points / int_5921531a
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Persona 5 makes Persona's Physical and Gun skills both require a percentage of your HP to use.
 Cast from Hit Points / int_5921531c
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In the universe of Guenevere, dark magic works this way; it is physically exhausting to the user if they don't have an external source of power.
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In the Iron Kingdoms, the skorne practice a form of Blood Magic which draws power from the pain and suffering the caster inflicts on themselves and on others. Needless to say, the spells usually drain hitpoints in order to work.
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In the Star Darlings franchise, wish energy is what powers Starland, so using excessive amounts of energy granting small wishes makes Star Darlings exhausted.
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Warframe has a few examples:
Valkyr's Paralysis is a partial example; it still takes energy to cast, albeit a minuscule amount, but the main cost is a third of her shields. In practice, it's not much of a sacrifice; Regenerating Shields, Static Health is in full play, and Valkyr has the second lowest non-zero shield value in the game to fit her berserker playstyle.
Nekros's ability Desecrate can be converted to this with the Augment mod Despoil. Since Desecrate causes enemy corpses to drop more loot with increased chances for health orbs, it usually ends up paying for itself.
Inaros's ultimate ability, Scarab Swarm, drains his health in exchange for a proportional increase in armor. Since he has the highest health of all Warframes by a significant margin, and he has plenty of ways to regain lost health, he can easily afford it. Unlike most instances of this trope, he can actually reclaim the lost health if the buff is dispelled prematurely. He can also choose to willingly sacrifice some of the extra armor to infest an enemy with scarabs, draining their health for him, but he'll have to give up some more health to charge the power back up again.
Garuda's third ability converts half of her current health into energy, allowing her to power all of her other abilities with her health.
Grendel has the Gourmand augment, which converts his primary ability to drain from his enormous health pool rather than his more limited energy pool. Creative application of other mods can lead to a playstyle involving eating people and being a giant unkillable ball of metal-saturated meat.
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Heroes of the Storm:
Keeping true to World of Warcraft, Gul'dan can't naturally regenerate mana. Instead he uses Life Tap, which trades a small amount of HP for a large amount of mana. His playstyle revolves around balancing your two resources while maintaining a barrage of spells.
Zul'jin can toggle his trait to increase his basic attack damage at the cost of health per attack. This actually works to his advantage, since he also gains attack speed based on how much health he's missing.
Alexstrasza's main healing spell sacrifices a portion of her current health to heal an ally for a large amount based on how much was spent.
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Several powerful Charms and spells in Exalted require you to sacrifice health levels as part of their activation cost.
In high-paranoia games, where every attack might kill and so every attack must be answered with a Perfect Defense, every attack is cast from hit points: they cost charm activations and Essence, the two resources that fuel perfect defenses.
There are also two spells that can be cost for minimum Essence (mana, magic points) expenditure but automatically kill you and deal significant damage to everyone around you.
In fact, Dragon-Blooded have quite a percentage of Charms with the "Martyr" keyword. That means that they can be cast with greater effect, but killing the Exalt for sure. That is why they can be used with no Essence left. And some of such Martyr usages can last for generations.
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ZanZarah: The Hidden Portal: If a fairy runs out of mana points in a offensive spell, any further usage of it will drain its Hit Points instead.
 Cast from Hit Points / int_5e29729
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1.0
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Pokémon Tabletop Adventures has the Psychic class, capable of using certain Pokemon attacks, similar to the Martial Artist class. The martial artist's attacks can only be used a certain number of times per day, whereas the psychic's attacks can be used at will, but require this trope. (Thankfully, the nature of the psychic's key stats means they usually will have a large amount of HP to cast from.)
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Dekans in R.O.H.A.N. Online have a number of powers that draw on their health. Forefoot Step is a melee attack that uses up 20% of the Dekan's health and deals out damage based on the amount of Hit Points sacrificed (and is best used with tank builds for both damage and survivability). Health To Mana sacrifices health in order to give you more mana for skills, and Health Funnel draws off some of your health in order to heal others or yourself if need be.
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The Last Jedi: When a Force link causes Kylo Ren and Rey to see each other from halfway across the galaxy, Kylo claims that anyone using Astral Projection across such a distance should die from the strain. This foreshadows Luke Skywalker's Dying Moment of Awesome, in which he uses the Force to confront Kylo on Crait and buy the Resistance survivors time to escape.
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In Pokémon Adventures, though it's never explicitly stated, it's safe to assume Yellow's powers fall on the mild side of this trope as overusing her powers runs the risk of exhausting her and putting her into a deep sleep.
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Avengers: Infinity War:
Thanos uses the completed Infinity Gauntlet to erase half the universal population, with the snap of his fingers. While he only got off with some severe burns from it, Avengers: Endgame shows what happens when a regular human being uses the Gauntlet, with Tony Stark snapping his fingers with the Stones to erase Thanos and his army, but the injuries he sustains end up being fatal, and he dies shortly after, a risk he was willing to take.
Prior to Tony's sacrifice, Bruce Banner — now apparently permanently transformed into the Hulk — was able to use the Gauntlet to restore those killed by Thanos's Snap, but it left his right arm seriously burned in a similar manner to Thanos's injuries.
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In Path of Exile, Blood Magic causes abilities to cost life instead of mana. It can be used in two forms, a keystone which removes the player's mana pool and makes all skills to this, or as a support gem that causes only the supported skills to use life instead of mana (but they generally cost more life than they would have cost mana), while the Arrogance support gem allows you to reserve your own life pool as the cost for auras in exchange for a greater effect. There are also a few spells that do this by default: Righteous Fire burns the player as well as their enemies, Dark Pact will consume the player's health unless they have skeleton minions to draw from instead, Forbidden Rite deals chaos damage to the user when cast, and Blood Offering takes a percentage of the player's life and grants minions regeneration based on the amount. Reap, Exsanguinate, and Corrupting Fever have an innate life cost to cast.
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3E supplement Epic Level Handbook has several extremely powerful spells, such as Hellball and Let Go of Me, work this way. The greatest example of this, however, is Vengeful Gaze of God, which deals 305d6 damage to an opponent while dealing 200d6 damage to the caster, who suffers from bleeding eyes and convulsing skin and, most of the time, dies. This spell will almost always kill anyone and anything it is used against, excluding the most powerful of monsters, who simply might be killed by it.
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In Dragon Age: Origins:
The Blood Mage specialization takes this trope to the extreme. Instead of mana, a Blood Mage literally uses his own blood (as represented by HP) to cast spells. While you have Blood Magic active, healing effects restore much less of your health than they otherwise would, which makes Blood Magic rather dangerous to use in combat if you don't know what you're doing.
A Blood Mage can get around this by draining blood from his or her own allies to restore HP. Ranger summoned pets will also do in a pinch.
Reavers are also warriors that have similar abilities.
The Soldier's Peak DLC allows the player to unlock a few Grey Warden-specific abilities, which drain health in return for certain benefits. For example, the Dark Sustenance spell allows the Warden to sacrifice a small amount of health to gain a larger amount of mana. Warriors get an ability that weaponizes High-Pressure Blood to blow enemies across the room in all directions.
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Bounty of One has the Reckless Rush item. It makes the player lose 1 HP at the start of a dash, but increase their base damage by 5 every time they do so, but won't trigger if a player is at 1 HP. It can synergize with certain powerful items that only trigger when you're damaged. It can also be counteracted with the Soothing Escape item, which heals the player for 1 HP at the end of a dash. Amusingly, Reckless Rush is depicted as a boot stepping on a nail that pierces right through it.
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All spells in The Black Magician Trilogy reduce the caster's Life Energy unless said caster is a Black Magician, who may use others' Hit Points instead.
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Some spells in Slayers can be so powerful that they draw upon the user's life force when cast — the best example is the Incomplete Giga Slave, which temporarily bleaches Lina Inverse's hair white after she casts it. The novels explicitly state that one of the defining attributes of a spellcaster is a high amount of stamina, as casting spells physically drains a person. When the setting was adapted as a Role-Playing Game, firstly under the Big Eyes, Small Mouth umbrella and then under the D20 umbrella, casting spells would cost health. In the RPG, it normally costs nonlethal hit points (fatigue), but taking lethal drain is also an option.
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In Far Cry 3: Blood Dragon, the Killstar releases a powerful death ray that drains your health when fired.
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Stella Glow: Dorothy's skills are powerful, but on top of costing SP like any skill they also hurt her or give her some debuff. Her ultimate skill (Kill 'Em All), goes as far as invoking HP to 1.
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In World of Horror, the Demon Mask does this passivly, as it increases all damage you deal by 1, at the cost of reducing your maximum stamina by 4.
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Interstitial: Our Hearts Intertwined has a few moves require you to take Harm as a cost, regardless of roll.
"Leaf Bracer" from The Chosen lets you take Harm to upgrade a mixed success to a full success.
"My Darkness is My Weakness" from The Discarded lets you take Harm to add +2 to a Dark roll.
"Nothing Hurts Like the Cold" from The Light lets you cash in Heart Links to deal 2 Harm each to someone, but you take 1 Harm each yourself.
"Command Deck" from The Other has you take Harm to temporarily gain abilities to overcom an obstacle.
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Discussed in A Grimm Quest with a technique called ‘pulling from the fade�. Ash specifically says that the Fade is not his life force; while Amy describes that pulling from it still has the potential of killing the user or sending them into a coma.
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Dragon magazine #229 article "Wu-jen: The Oriental Mage Revisited". This Asian-themed mage can cast any spell they know at any time, without the spell memorization standard wizards require. However, there is a cost: casting a spell costs the wu-jen 3 Hit Points of damage per level of the spell. Considering how few Hit Points wizards have, this is a serious penalty, restricting them even more than normal wizards unless they have a significant source of healing available. Even worse, they only get half the normal benefit from magical healing.
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The devil weapons in Fire Emblem Fates and Fire Emblem: Three Houses reduce HP whenever the unit enter battle (it doesn't matter if they attack or not), instead of a chance of backfiring. Fates has the Ganglari (not to be confused with the Ganglari wielded in the first act prior to the route-split), the Berserker's Axe, and the Sacrificial Dagger, while Three Houses brought back the Devil Axe and the Devil Sword.
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In Doctrine of Labyrinths, mending the Virtu leaves Felix unconscious for two days, and he slits one of his wrists in order to lay to rest the ghost of Magnus Cordelius.
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Using the Rune of Punishment in Suikoden IV costs the user a chunk of HP. Until you fix it, anyway... At which point it heals the hero while doing damage to his enemies.
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Sacred Earth Series: If a character tries to continue their Strike Chain with less than 5 EP, the next strike will still activate, but the character will lose HP instead. This can be used to end battles slightly faster, but can also leave the character vulnerable to being knocked out.
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The Dragon's Heart attack in AdventureQuest uses up some of your HP but heals your mana.
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In the Twilight Storm fic "The Perils of Lorindar", when Snow White summons the seven dwarves- magical spirits that she can only summon at the cost of seven years of her life- the Doctor is able to transfer some of his life energy to Snow so that she can summon the dwarves without losing any years herself.
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In the manga version of Prétear, the Leafe Knights' Elemental Powers are connected to their own Leafe (Life Energy); overusing these powers drains their Leafe, regardless whether the attacks are performed by the Knights themselves or by Himeno when she merges with them. In the backstory, three of them died from overusing their powers in order to seal Takako, and were reborn; Shin, the youngest of them, dies for the second time after Himeno merges with him. In the anime, to seal the Tree of Despair, Himeno overloads it with her own Leafe and dies in the process. Only Hayate's True Love's Kiss can bring her back.
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Dungeons & Dragons, as usual.
The psionics in AD&D used a spell-point system even when the actual spellcasters use Vancian Magic. Since an ability like Cast from Hit Points fits in so much better with a spell-point system, the 2nd edition had "Cannibalize", a power that allowed mid-level psionicists to get extra power points from damaging Constitution. The 'Death Field' power causes to everyone in the area of effect damage proportional to the sacrificed Hit Points 1:2 (or 1:1 for users of evil alignments).
An unusual example of this is in the Dragonlance Adventures sourcebook for AD&D. The dragonlances come in two types: Footman's and Mounted. Against normal enemies they do regular damage, but against the a dragon — the dragonlance doesn't roll for damage, it instead uses the wielder's hitpoints as the base damage and then adds any bonus damage from the wielder's strength and the dragonlance's enchantment (Mounted Dragonlances are even more powerful — they add the hitpoints of wielder and mount, and only mounts as large as a dragon can use the lance). So if a character keeps getting hurt in a fight, the base damage of the lance goes down. This aspect of the dragonlance also shows up in the Gold Box versions.
The imaginatively-named Level 1 Necromancy spell, Blade of Blood, allows the caster to take 5 damage to make their attack deal extra 3d6 damage from exploding blood. It usually spells One-Hit Kill for creatures of comparable level.
3E supplement Epic Level Handbook has several extremely powerful spells, such as Hellball and Let Go of Me, work this way. The greatest example of this, however, is Vengeful Gaze of God, which deals 305d6 damage to an opponent while dealing 200d6 damage to the caster, who suffers from bleeding eyes and convulsing skin and, most of the time, dies. This spell will almost always kill anyone and anything it is used against, excluding the most powerful of monsters, who simply might be killed by it.
3E Fiendish Codex II offers the Hellfire Warlock, which upgrades the warlock's standard attack from "kinda okay" to "nuclear inferno" at the cost of 1 Constitution drain per shot. Since Constitution affects both current and maximum HP, it's generally a good idea to have someone on standby with a restoration spell or a cheap wand of lesser restoration with the spell provided by a Paladin (it is even suggested in the fluff). To make it even better a Hellfire Warlock with one level of Binder can gain an ability that automatically heals 1 point of ability damage a turn. Then there's classes like Legacy Champion which increase your effective level in another class, even beyond the Cap. Combine the two and you get a supercharged Hellfire Blast usable at will.
The Blood Magus class from 3E's Tome & Blood can sacrifice a little blood (hit points) to cast spells with slightly harder saving throws or replace material components. 3.5 Complete Arcane replaced its hit points damage with Constitution. And the 4e Blood Mage paragon path allows you to take damage to deal as much extra with encounter and daily spells. This was so abusable it needed to be nerfed with errata. Twice.
Forgotten Realms:
The AD&D era had some of the more formidable spells involving sacrifice of the caster's hit points — either normal damage, permanent, or the loss incurable as long as the spell is active. This includes several spells from Secrets of the Magister. Which may be a legacy of old Elven Blood Magic, which includes 'Blood Dragon' — near-unstoppable mass killing spell requiring the caster's death. Also, the Drow sometimes have "body weapon" enchantments as a last-ditch defence, which usually involves loss of a body part or other physical injury. E.g. Jalynfein, by breaking a finger and saying a word, could fire a burst of 24 magic missiles (cast normally, would be limited to 5). The Phaerimm dehydration spell 'lifedrain' (the one which made Anauroch a desert) also involves permanent sacrifice of a hit point, but holds for years — and dies with the caster.
The 3.5E sourcebook Lost Empires of Faerûn includes rules for creating mythals, persistent magical fields first developed by ancient elven high mages that block or buff specific spells and spell categories. Among the rules is the option to reduce the DC of the mythal creation by having the caster sacrifice his or her life to its completion. This is mentioned to often be welcomed by the elven high mages as the pinnacle of a many-centuries-long, very productive life.
The Spelljammer spell "Create Atmosphere" involves permanent hit point sacrifice from the caster. It makes a cubic mile/level of the air self-renewing for more than a year, after all.
2nd Edition Al-Qadim setting supplement Arabian Adventures. Casting the spell Cleanse Water drains 1d6 Hit Points from the caster. The lost points can only be regained through natural healing, not by magic.
4th Edition
Bloodclaw Weapon would let you pay a small amount of HP with every attack, which then would be doubled or tripled if the attack hit. This ended up being so much more powerful than other weapon enchantments (especially for Fighters and Barbarians, which get more HP than other classes) that it was nerfed to a once-per-battle use and it STILL managed to be usable.
The Blackguard subclass of the Paladin from Heroes of Shadow uses a variant of this mechanic as well, which is powerful enough to be their entire Striker damage bonus.
The 3E sourcebook Book of Exalted Deeds includes a category of spells called "sanctified magic" that can be cast by either divine or arcane spellcasters and require varying degrees of self-sacrifice to cast. This can be as simple as an "abstinence component"note e.g. you can't have sex or consume alcohol for a certain length of time prior to casting, but it may also mean anything from ability drain on up to, in the case of Exalted Fury, death (you can be resurrected by the usual means, though).
Dragon magazine #229 article "Wu-jen: The Oriental Mage Revisited". This Asian-themed mage can cast any spell they know at any time, without the spell memorization standard wizards require. However, there is a cost: casting a spell costs the wu-jen 3 Hit Points of damage per level of the spell. Considering how few Hit Points wizards have, this is a serious penalty, restricting them even more than normal wizards unless they have a significant source of healing available. Even worse, they only get half the normal benefit from magical healing.
Spheres of Power has the Draining Casting drawback. While it only deals nonlethal damage to you, Pathfinder's rules on nonlethal damage can still have it kill you.
5th Edition mainly removed this feature, but it survives in some places.
Wizards of the School of Evocation gain the Overchannel ability at higher levels, which enables them to maximize the damage of their spells of 5th level and below. The first use of the ability per long rest comes with no drawback; subsequent attempts without a break cause the wizard to take unavoidable necrotic damage that scales higher with stronger spells and more uses of the ability. As with the Wu-Jen above, 5E wizards are squishy and can't usually spare the HP that they would lose from repeat Overchannels; players may do so at their own peril.
The semi-official class Bloodhunter, made by Matthew Mercer for the Critical Role podcast, and later put up on DNDBeyond, can imbue their weapons with blood or cast bloodmagic, but only using their own blood (consisting of taking damage equal to their level, so between 1 and 20).
There’s also the spell Life Transference, available to wizards and clerics. The caster takes a not-insignificant amount of damage (4d8 at the spell’s lowest level), but is then able to restore double that amount of a friendly creature’s hit points. Some characters are better suited to use this than others (Life Domain clerics, for instance, gain HP every time they heal a friendly creature, mitigating the risk to themselves somewhat) but overall it’s a potent, if situational, healing spell.
Tal'Dorei Campaign Setting Reborn introduces the Blood Magic Wizard and the Blood Domain Cleric. The Blood Channeling feature of the Blood Magic Wizard allows them to forgo the costly material component of a wizard spell in exchange for taking 1d10 necrotic damage per 50 gp of the component. The Blood Cleric's Crimson Bond allows them to form a temporary bond with another creature in exchange for 2d6 necrotic damage, and the Sanguine Recall feature allows them to recover expended spell slots in exchange for 1d8 necrotic damage per spell slot recovered.
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Mortal Kombat:
Skarlet from Mortal Kombat 9 can throw an unblockable Blood Ball at the opponent, but each one thrown eats up some of her health. Justified because she is literally made of blood.
In the story mode of Mortal Kombat X, Mileena has been running around blasting people using Shinnok's amulet with abandon as part of her plot to overthrow Kotal Kahn but the reality is she does so at her own peril, as it is eating away at her with every use. Rain knew this and kept the knowledge to himself when he suggested she take it so she will destroy herself as she destroys their enemies, allowing him to take over once she is entirely drained.
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In Banjo-Tooie, the two protagonists can be transformed into a living detonator with the help of Wumba's magic in the level Glitter Gulch Mine. The only means of attack is self-detonation, which logically takes away one unit of honeycomb each time it's used. For safety reasons, this attack is disabled when only one unit of honeycomb remains. The only way to use it harmlessly is in some scripted areas where this type of detonation is required to explode some obstructing rocks in the level.
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The Jimmy Neutron: Boy Genius games on PC have Jimmy's inventions function this way. In the game based on the movie, running out of power simply prevents Jimmy from using his gadgets until he gets a charge. The sequel, Jimmy Neutron vs. Jimmy Negatron, instead treats running out of power as a death regardless of whether it was caused by damage from enemies or overuse of power-consuming gadgets. Fortunately, Death Is a Slap on the Wrist and respawning is instant.
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In Fushigi Yuugi, Mitsukake can only use his Healing Hands once a day because of this. When he overdoes it towards the end, he dies.
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In Stephen King's Firestarter, Charlie's father gets progressively worse physical damage from using his mental powers, from headaches to a ruptured vessel in one eye to a full-on stroke.
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 Firestarter
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Etrian Odyssey: This is the entire modus operandi of the protagonist in the remake, the Highlander. The majority of his moveset consists of skills that consume his (and in a few cases the entire party's) HP, with effects ranging from powerful multi-target attacks to strong Status Buffs.
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Magic in the universe of The Sanity Circus 'requires sacrifice', and although humans are capable of casting 'body magic' the strain of 'soul magic' and 'life magic' is apparently too great - unless, of course, you aren't human.
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Sekai Oni: How the Alices' avatars work with every single action in Wonderland. A base of 1000 points, variable actions are usually small but big expenditures with manifesting items and weapons can take upwards to 100 or more potentially, and they regenerate one point a second. Manifestation instead works as an ongoing drain on this energy supply for great power. Killing a World Devil, however, expends all of your energy at once — and the Chesire Devil keeps the Alice alive by calling on a "reserve tank", killing someone close to the Alice as a result.
 Cast from Hit Points / int_6cc88135
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Skarlet from Mortal Kombat 9 can throw an unblockable Blood Ball at the opponent, but each one thrown eats up some of her health. Justified because she is literally made of blood.
 Cast from Hit Points / int_6d10ab0b
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 Mortal Kombat 9 (Video Game)
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In the story mode of Mortal Kombat X, Mileena has been running around blasting people using Shinnok's amulet with abandon as part of her plot to overthrow Kotal Kahn but the reality is she does so at her own peril, as it is eating away at her with every use. Rain knew this and kept the knowledge to himself when he suggested she take it so she will destroy herself as she destroys their enemies, allowing him to take over once she is entirely drained.
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Downplayed in Res Arcana:
The Life essence can be attacked, which forces you to pay that amount in Life, or twice that amount in other essences. This makes everything that costs Life a pseudo-way of paying HP for stuff even though the main purpose of Life essence is still to be spent on stuff. Some of the game pieces have flavour that highlight the fact that you're paying with life, such as the Ring of Midas letting you exchange Life for Gold, reflecting Midas's curse.
The Catherine Wheel from Perlae Imperii has the unique property that its attack hits every player including its owner. However, its second power rewards you for using "ignore attack" effects.
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Parasite Eve 2 has a Berserker status ailment that follows this trope. When Aya is beserked, using her weapons will sap her HP. Spells require HP to be used instead of MP, but the casting cost is doubled. While Berserk increases Aya's weapon power and levels up her parasite powers by 1, the HP cost that follows may not be worth it.
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In "Bizarro", Chloe's healing tears revives Lois Lane, but the effort renders her unconscious and later actually kills her. Luckily, she is able to resurrect herself.
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1.0
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An unusual example in Smallville:
It is possible to grant temporary Kryptonian powers to humans, but it has negative effects like putting Jeremiah in a permanent coma, giving Jonathan lethal heart problems, or exacerbating underlying mental trauma, Eric and Lana.
In "Bizarro", Chloe's healing tears revives Lois Lane, but the effort renders her unconscious and later actually kills her. Luckily, she is able to resurrect herself.
 Cast from Hit Points / int_6f734712
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 Smallville
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In E.Y.E: Divine Cybermancy, you can install the "Power Converter" implant, which bolts onto the heart. When activated, it converts blood into energy for your other implants or psychic abilities.
 Cast from Hit Points / int_6f788b04
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Etrian Odyssey IV: Legends of the Titan: The Bushi class of explorers can deal more damage to enemies and bosses by sacrificing some of their HP. Their moveset is risky overall, but with good planning they can deliver a ton of damage this way.
 Cast from Hit Points / int_7034f1f9
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In an early arc of Bastard!! (1988), Dark Schneider explains to the princess that casting magic requires a huge amount of focus and stamina. Dark Schneider, who is The Archmage and a borderline Physical God, is one of the only wizards who can cast multiple powerful spells in a day, and even he has his limits. This sets up the drama of the arc when he confronts the arc's villain, his former comrade the ninja swordsman Gara, while he's near his limit. As an early hint of his true power, Dark Schneider easily tanks Gara's strongest attack and unleashes a spell that brings down the entire fortress anyway.
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In an episode of Gilligan's Island, the crew found a crate of vegetable seeds. They were so excited at the thought of having fresh vegetables that they didn't question the fact that they grew incredibly quickly, and it wasn't until they had actually eaten them that they discovered via a news report that the seeds were radioactive, and that what they had eaten would likely kill them. As the Professor tried to find a cure, some of them started to gain super powers due to the fact that the nutrients in the vegetables had been enhanced greatly. Gilligan, who had eaten the spinach, gained Super-Strength from the iron in it. Mary Ann gained telescopic vision from the vitamin A in the carrots, and Mrs. Howell gained Super-Speed from the enhanced sugar rush from sugar beets. The Professor commented that the vegetables "could make them the healthiest people in the world", to which the Skipper replied, "Yeah, if they don't kill us first!" Eventually, the Professor found out that they could neutralize the radiation with the stuff they had been using for soap on the island, and they survived, but unfortunately, they lost the powers.
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Witches' spells appear to take a severe toll on the body in The Vampire Diaries, to the point where it sometimes seems that Bonnie can't do anything useful (except mind-whammy Damon) without knocking herself out.
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In Velveteen vs., this is how Velveteen's powers work, though she's not aware of it until an incident halfway through the second anthology in which Jackie Frost discovers that Velveteen's malaise and fainting spells have been caused by the effort of keeping her boyfriend, Tag, in a state of reanimation after his death in a fight with an evil dentist (no, really), and that continuing this will kill her.
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Absinthia: Thomas learns the Planetary spell, which is so powerful that it will always deal damage to him too, which functions as HP cost. However, if Jake is able to use skills, the attack animation will include Jake healing Thomas, which negates the HP cost entirely.
 Cast from Hit Points / int_72d9170
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Cradle Series: The Madra Engine is a divine treasure that converts the life and blood of the user into madra for them to use. If an Underlord (some of the most powerful people in the world) tried to use it, it would burn them up in ten years if they're lucky. Oh, and it's made from pure madra remnants, which only come from humans who haven't practiced a Path yet, meaning you have to kill at least a few dozen children to make it. Those with stronger bodies can use it safely; dragons often do so, and the dragon Monarch gives one to Yerin as a cruel "prize" that she can't actually use. But then someone else gives her the greatest Life elixir in the world as their prize, allowing Yerin to use it safely after all.
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Many spells in Call of Cthulhu, and every spell costs sanity.
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In [PROTOTYPE], the Devastators draw from the Critical Mass of above-100% hp Alex has.
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In Richman Fight, using many cards will drain some cash (the equivalent of health) of the user in addition to the chips they require. Typically, the more powerful a card is, the more health it will drain.
 Cast from Hit Points / int_74ca38b
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The Legend of Zelda:
The Blast Mask in Majora's Mask provides Link with a limitless supply of bombs with the catch that each one causes damage. Raising your shield, however, will prevent the damage even though the source of the explosions is strapped to your face!note The explosion is placed a short distance in front of the mask, just slightly farther out than Link holds his shield, allowing it to block the blast. Still strange, as the shield should reflect more of the explosion back towards Link.
The Gloom weapons dropped by Phantom Ganon in Tears of the Kingdom have some of the highest base weapon strengths in the game, but deal gloom damage to Link every four attacks. Hearts lost to gloom can be recovered on the surface, beneath lightroots, or by eating food made with Sundelions, but recovering HP and restoring Gloom damage are two different effects, meaning that extended use of the Gloom weapons will turn Link into a Glass Cannon.
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Granblue Fantasy Versus has Avatar Belial, who on top of having a lower HP cap than other characters (9 000 vs. 10 000), consumes 500 HP every time he uses a special move.
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Pixel Junk Eden has a recovery technique that returns you to the last solid ground you grabbed, at the cost of a chunk of the synchronization meter (the game's equivalent of a life bar).
 Cast from Hit Points / int_766ec963
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Forgotten Realms:
The AD&D era had some of the more formidable spells involving sacrifice of the caster's hit points — either normal damage, permanent, or the loss incurable as long as the spell is active. This includes several spells from Secrets of the Magister. Which may be a legacy of old Elven Blood Magic, which includes 'Blood Dragon' — near-unstoppable mass killing spell requiring the caster's death. Also, the Drow sometimes have "body weapon" enchantments as a last-ditch defence, which usually involves loss of a body part or other physical injury. E.g. Jalynfein, by breaking a finger and saying a word, could fire a burst of 24 magic missiles (cast normally, would be limited to 5). The Phaerimm dehydration spell 'lifedrain' (the one which made Anauroch a desert) also involves permanent sacrifice of a hit point, but holds for years — and dies with the caster.
The 3.5E sourcebook Lost Empires of Faerûn includes rules for creating mythals, persistent magical fields first developed by ancient elven high mages that block or buff specific spells and spell categories. Among the rules is the option to reduce the DC of the mythal creation by having the caster sacrifice his or her life to its completion. This is mentioned to often be welcomed by the elven high mages as the pinnacle of a many-centuries-long, very productive life.
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The Oblivion keyblade in Re:coded has the Two-Edged Blade clock ability, which gives a huge boost to the power of physical attacks but damages Sora with every successful hit.
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Starting in Streets of Rage 2, special moves cost health to use, but how health is drained differs between games. The second game directly drains health every time you used a special move. The third game used a stamina meter that would drain health if you used special moves when the meter wasn't full. The fourth game uses a modified version of the one used in the second game where if you attack enemies after using special moves, you can slowly regain that health back, but you would lose it all if you got hit before fully recovering it.
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In Phantasy Star Online, there are weapons that sacrifice TP (technique points) for a special attack, some that drain money, as well as those that draw from your HP for a special attack. There's also a weapon that makes it so using techniques drains you HP rather than TP.
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A few cards works that way in Mage Knight (the boardgame), doing various very powerful effects (lot's of damage* Firestorm, Horn of wrath, etc, lot's of mana* Blood Ritual or learning new actions* Blood of ancients) at the cost of a new wound card to your hand. Wounds have some serious drawback in the short* knockout during combat, long* reduce your draw each turn until you heal yourself or you discard the wounds and very long term* negative victory points at the end of the game, but healing is plentiful and most players will heal themselves the same turn they gain the wound.
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The Young Wizards series has this as a common technique. Everything has to draw energy from somewhere, even magic, and the wizard's own energy sometimes represents the most convenient source. With everyday magic, this simply leads to fatigue if overused, the magic equivalent of exercising strenuously. Magic that can save the day, however, is often Cast from Lifespan instead. This arises several times in the series, including as the primary plot of the second book, Deep Wizardry. One shield spell in High Wizardry costs a year of the casters life for each blast it absorbs (granted, these are attacks from a distracted Lone Power), and the characters discuss it during the fight: "What if you're scheduled to get hit by a car or something in less than a year?" "I'd better look both ways then."
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Colette's Sacrifice spell from Tales of Symphonia. Still costs an incredible amount of MP on top of it, though.
 Cast from Hit Points / int_792239e5
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 Tales of Symphonia (Video Game)
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Sweet & Bitter Magic: Doing magic drains a witch of some energy, depending on the spells and their strength. Tamsin, as the most powerful among her generation, is only slightly weakend after healing a boy from the fever that would kill him otherwise, whereas other witches would be bedridden recovering for days. However, they can also get magic from sources (people who are made of magic, essentially) or the earth itself. The latter is dark magic though, and imbalances the world, causing awful catastrophes.
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Weird and Unfortunate Things Are Happening: Alicia's Basic skills beyond her basic Bash, whose costs are written in orangey-yellow text, unlike the other skills which use blue, and SP.
 Cast from Hit Points / int_7a8bcd69
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I Was a Teenage Exocolonist: Since the Stress meter acts like an HP meter, although it increases when you get stressed, it fits this trope in spirit.
The Stressful Event memory is a powerful card, which is worth 8 points, but it gives you 10 Stress.
If you can't reach the goal in a card challenge, you can push through with the task in exchange for gaining Stress, which increases by 5 for every point you lack for the target. You can't do this if the cost would make you exceed the maximum (100).
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Rebuild World: Much of the enhanced performance Akira gets from his Virtual Sidekick Alpha using his Powered Armor like People Puppets is like this, because torn muscles and broken bones naturally result from Akira’s enhanced strength armor moving without him and being pushed past its safety parameters. This causes Akira to take Healing Potion before fights rather than waiting to get injured (which works because those are based on Nanomachines). For example, at one point Akira leaps In a Single Bound, but has to get new legs grown and transplanted onto him at the hospital after from the damage that caused.
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Jedi Consulars and Sith Inquisitors can convert health into force in Star Wars: The Old Republic, but doing so also lowers force regeneration for a short period.
 Cast from Hit Points / int_7d8c61a2
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 Star Wars: The Old Republic (Video Game)
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The Force Unleashed gives the character a rechargeable "force gauge" to measure how much force powers they can freely use. If you run out, points are reduced from hit points instead. This same system is used when the characters crossover into Soulcalibur IV.
 Cast from Hit Points / int_7dc73376
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In the Dragon Ball Z: Budokai games, the Tri Beams are one of those exceptions. The Neo Tri Beam in 3 has two different versions: if done correctly, it drains very little from Tien, but if done incorrectly, he replays the end of the Cell battle and collapses, most of his health gone.
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1.0
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 Dragon Ball Z: Budokai (Video Game)
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Helen's Mysterious Castle: The Demonbow has this, implied by its "RequiresHP" property:
 Cast from Hit Points / int_811d7bc4
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 Helen's Mysterious Castle (Video Game)
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Final Fantasy Type-0:
Queen has two abilities that deplete her HP during use instead of her Ability Gauge: Magic Martyr creates an MP-restoring field around her, while Gate of Destiny creates a field that damages enemies that grows in power the more HP she spends. When she's equipped with her exclusive accessory, these can be exploited to make her enter a special One-Hit-Point Wonder berserk state with temporary invincibility, which is triggered when her HP drops to 1.
Jack has the skill Transience, which deals heavy damage to enemies in front of him at the cost of nearly all his HP.
Eight's skill, Sacrificial Slug, deals high damage while reducing his HP to 1.
Summoning Eidolons requires the player to sacrifice all of the HP of the character they are controlling, effectively killing them to bring a powerful controllable monster into the fray.
 Cast from Hit Points / int_81765d93
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1.0
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 Final Fantasy Type-0 (Video Game)
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In Eragon, magic is very rarely used because it drains the caster. Indeed, the main character almost dies by using magic. Specifically, spells use the same amount of energy that the caster would have to expend to perform the same task without magic. Using a spell to, say, lift a penny off the the floor right in front of you would be almost effortless. If you were to use the same spell to levitate the same penny from a mile away, it would take the same amount of effort that it would've taken you to walk all the way over to it.
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 Eragon
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Because his battery life is drained by doing ANYTHING, be it shooting a laser, scrubbing a stain, or just standing still, but it is also his life meter for whenever he's attacked, the title character from Chibi-Robo! falls under this trope.
 Cast from Hit Points / int_81b76f22
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1.0
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1.0
 Chibi-Robo! (Video Game)
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Cast from Hit Points / int_81b76f22
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The Incredible Hulk: Ultimate Destruction is a game where you play as the eponymous embodiment of Unstoppable Rage, whose health bar also doubles as a Critical Mass meter.
 Cast from Hit Points / int_82b9e852
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1.0
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 The Incredible Hulk: Ultimate Destruction (Video Game)
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In Gargoyles, the Magus taps the magic of Avalon in the episode of the same name, which severely weakens him. While initially it only exhausts him, he ends up casting so many spells this way that he dies as a result.
 Cast from Hit Points / int_83d41855
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1.0
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RuneScape:
There are several Lunar spells that do this. Heal Other and Heal Group allow the caster to pay their own life points to restore an equal amount to allies. The Tendril abilities also do this.
Energy Transfer allows the caster to pay life points to give their own special attack energy to an ally (who is, presumably, better at fighting than the Lunar Mage, and could put that energy to better use). Heal Foo transfers life points on a one-to-one ratio; Energy Transfer actually consumes life points.
 Cast from Hit Points / int_84986bf9
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1.0
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In Brave10 S, Rokuro has replaced the lost Water Crest eye with the God's Jewel. Over time it becomes increasingly clear its magic comes at a physical cost, and as he is a Determinator, it's taken to dangerous levels in the final battle.
 Cast from Hit Points / int_855fd453
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1.0
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In Final Fantasy II Minwu spent his life force to break the seal on Ultima.
 Cast from Hit Points / int_86814cc3
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1.0
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In Final Fantasy IV, Tellah casts Meteo(r) to destroy Golbez, at the cost of his life. Unfortunately, it doesn't work. Specifically, Tellah has 90 MP max, while Meteor requires 99 MP. Add to this the three heavy spells he casts just before (using a total of 110 MP), and you have one dead mage.
 Cast from Hit Points / int_86814cd0
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1.0
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One of the Swd Arts Steiner can learn in Final Fantasy IX is "Darkside", an attack that does darkness-elemental damage, but drains some of his HP in return.
 Cast from Hit Points / int_86814cd2
featureApplicability
1.0
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 Final Fantasy IX (Video Game)
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Various spells throughout the series (starting with Final Fantasy VI's "Pep Up") sacrifice the caster to greatly replenish others in the party. Cue some WTF moments when the user is the only person in the party (Strago or Sabin in the Coliseum).
 Cast from Hit Points / int_86814e56
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1.0
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 Final Fantasy VI (Video Game)
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Final Fantasy XI has a few of its own spins on this.
Red Mages can't directly use HP for spells, but they can use the Job Ability "Convert" to swap their HP and MP, effectively restoring their magic with their life force. The ability can't kill you, however. If you use Convert with 0 MP, it just does nothing. Later on, the Sublimation ability was added to FFXI, which allows a Scholar (or a very high-level mage with a Scholar subjob) to bleed HP into a status effect for later use as a sudden boost to their MP. Sort of a much slower version of Convert.
There are two White Mage merit job abilities like this: Martyr, which lets you sacrifice some HP to heal an ally by a larger amount of HP, and Devotion, which lets you sacrifice some HP to refill some of an ally's MP.
 Cast from Hit Points / int_86814e94
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Final Fantasy XV give you the Royal Arms; legendary weapons that were wielded by former kings. When Noctis wields them, they give him massive boosts in his stats but each swing of them will drain some of your HP. The game even warns you to bring some healing items if you're going to take these into battle (luckily, one perk of them is they also provide passive bonuses so you can equip one or two and simply never use it, carrying those buffed stats into your non-vampric weapons).
 Cast from Hit Points / int_86814ea1
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1.0
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1.0
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Girl Genius: When preparing to do something spectacular, the Beast can shorten itself for extra energy, by imploding its own wagons and converting them to energy.
 Cast from Hit Points / int_86c3beca
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1.0
 Cast from Hit Points / int_86c3beca
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Champions characters who run out of Endurance can continue to use their powers by taking Stun damage, at a rate of 1d6 Stun per 2 Endurance required. This only works for powers that draw on the user's own Endurance pool, as opposed to the Endurance Reserve power. A character can literally knock himself out from overexertion.
 Cast from Hit Points / int_87cf8985
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The True Patronus charm in Harry Potter and the Methods of Rationality. Innocence illustrates the deadly consequences of putting all of your life into the charm.
 Cast from Hit Points / int_885e1bec
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 Harry Potter and the Methods of Rationality / Fan Fic
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Cast from Hit Points / int_885e1bec
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Sakura in Cardcaptor Sakura is physically drained by the effort of converting a Clow Card into a Sakura Card. In Episode 53, when she learns that the Clow Cards will become ordinary cards unless they are converted, she attempts to convert eight of themnote Sweet, Lock, Libra, Sand, Voice, Change, Wave, and Dash all in one sitting, nearly killing herself in the process.
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In Heroine's Quest the spell Channel converts your HP into mana; it does this automatically when you run out in combat, but casting it carelessly can very easily lead to you disintegrating yourself.
 Cast from Hit Points / int_88bb3822
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1.0
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In Fallout: Equestria - Project Horizons, Trottenheimer's Folly is a massive single shot pistol that fires special bullets of unknown origin that can tear through everything: armored battleships, unbreakable magic shields, etc. However, firing it causes the shooter to be flooded with a massive burst of radiation. Firing it twice within the span of a week was deadly enough to kill Blackjack.
 Cast from Hit Points / int_893a8106
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 Fallout: Equestria - Project Horizons (Fanfic)
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Infinite Stratos does a technological example of this. IS battles end when one side's energy shields are depleted in order to avoid injury to the pilot — in fact, the unshielded IS instantly shuts down to prevent further fighting. The protagonist's most effective (and for a long while, only) attack is Reiryaku Byakuya, which saps his own shields to pierce through the enemy's and score an instant kill. The first time he used it, he had no idea how it worked and therefore lost the match because his shield zeroed out less than a second before the attack connected. After learning about it, he's understandably reluctant to use it against a manned IS ever again.
 Cast from Hit Points / int_89d334a7
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Kingdom Death: Monster has monsters who's AI deck acts as their HP pool. If a monster is harmed, you discard AI cards. It also means that every time a monster acts, it is casting from HP.
 Cast from Hit Points / int_89ff28ae
featureApplicability
1.0
 Cast from Hit Points / int_89ff28ae
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1.0
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Cast from Hit Points
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Xander The Monster Morpher has several attacks that cost HP to use alongside MP, including an attack where the user sacrifices HP from their whole party.
 Cast from Hit Points / int_8a2129ed
featureApplicability
1.0
 Cast from Hit Points / int_8a2129ed
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Spheres of Power has the Draining Casting drawback. While it only deals nonlethal damage to you, Pathfinder's rules on nonlethal damage can still have it kill you.
 Cast from Hit Points / int_8aaea4cd
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1.0
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In Yu-Gi-Oh!: Capsule Monsters, the first times he uses the Duel Armor, Yami collapses, or is at least left drained.
 Cast from Hit Points / int_8c76c03
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In Angband, if you cast a spell without enough mana, there's a chance of damaging your CON (health stat) temporarily or permanently. Also, the Genocide/Banishment spell will subtract 1d3 HP for each monster killed by the spell. Potions of *Healing* recommended when casting said spell in a monster pit.
 Cast from Hit Points / int_8cc0679c
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While the manga version seems more powerful and less dangerous to use, late in the manga, Sailor Moon's (temporarily) entire body disintegrated completely from its use. Then again she was technically using all the Sailor Crystals to defeat Chaos.
 Cast from Hit Points / int_8dd8ec81
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In Xenoblade Chronicles 1, a few characters' arts fall into this category. Both Shulk and Dunban have arts that fill a percentage their talent gauge (think on a downplayed Limit Break) at the cost of half of their current HP; and Melia has Healing Gift, which sacrifices some of her HP to heal another party member (and considering she draws the least aggro out of all characters depending on how you play her, this isn't too bad).
 Cast from Hit Points / int_8ec33a86
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1.0
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1.0
 Xenoblade Chronicles 1 (Video Game)
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Gundam Battle Assault 2: In a bizarre example, dodging in Battle Assault would take away some of the fighter's own health, although doing so can't overheat them.
 Cast from Hit Points / int_8f1f38f0
featureApplicability
1.0
 Cast from Hit Points / int_8f1f38f0
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1.0
 Gundam Battle Assault 2 (Video Game)
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Friendly ghost girl Pamela in Mana Khemia: Alchemists of Al-Revis has a number of skills that drain her HP instead of her SP, which are a bit more practical than most examples, given her high magic resistance, Physical Immunity, Bear Kiss skills and ability to auto-revive a few turns after death.
 Cast from Hit Points / int_8f578d93
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1.0
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1.0
 Mana Khemia: Alchemists of Al-Revis (Video Game)
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That Hideous Strength: A variation: it's implied that using atlantean magic had a subtle negative effect on the user's health, though it wasn't specific what that was. The characters didn't seem to know exactly what it was, themselves.
 Cast from Hit Points / int_90304058
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 That Hideous Strength
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In the first printing of Dark Heresy, a psyker could use the Corpus Conversion talent to take damage to add his Willpower Bonus again to a manifestation test. The errata changed the cost to a permanent Toughness point in exchange for another power die.
 Cast from Hit Points / int_903a9871
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The main character in Carnivàle has to draw life-force from his surroundings to use his healing abilities. It is implied that he may have inadvertently caused the Dust Bowl in this way.
 Cast from Hit Points / int_9096e12c
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The Reconstruction uses a similar system to Star Ocean: Till the End of Time, albeit fleshed out more. That is to say, not only is Body as legitimate a stat to cast from as Mind or Soul, all three function as HP of a sort, and dropping any of them to 0 counts as a defeat, so anything except a melee attack is Cast From HP.
 Cast from Hit Points / int_90eb5a2
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1.0
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 The Reconstruction / Videogame
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The Wheel of Time:
Channeling results in physical and mental fatigue, depending on the amount and duration of the channeling. In extreme examples, channellers have "pushed" themselves past usual levels, but it puts them at the risk of losing the ability to channel, or, in extreme cases, dying. Quite spectacularly in a couple of cases.
The prologue of the first book features one of those two cases, and where it happened became a volcano known as Dragonmount. The second case is during the Last Battle, when Egwene al'Vere sacrifices herself with a weave she literally just came up with to undo the reality-shredding damage that overuse of balefire had done.
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In the Ecco the Dolphin games, the Oxygen Meter running out meant Ecco's health would start to go down. If that ran out, he would drown. Surfacing would restore the air meter, but he'd still have to find some fish to replenish any health lost from nearly drowning.
 Cast from Hit Points / int_9175542a
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1.0
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1.0
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In Radiant Historia, one of the nodes requires you to decide whether or not Aht will do this to help win a fight so that you can get info to find Eruca and the rest of your party.
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Quake Champions: Doom Edition: Grayson Hunt's "Personal Dropkit" ability allows him to refill half of his current weapon in exchange for 25 armor points.
 Cast from Hit Points / int_91e2f10f
featureApplicability
1.0
 Cast from Hit Points / int_91e2f10f
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1.0
 Quake Champions: Doom Edition (Video Game)
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Extremely powerful magics can take a toll on the caster's life force in Roommates too. Like, summoning a sea from nowhere in a magical land will drain the caster so much he is lucky to not pass out. The same in the real world is probably close to lethal or impossible.
 Cast from Hit Points / int_927f559c
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In the Dragon Ball Super manga, we have Vegeta's Ultra Ego form. Similar to Goku's Ultra Instinct, it gives him greater power the more he's injured, but if he's too injured, he won't be able to use it at all.
 Cast from Hit Points / int_928f959d
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 Dragon Ball Super (Manga)
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Magic by the Numbers: Sorcery spells consume some portion of the caster's life-force, permanently shortening their life-span. The bigger or more comprehensive the effect, the more life-force it consumes. Young sorcerers tend to waste their power on extravagant, flashy effects while older, more experienced sorcerers hoard their magic to preserve the time they have left.
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Psionics in The Second Gate normally channel energy they've "metabolized" and stored, but in a pinch, they can draw power directly from their biological functions. The mind instinctively tries to cut off psionic connections to prevent permanent damage at the same time, which can result in anything from mild burnout to a coma — which is usually too late to save the user anyway.
 Cast from Hit Points / int_932f55c3
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In Fire Emblem Gaiden and its remake, Echoes: Shadows of Valentia, Clerics and Mages burn their own HP to cast spells. Each magic-using class has its own way of compensating for this: Clerics have the Nosferatu spell which drains enemy HP, male Mages Class Change into Sages and regain HP every turn, and female Mages Class Change into Priestesses that can attack with swords in addition to spells.
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Pichu from Super Smash Bros. Melee is a Moveset Clone of Pikachu, except it's faster and takes damage from using its special attacks.
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 Super Smash Bros. Melee (Video Game)
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In Mobile Suit Gundam: The Witch from Mercury, this is how Gundams work by default, as an Internal Deconstruction. Being linked to such a heavy, high-tech piece of machinery subjects the pilot to immense physical and psychological strain and, if they're not careful, leaves them susceptible to "data storms" that burn them out entirely. The prologue ends with Delling Rembran using this knowledge to forcibly shut the project down and kill almost everyone involved - Nadim Samaya manages to fend Cathedra off long enough for his wife and daughter to escape, but the strain kills him.
A significant plot point is the fact that protagonist Suletta Mercury (the titular "Witch from Mercury") is able to avert the trope and pilot Aerial without this happening. It turns out that Aerial is Powered by a Forsaken Child who helps to take the strain. When Suletta's forced to pilot a different Gundam during the final battle, the strain almost cripples her.
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Fire Emblem Heroes: A new skill introduced in the game, Fury, grants a character a boost to all of their stats at the cost of losing a few points of HP after every combat.
 Cast from Hit Points / int_959e314b
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Dragon Quest IX: Gladiator's Signature Attack, Double-Edged Slash, does incredible damage... and 25% of it right back to the Gladiator. It's entirely possible (and likely) to kill yourself outright when using this, especially if combined with Tension and Double Up.
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My Hero Academia:
The First-Episode Twist (in the second episode) is that All Might suffered a major injury a few years back, and since his Quirk "One for All" causes a huge strain on his body, he can only stay in his super form for a few hours at a time, during which he'll randomly start coughing up blood. Fortunately, he can pass his power onto somebody healthier, and chooses protagonist Izuku for the role. Even after passing on his power, All Might retains a remnant of it that allows him to keep being a superhero, but the strain gets even worse. Whenever he exceeds his time limit, he ends up with an even shorter time limit going forward. Naturally, All Might keeps getting forced to exceed his time limit to defeat powerful villains. To defeat his nemesis All For One, All Might burns out essentially all of his remaining power and can now only change into his super form for one second. This forces him to retire from heroics permanently, depriving the world of its "Symbol of Hope".
Izuku himself is another example, since unlike All Might, his body is too weak to use One for All's full power without him breaking his limbs, so he often finds himself forced to use it sparingly, usually with a few fingers as opposed to his whole arm, until he becomes strong enough to master it properly. He too is repeatedly forced to exceed his limits to defeat powerful foes, resulting in him spending a lot of time in hospital beds recovering from self-inflicted injuries.
Recovery Girl's powers also work like this, except that it takes the hit points of those whom she's healing, not herself. Her power just speeds up the body's natural recovery, so you need to have a certain amount of energy before she does it or her "healing" could prove fatal.
During the final battle, All For One himself unleashes the ability to overcharge his own powers, making them much more destructive at the cost of severely damaging his own body. Except that he also has the ability to regenerate from the damage he takes, so it's just a minor hindrance. Then it turns out that, since his regeneration is generated by an imperfect copy of the Rewind Quirk, it comes at the cost of making him younger, meaning that he's trading off Hit Points with Lifespan.
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In Crypt Of The Necrodancer, spells need to be recharged after use. But you can cast it again anyway before it's done recharging by spending health instead. If you don't have enough health, you get a death by "Blood Magic." Carefully managing when you choose to do this is an important tactic in speedruns.
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In the original SaGa Frontier, there's a couple spells that certain characters can get that cost Life Points to buy. Seeing as most characters only get seven or eight of these chances — and once you're out, that character is completely dead until you get to an inn that resurrects (and not all do) — you really have to weigh the pros and cons to get the spells.
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Vegeta also did this against Buu, sacrificing himself, but it wasn't enough. He uses the same technique in Dragon Ball Super to defeat Toppo in the Tournament of Power and has better luck there.
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 Dragon Ball Super
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Fabula Ultima:
The Darkblade's Shadow Strike skill lets them sacrifice some health to make a powerful dark-elemental weapon attack.
The Spiritist's Vismagus skill lets them cast a spell using HP instead of MP if they don't have enough MP to cast it normally. The HP cost is twice the spell's normal MP cost, and the Spiritist doesn't regain any health if they spent this HP to cast a healing spell which targets themselves.
The Heartbreaker heroic skill, which can be obtained by mastering the aforementioned Darkblade class, lets you sacrifice half your current hit points to deal 10-30 extra damage on a single-target attack against an enemy with which you have a Bond.
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In Ozzie the Vampire, summoning demons means sharing and dividing the caster's life force among them for as long as they remain summoned.
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In League of Legends:
Dr. Mundo and Vladimir use health to fuel their abilities. Olaf also has one ability that's fueled by health instead of mana. Zac is a large blob whose attacks involve stretching or breaking pieces off himself. Most champs that cast from HP also have a mechanic that compensates their HP loss. Mundo is a tank whose ultimate skill quickly replenishes his HP. Vladimir has health stealing built into his kit as part of his vampire theme. Zac can pick up the dropped pieces of his body to regain health.
Soraka's health costs are actually a part of her lore; she was born a celestial but inhabits a mortal body, and so the immense power of her healing magic will burn at her body whenever she uses it. In-game, it's only her healing spell that deals self-damage, while everything else uses mana like other champs.
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Motherland: Fort Salem: Raelle's healing magic exacts a toll on her own body in proportion to the wounds that she heals.
 Cast from Hit Points / int_99709ae6
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In W.I.T.C.H., those who use their magic without being connected to the Heart of Candracar end up using up their own life energy doing so. Halinor is shown to be exhausted after using some of her magic to protect the Citadel and it's implied that Nerissa's withered state is because of her constantly using Quintessence.
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 WITCH
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Bug Fables has a medal called Life Cast, which allows the user to spend HP instead of TP (the equivalent of MP or SP in other RPG games) to use skills, but it also makes stills cost one less HP than the TP they would usually cost. This combined with playstyles that encourages putting yourself in danger can be very powerful.
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In the Princess series by Jim C. Hines, this rule essentially applies to Snow White; in this version of the tale, the 'dwarves' are actually seven elemental spirits — Earth, Air, Fire, Water, Shadow, Light, and Magic — and while they will serve Snow loyally when summoned, summoning them costs Snow seven years of her life. As a result, Snow is only in her early twenties, but after summoning the 'dwarves' twice she looks like she's in her mid-thirties.
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The Elder Scrolls:
Inverted in The Elder Scrolls II: Daggerfall. Your character has a chance of absorbing the magicka (mana) of the spell being slung at him and add it to his own reserves but, if you absorb much more magicka than you have capacity for, you die.
The spell Equilibrium in Skyrim. It converts your health into magicka. Of course, if you're not careful with its use, you're liable to kill yourself...
The Staff of Magnus. It drains the target's magicka and adds it to your own. If the target runs out of magicka, it starts draining his health.
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Pokkén Tournament: Nearly all of Shadow Mewtwo's Pokémon Moves cause it to deal damage to itself.
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Trafalgar Law is unusual, if not unique, in the One Piece world in that his Devil Fruit power, the Op-Op Fruit, actually drains his stamina where nearly every other Devil Fruit user is able to spam their powers with impunity. In fact, to use his Fruit's most powerful ability, which makes an individual completely immortal, the cost is, without fail, the user's life.
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In Knights in the Nightmare, any action your knights and the heroines take costs some of their health (which can only be regained through leveling up). Maria and Meria both have Limit Break-style finishing moves that do ridiculous amounts of damage to everything on the field, but the VIT cost is so high that even three uses will kill them, meaning a game over. (Except in Easy Mode, where you can get more like seven or eight uses out of it.) Also, the "Time" and "Rounds" are essentially the life force of the Wisp:Time will always go down whenever one of your units is charging an attack.
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Pokémon:
After a Pokémon has used all of their PP for all of their moves or is under a certain condition (Like if holding a Choice Scarf and being subject to Torment), they are forced to use an (otherwise unavailable) move called Struggle, doing a pittance of damage at the cost of a sizable chunk of HP.
If a ghost-type Pokémon uses Curse, they sacrifice half of their HP to put an extremely damaging curse status effect on the opponent that takes away a quarter of the opponent's health per turn (although the target can simply switch out to remove this effect). If any other type uses it, it just decreases their speed, but increases their attack and defense.
Substitute, which takes 1/4 of your maximum HP and turns it into a, well, substitute that takes the damage of the next attack, as well as block status. Depending on how much health your Pokémon has and the damage the enemy does, a Substitute can sometimes take two or three hits. This gives you lots of time to set up and/or wreak havoc. Come the 9th generation, the move Shed Tail has the user sacrifice half of their max HP to set a substitute, and then immediately switch out to another Pokémon of the trainer's choosing, effectively shielding the switch-in from damage.note And, if the user is Cyclizar, they may even offset the HP loss by virtue of the Regenerator ability, which recovers HP after switching out.
A hold item called Life Orb boosts attacking moves by 30% at the cost of HP equal to 10% of the maximum every time you attack. The abilities Magic Guard and Sheer Force (for moves that affect it) cancels this out, though. While not a direct example, Abilities such as Quick Feet, Guts, and Toxic Boost tend to invite a similar strategy. While these Abilities are activated by the user being afflicted by Status Effects, players often speed up the process by equipping Pokémon that have said Abilities with a Toxic or Flame Orb, inflicting poison or a burn on them. This results in the Speed or Attack boost granted by the Ability, as well as a Disability Immunity against more hindering statuses like paralysis or sleep, at the cost of losing health each turn to the poison or burn.
Some powerful moves such as Take Down, Wood Hammer, Flare Blitz, Brave Bird, Head Smash, Double-Edge, Volt Tackle, and Submission do recoil damage to the user — essentially, these moves involve hitting the opponent so hard and so recklessly that the user also injures themselves. Some Pokémon, such as Aerodactyl and Geodude, have the ability Rock Head, which prevents recoil damage. Others have the ability Reckless, which raises the damage and the recoil. An interesting inversion of this is Jump Kick and Hi Jump Kick which are both a Death or Glory Attack, only damaging the user if they miss, in contrast to the above moves, which damage the user when they are successful.
Belly Drum costs half of the user's max HP to maximize their physical attack. Similarly, Fillet Away (signature move of the Pokémon Veluza) takes half of the user's max HP to boost their speed and attacking stats by two stages. Since either of these renders the user vulnerable to taking further damage, they're inherently risky, but can potentially end matches quickly if used correctly.
Some moves cause the user to faint for an effect to happen: Final Gambit subtracts whatever amount of HP they just lost from the target. Healing Wish and Lunar Dance completely heal the health and status effects of the next Pokemon to come in. Memento sharply lowers the attack and special attack stats of the opponent. Self-Destruct and Explosion (especially) are extremely powerful, but it instantly causes the user to faint.
In the field, Softboiled and Milk Drink can be used to restore someone else's HP, at the cost of that same amount of HP from the user.
Pokémon XD: Gale of Darkness has two moves of its own. Shadow Half halves the HP of everyone on the field — yourself included. Shadow End is basically a shadow version of Double-Edge; it does massive damage, but hits you with some nasty recoil. In Pokémon Colosseum, Shadow Rush also does recoil damage, but not in XD.
UB-BURST, formally known as Blacephalon, has a signature move called Mind Blown. It blows up its own head to deal a crapton of damage, then grows another and 50% of its total HP is drained, essentially acting as a slightly weaker and safer version of Explosion and Self-Destruct. Whether the regrowing of the head or the kaboom causes the damage is up for debate.
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Grief Syndrome simultaneously plays this straight and subverts it with its Soul Limit system. Each character has a special technique that burns HP, but the HP used to fuel the attack is marked in blue on their life meter instead of the normal red. When the character's Regenerating Health kicks in, they're able to heal the section marked in blue without draining their Soul Limit (which would happen for the red.) If they get hit before the blue section is fully healed, though, it turns red and becomes normal damage that does require draining the Soul Limit meter to replenish.
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The Ancient Weapon in Everspace. It takes up an enhancement slot and forbids you from using any other primary or secondary weapons, and it damages your hull with each shot. In return, you get a Game-Breaker of a weapon with insane range and damage that only gets better the more damaged your hull is.
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In the Sword of Truth series, a wizard can cast Wizard's Life Fire, a powerful explosion that kills the wizard but usually reduces whoever is nearby to ashy stains on the walls. The taste of said ashes yields a clue as to why the dying wizard chose to cast Wizard's Life Fire: if the ashes are bitter, the wizard cast the spell to save himself from torture; if they are sweet, the wizard gave his life to save another.
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Yakuza: Like a Dragon: The Fortuneteller job has a Kiwami Skill called Essence of Spirit Bonding, which revives and decently heals all fallen allies, at the cost of setting the caster's HP to 1.
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Iji: If you manage to avoid killing anything in the entire game, an NPC will leave behind the Massacre to help you in the final boss fight. Each shot takes 50 Armor (about half a health unit) to fire, but the damage dealt is only slightly less than what you'd deal with reflected shots.
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In Shinobi III: Return of the Ninja Master, the Jutsu of Mijin hits every enemy on the screen, at the cost of one of Joe Musashi's Video-Game Lives.
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After passing the Three Tests of the Swivel Chair, Harry the Handsome Executive can use the force of the Swivel to channel his life energy into weaponized blasts.
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In the Chaos Gods series, Ki normally uses magic provided by her god, Tavk. If Tavk chooses to withhold his power from her, she can cast spells using her own energy; but doing so consumes her own flesh as fuel.
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3×3 Eyes has the Juuma (Beast Demons, sometimes localized as "Fighting Larvae") magic developed by Benares: Juuma are born in eggs, which hatch when blood is spilt on them. The user then must tame the Juuma and form a contract with it which lets him summon the Juuma whenever he wants. However, each usage taps into the Life Energy of the wielder, and a normal human would exhaust his forces and die quickly. However, Wu such as Benares and Yakumo are completely immortal and thus can make full use of their Juuma. The sole human Juuma-user, Sarlama, had to replace her own limbs with them and her entire abdomen is completely dried up and horrifying to look at. The same, to a lesser extent, goes from all the magical arts, which according to Connery are fueled by life force.
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NieR: Automata: After the prologue you gain the ability to have 2B or 9S induce self-destruction which will destroy all the enemies around them in a giant explosion at the cost of their bringing their HP to One
Later on after a few hours into A2’s side of Route C you can have her release B-Mode so you can fillet your enemies around you at the cost of slowly reducing health which will instantly end B-Mode once it reaches 1, although there are chips that can give health with defeated enemies…
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Final Fantasy:
The recurring Dark Knight job and the abilities associated with it have been centered around this since Final Fantasy IV. Skills like Souleater, Darkside, and Darkness all involve expending the user's HP to deal heavy damage to one or all enemies. Final Fantasy III, Final Fantasy IV, Final Fantasy VIII, and Final Fantasy X-2, for example, all have the ability Darkness (or Souleater), a skill that reduces your HP but not MP. Cecil could use it while he was still a Dark Knight, Diablos has it as one of the commands it can have and the Dark Knight dressphere. However, in X-2, it used no HP if you had the auto-ability Spellspring, which sets MP cost to 0.Specific examples by game are listed below.
In Final Fantasy II Minwu spent his life force to break the seal on Ultima.
The Dark Knight in the 3D remake of Final Fantasy III does this with its signature "Souleater" skill, which deals heavy damage to all enemies and some damage to the knight. Played entirely for gameplay function rather than drama.
In Final Fantasy IV, Tellah casts Meteo(r) to destroy Golbez, at the cost of his life. Unfortunately, it doesn't work. Specifically, Tellah has 90 MP max, while Meteor requires 99 MP. Add to this the three heavy spells he casts just before (using a total of 110 MP), and you have one dead mage.
Dark Knight Cecil's Dark Wave ability from the 2D versions does damage to all enemies at a cost of some of Cecil's HP. The 3D remake replaced Dark Wave with a "Darkness" status effect that doubles the user's physical attack power for three turns, but each physical attack used under the effect deals damage to the user, as well, equal to one tenth of their maximum HP.
Next, in Final Fantasy V Galuf uses an unprecedented amount of Heroic Willpower to continue fighting at zero HP throughout an entire boss fight. That may not seem like this trope, until the effects are shown afterwards. Galuf drained himself to such a degree that healing items and ressurection spells have no effect on him.
In Final Fantasy VI, the skill Transfusionnote Pep Up in the original english translation gives the caster's HP and MP to another character and then removes the caster from battle.
The Dark Fencer in Final Fantasy: The 4 Heroes of Light, much like the antecedent Dark Knight job, has an entire skillset built around this.
Final Fantasy: The 4 Heroes of Light 's Spiritual Successor Bravely Default 's Dark Knight class has almost all its skillset built around this trope, as well.
Final Fantasy VII has an independent materia with a similar effect, switching the values for your total HP with that of your total MP, so you would have a character that has only a few hundred HP, but thousands of MP, taking the concept of a Squishy Wizard to the extreme.
One of the Swd Arts Steiner can learn in Final Fantasy IX is "Darkside", an attack that does darkness-elemental damage, but drains some of his HP in return.
In blitzball games in Final Fantasy X, HP is used for both movement (which only goes down while the player has the ball) and techniques. A player is not knocked out if their HP reaches 0, but their stats get halved instead.
Final Fantasy XI has a few of its own spins on this.
Red Mages can't directly use HP for spells, but they can use the Job Ability "Convert" to swap their HP and MP, effectively restoring their magic with their life force. The ability can't kill you, however. If you use Convert with 0 MP, it just does nothing. Later on, the Sublimation ability was added to FFXI, which allows a Scholar (or a very high-level mage with a Scholar subjob) to bleed HP into a status effect for later use as a sudden boost to their MP. Sort of a much slower version of Convert.
There are two White Mage merit job abilities like this: Martyr, which lets you sacrifice some HP to heal an ally by a larger amount of HP, and Devotion, which lets you sacrifice some HP to refill some of an ally's MP.
Final Fantasy XII has Soul Eater, a spell that takes of 20% of your Hit Points to inflict massive damage. Behold!
Final Fantasy Type-0:
Queen has two abilities that deplete her HP during use instead of her Ability Gauge: Magic Martyr creates an MP-restoring field around her, while Gate of Destiny creates a field that damages enemies that grows in power the more HP she spends. When she's equipped with her exclusive accessory, these can be exploited to make her enter a special One-Hit-Point Wonder berserk state with temporary invincibility, which is triggered when her HP drops to 1.
Jack has the skill Transience, which deals heavy damage to enemies in front of him at the cost of nearly all his HP.
Eight's skill, Sacrificial Slug, deals high damage while reducing his HP to 1.
Summoning Eidolons requires the player to sacrifice all of the HP of the character they are controlling, effectively killing them to bring a powerful controllable monster into the fray.
Final Fantasy Tactics has Worker 8. Worker 8, while being an Atheist (0 faith, the stat used when determining the effects of magic), can still do abilities without MP; it only takes some hit points. Also, the Squire ability "Wish" allows you to heal an adjacent ally by giving him some of your hit points (you actually give twice as much as you lose)
In Final Fantasy Tactics Advance, Backdraft does a portion of its damage to the user as fire damage, but the user can avoid this with something that enables them to resist, be immune to, or absorb it.
In Final Fantasy Tactics A2, units start with 0 MP and generate 10 MP each turn, meaning that double-casting or casting of high-cost spells can't be done immediately. As a result, Blood Price is available as an always-on S-Ability that lets the user pay for a skill in double its MP cost in HP. This ability can be abused quite easily by Red Mages, who can cast two spells in succession: one to attack, and one to heal themselves covering the cost of both. Also an option is to target yourself and the enemy while using spells of an element your equipment lets you absorb. Even without self-healing, the ability is quite overpowered as HP increases with level while spell costs and MP regeneration do not, making the cost of spells less and less significant. Interestingly, several enemy units that have Blood Price equipped can't possibly learn it through normal means. Fighters also have Back Draft, a strong fire-based attack that slightly damages the user as well. However, they can equip fire-absorbing equipment, making it an attack that heals the user. Same applies for other similar moves but with different elements (the Lanista version is Dark).
Final Fantasy XV give you the Royal Arms; legendary weapons that were wielded by former kings. When Noctis wields them, they give him massive boosts in his stats but each swing of them will drain some of your HP. The game even warns you to bring some healing items if you're going to take these into battle (luckily, one perk of them is they also provide passive bonuses so you can equip one or two and simply never use it, carrying those buffed stats into your non-vampric weapons).
Various spells throughout the series (starting with Final Fantasy VI's "Pep Up") sacrifice the caster to greatly replenish others in the party. Cue some WTF moments when the user is the only person in the party (Strago or Sabin in the Coliseum).
Final Fantasy XIV:
Alisaie ends up creating a sword of light during the Scion's fight against the Warriors of Darkness. However, Urianger notices the weapon draws heavily upon Alisaie's aether, leaving her heavily drained. To that end, he ends up giving her a special rapier designed to stymie that sort of thing, effectively changing her from the Gladiator class to the Red Mage job, whose lore works on preventing this trope.
Y'shtola is in a similar situation as well after losing her sight while in the lifestream she sees using her aether but as Matoya told her if she continues to use this method it will shorten her lifespan and eventually kill her.
Conjury involves using the land's ambient aether to heal others. In the Conjury quest line, you learn that Sylphie refuses to follow poper procedures when it comes to healing magic and she uses her own aether instead, which puts her life in danger when she attempts to cast Raise. Slyphie's mother had done the same thing in the past and it eventually killed her. Slyphie eventually learns to use the land's aether and she becomes a proper healer.
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Magic: The Gathering has plenty of cards and effects that have a cost in health.
Necropotence is the card that truly emphasizes the usefulness of this trope; when it was released, its use dominated tournament play. Remember, tropers: the only truly important hit point you have is the last one.
Similarly, Channel is a direct-example of this trope, allowing you to trade life for mana. It was a vital part of the Channel/Fireball combo, one of the first known First Turn victory hands.
The New Phyrexia set introduces "Phyrexian mana" (the symbol for which looks a bit like phi ɸ), which can be paid with either one mana of the appropriate colour or 2 life.
For an example not derived from the player's life, Devoted Druid weakens itself to provide more Mana for you to cast with. Without outside help, this only works once before it would die from lack of toughness.
There's also Greed, which lets you draw one card each per Black Mana and 2 Life you pay, and the Game-Breaker Yawgmoth's Bargain. There are no words to adequately describe just how broken a "Pay X Life: Draw X cards." effect is. In fact, the card may as well have said "Pay 19 life: Draw 19 cards."
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In Pocket in the Sea, there is a rare non-magical example when Clase (Mother) uses her body as a buffer against the electronic feedback from a submarine mecha's poor-quality piloting interface. It almost kills her and is written in such a way to suggest doing so also shears years off of her life. In the same book, it's also hinted to the reader that using psionic abilities also works like this.
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The Severin family in Muted uses Blood Magic, and while they have a few ways around the Logical Weakness of that, being too low on blood is a recurring limitation on their spellcasting.
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Alphen in Tales of Arise loses HP every time he uses his Blazing Sword. Because he's incapable of feeling pain, he doesn't notice how injured he really is. Shionne has to keep a constant eye on him so he doesn't kill himself.
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In Tales of Maj'Eyal, Reavers and Corrupters can use the skill "Bloodcasting" to cast using HP if they can't afford the Vim cost of their skills, and "Life Tap" to boost their damage for a time at the cost of HP. The only thing that prevents all of their spells from being cast from HP all the time is that they steal the Life Energy of other things, and so can only regain Vim by attacking creatures.
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In Magi: Labyrinth of Magic, using too much of your magoi is dangerous because of this. Magi, who can use the magoi and rukh outside of their bodies, aren't too bothered by this.
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Jedi Knight: Jedi Academy has a dark side power called Force Rage. It drains your HP, but while it's active you're literally unkillable and you hit a lot harder. Problem is, you're weaker for a while after in addition to having lower health. At its lowest level, it's basically a means of Press X to Die, as the health drain and post-rage weakness are at their highest and the benefits are at their lowest. (It can still be useful if an instant-kill attack is coming at you and you can't otherwise avoid it; you'll treasure that one hit-point you have.) At its highest, enjoy being The Juggernaut... and use it wisely.
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In Final Fantasy Tactics A2, units start with 0 MP and generate 10 MP each turn, meaning that double-casting or casting of high-cost spells can't be done immediately. As a result, Blood Price is available as an always-on S-Ability that lets the user pay for a skill in double its MP cost in HP. This ability can be abused quite easily by Red Mages, who can cast two spells in succession: one to attack, and one to heal themselves covering the cost of both. Also an option is to target yourself and the enemy while using spells of an element your equipment lets you absorb. Even without self-healing, the ability is quite overpowered as HP increases with level while spell costs and MP regeneration do not, making the cost of spells less and less significant. Interestingly, several enemy units that have Blood Price equipped can't possibly learn it through normal means. Fighters also have Back Draft, a strong fire-based attack that slightly damages the user as well. However, they can equip fire-absorbing equipment, making it an attack that heals the user. Same applies for other similar moves but with different elements (the Lanista version is Dark).
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Many of the most powerful Tempesta Charms in Princess: The Hopeful inflict unavoidable Resistant damage* Damage that cannot be magically healed to use. Similarly, once per session anyone playing a follower of the Queen of Storms (Noble or Sworn) can declare that the Queen is manifesting power through her character. This allows her to use any Tempesta or unaligned charm with as many successes as desired and none of the normal casting costs, but inflicts one point of Resistant Lethal damage per success requested, which can and has killed servants of Storms in the past. On the other side of the War of Hope, the servants of the Darkness have the Self-Consuming Hunger Caligo, which lets them inflict Resistant damage on themselves to generate a special pool of faux Willpower that can be used to pay for other Calignes.
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Metroid Dread: The Phantom Cloak will drain your energy (deactivating at 1HP) if you run out of Aeion using it.
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In Vagrant Story, Ashley can learn special weapons-specific, and usually rather powerful or otherwise damn good, attacks called Break Arts. Using Break Arts doesn't cost MP, and doesn't increase Ashley's RISK. It does, however, take off a bit of HP. How much HP is taken varies based on the "strength" of the Break Art.
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In SaGa Frontier 2, once your characters run out of Weapon Points or Spell Points, they'll lose their Life Points (which are different from regular Hit Points.) Using skills or techniques can permanently kill the character once Life Points run out.
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The Force Awakens: During the battle on Starkiller Base, Kylo Ren has been shot by a bowcaster. Several times during the fight, he pounds on the injury, generating more pain which he can use to fuel the dark side of the Force.
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Kid Radd demonstrates the drawbacks of such techniques. When Radd and the others visit a fighting game, Sheena, being an NPC sprite, is unable to inflict or receive any damage from her opponent. Her opponent grows increasingly desperate to damage her, and finally uses an attack that sacrifices some of her life to attack Sheena. The attack fails and because Sheena's opponent has less health than Sheena when the time runs out (i.e., less than full), Sheena wins.
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In VOCALOID no Natsuyasumi -Final 4 Days-, Miku learns Electro at level 18, which cost 5 HP instead of her MP. This attack doesn't deal much damage to most enemies, but against mechanical target (including most bosses), it deals 3x of her base attack, the highest multiplier in the game.
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In Birth by Sleep, one of Terra's unique attacks is "Sacrifice", which consumes HP — although never enough for you to KO yourself using it. The same technique is available to Riku in Dream Drop Distance.
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In Zaltec II: The Generation Stone, the only way to gain magic points is to permanently sacrifice health points.
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Paper Mario: The Origami King: Tape, Rubber Band, and the Fire Vellumental have moves that involve reducing their hit points in exchange for inconveniencing you.
Rubber Band uses its bands in combat, sometimes shooting them at you as projectiles or at the board as bumpers. However, since Rubber Band is essentially made up of multiple rubber bands, it loses a bit of health every time it does something like this. If the rubber bands are on the battlefield, it can call the bands back to it and rejoin with them, regaining a little bit of health.
In the second phase of its boss fight, Tape will tape together parts of the battlefield so Mario cannot adjust the panels, losing bits of its health this way. Like Rubber Band, it will restore its health if you don't burn the tape pieces with fire.
The Fire Vellumental's main attack involves it scattering its burning feathers over the battefield to create obstacles. It depletes a little bit of its health bar every time this happens, meaning that after a few rounds of this, the Fire Vellumental will have slowly burned away its HP.
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Onmyōji (2016):
D�jo heals her teammates this way, which is the reason why she's not exactly a hit among players who prefer healers like Ebisu and Momo-no-sei who don't draw from their HP.
Zashiki-warashi can turn her HP into Mana.
Kyūketsu-hime loses HP for every (admittedly very powerful) basic attack she casts.
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Game of Thrones: Melisandre's shadow assassins are implied do this to her partner. When Stannis requests she produce another, she says, "Your fires burn low, my king." In the novels, this manifests physically as Stannis becoming frighteningly gaunt and sunken, but Pragmatic Adaptation makes this less clear.
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Star Ocean: Till the End of Time has a variant of this. You have separate HP and MP meters, but you are incapacitated if your HP or MP runs out, and some enemies deal MP damage instead of HP damage. Also, many of your special abilities, especially those belonging to nonmagical characters, cost HP instead of MP. Of course, MP in this game means Mental Points and the origin of the special abilities' power would decide what kind of fatigue the user would endure with some characters having both types. Enemies follow this rule as well and some enemies had massively low MP stats for their HP making an MP kill on them much easier than an HP kill.
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In the original Legacy of Kain: Blood Omen, Kain had a spell that allowed him to literally shoot his own blood at enemies. If it hit, he'd gain back any lost health plus some extra, as the enemies' blood would be sucked out of their bodies and into his. If it missed, or if he fired it at something with poisoned or tainted blood, he'd be SOL.
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Occurs more than a few times in the Sonic the Hedgehog series. In Sonic Battle, Chaos Gamma has the Power move Meltdown that causes horrific amounts of pain, but also takes a big bite out of his health bar. There is also the various Super Forms that a handful of characters can take, which typically absorbs one ring per second from a minimum of fifty. If all the rings on hand are consumed by this form, then the character is left either as a One Hitpoint Wonder or, in later games, dead from exposure to deadly environments such as the vacuum of space or the flooded ruins of a city.
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World of Synnibarr. Some spells can be enhanced by spending points of Constitution while casting them, thus increasing the effect of the spell (such as damage done).
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In the German tabletop RPG The Dark Eye (aka Das Schwarze Auge in German), every magic user can do this, but not without consequences, usually additional damage and that damage might permanently reduce the maximum hitpoints of that character (only when he drops too low as a result of blood magic though). Excessive use of this in one of the novels leads to a mage permanently losing his ability to use magic. Later on, he uses a magic sword that also drinks from his Life Energy, losing fingers on his good hand as a result.
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In Fate/stay night, Servants are made of mana. Using their special techniques/Noble Phantasms uses up mana. If they use them too much, or use them when weakened or otherwise injured, then there is a risk of burning themselves out. Luckily, most Masters constantly supply their Servants with mana, and only a truly incompetent Master (*cough*Shirou*cough*) would have to rely on Deus Sex Machina to start the mana-transfer.
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Playing the Vampire race/class in Desktop Dungeons causes spells to be cast from your health instead of mana.
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Shadowrun: All spells and summonings have a Drain Value, damage that the mage has to resist after casting. If the Force of the spell or summoned spirit is greater than the mage's Magic attribute, unresisted drain is physical damage; otherwise it's stun damage. Blood Magic has techniques that mitigate drain by inflicting it on a prepared victim. The outward signs of unresisted drain can include fatigue, sudden nosebleeds, unconsciousness, or a spectacular death.
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In El Goonish Shive, Nanase claims she can Cast From Calories. She gets a more traditional one later.
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The Blast Mask in Majora's Mask provides Link with a limitless supply of bombs with the catch that each one causes damage. Raising your shield, however, will prevent the damage even though the source of the explosions is strapped to your face!note The explosion is placed a short distance in front of the mask, just slightly farther out than Link holds his shield, allowing it to block the blast. Still strange, as the shield should reflect more of the explosion back towards Link.
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 The Legend of Zelda: Majora's Mask (Video Game)
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Next, in Final Fantasy V Galuf uses an unprecedented amount of Heroic Willpower to continue fighting at zero HP throughout an entire boss fight. That may not seem like this trope, until the effects are shown afterwards. Galuf drained himself to such a degree that healing items and ressurection spells have no effect on him.
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In blitzball games in Final Fantasy X, HP is used for both movement (which only goes down while the player has the ball) and techniques. A player is not knocked out if their HP reaches 0, but their stats get halved instead.
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Amagon: The most powerful attack in the game is a laser that Megagon can shoot from his body, at the cost of two hit points.
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In Archon, the Wizard and the Sorceress units have pools of magic that they can use to hinder their enemies. Actually using them, however, cuts into their maximum HP when they enter combat. This can be dangerous toward the end-game, when your spellcaster may be one of the few pieces left on the board and they'll need all of the health they can muster.
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In Athena, Athena loses one hit point each time she swings the powerful Flame Sword. This can't kill her, because the sword powers down when she gets low on health.
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Level Up Hero: Sam can heal others at the cost of his life force. With the Argonaut System, he developed regeneration that lets him heal others better.
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In Eclipse Phase all Active psi-sleights (other than Downtime, that would be counter-intuitive) have at least a chance of inflicting damage to the user.
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Three the Hard Way has Anderson, a practitioner of the Minami branch of martial arts, which uses life energy to manifest his special skills. Thankfully, he has the highest HP of all the playable characters, and even then, his normal attacks are strong enough to defeat most enemies with relative ease, and is actually more effective for combat than his special skills are.
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Voyages of the Wild Sea Horse: Nabiki Tendo's Bat-Bat Fruit, Model Type: Vampire Devil Fruit has haemokinetic abilities that sit somewhere between here and Elemental Baggage. Whilst Nabiki is able to store gallons of blood in Hammerspace, she still has to replace that by drinking it from people or animals; once her reserves get low, she'll start tapping into her own personal blood supply, and if she uses too much of that, she'll end up temporarily stuck in a chibi version of her werebat form.
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In My Little Pony: Friendship Is Magic, Princess Cadence uses her own lifeforce to power the magical shield protecting the Crystal Empire. In a very similar move, her husband Shining Armor uses his own lifeforce to also power the shield protecting Canterlot from the Changelings.
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In the Doctor Who spinoff game Destiny of the Doctors, the Graak starts with 9999 hit points, but any exertion reduces that. Fortunately, there are enough restorative crystals for it to gain enough hit points to finish restoring the Doctor's incarnations.
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 Doctor Who
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Feruchemy from Mistborn: The Original Trilogy falls somewhat under this trope. A Feruchemist can draw off any of a variety of attributes from himself, then store them in pieces of metal to be withdrawn later. For example, if you become half as strong as you normally would be for an hour, you can then later become one and an half times as strong as you should be for an hour.
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 Mistborn: The Original Trilogy
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Elena of Avalor: The Scepter of Light draws its power from the welder's energy, thus whenever Elena uses it, she get progressively weakened. Using it at max power to defeat Orizaba drained her to the point she passed out for two whole days. After the scepter got upgraded in the final season, it draws its own power and no longer drains energy.
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A few examples from the Diablo series:
The spells Bone Spirit and Blood Star in Diablo (1997) drain both mana and hit points when cast. Their spell icons are red to signify this.
There's a curse that forces this on characters from Diablo II. Very nasty for Squishy Wizards, who often have less hit points than mana. Specifically, the spell that does this causes one of two curses. If mana is greater than life, cast from HP curse shuts down the squishier players in short order. If life is greater than mana, however, it just causes a reduction to defense scores (the game's math is such that "defense" is rarely practical by the time this curse comes around, especially for the squishy ones). Since the effect is determined by the one creature it is cast on, rather than every creature in the effected area, teamwork tactics quickly reduce the threat this curse presents from "screwed" to "not good"
The Paladin skill Sacrifice in II does more damage than a regular attack at the cost of suffering 8% of the damage dealt.
High level Necromancers in Diablo III can upgrade their skills with Blood Runes, typically resulting in a spell which is more powerful than the basic version but drains a portion of the caster's life when used (though this can be offset with equipment that bestows Life on Hit).
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Psionics: The Next Stage in Human Evolution
With the exception of Biofeedback, using psitalents inflicts nonlethal damage on the user.
If an esper is out of power points, they can pay the difference in extra nonlethal damage to use their powers.
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 Psionics: The Next Stage in Human Evolution (Tabletop Game)
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In the not-so-renowned video game adaptation of Eragon, all characters have no MP whatsoever and use their HP to cast.Luckily, the "Magic" skill level of each can lower the amount of HP needed for magic.This renders healing spells slightly more useful (With low Magic skill they heal less than they cost) and is fundamental to avoid making the game Unwinnable once the player has to face, solo, a pair of bosses that are immune to everything except magic.
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Parnell's Super Soldier ability in Evolve. It grants him increased movement speed, firing rate, and jump height while decreasing reload time at the cost of some of his health.
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Substitute, which takes 1/4 of your maximum HP and turns it into a, well, substitute that takes the damage of the next attack, as well as block status. Depending on how much health your Pokémon has and the damage the enemy does, a Substitute can sometimes take two or three hits. This gives you lots of time to set up and/or wreak havoc. Come the 9th generation, the move Shed Tail has the user sacrifice half of their max HP to set a substitute, and then immediately switch out to another Pokémon of the trainer's choosing, effectively shielding the switch-in from damage.note And, if the user is Cyclizar, they may even offset the HP loss by virtue of the Regenerator ability, which recovers HP after switching out.
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 Pokémon Scarlet and Violet (Video Game)
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In Sorcery 101, sorcery can take a serious toll on the human body, leading many practitioners to die of a heart attack at a relatively young age. For that reason, many who learn it are already immortal, like vampires or "blood bonds" (which includes the series' protagonist).
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An unusual example of this is in the Dragonlance Adventures sourcebook for AD&D. The dragonlances come in two types: Footman's and Mounted. Against normal enemies they do regular damage, but against the a dragon — the dragonlance doesn't roll for damage, it instead uses the wielder's hitpoints as the base damage and then adds any bonus damage from the wielder's strength and the dragonlance's enchantment (Mounted Dragonlances are even more powerful — they add the hitpoints of wielder and mount, and only mounts as large as a dragon can use the lance). So if a character keeps getting hurt in a fight, the base damage of the lance goes down. This aspect of the dragonlance also shows up in the Gold Box versions.
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Titan Quest: The Spirit branch of the Tech Tree has the Dark Covenant skill which grants the hero temporary extra speed and mana regeneration but applies a Damage Over Time effect as long as the effect lasts, functionally making it cost HP to use, if there's not enough Regenerating Health to cancel it out.
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A few Shadow cards in Eternal Card Game require a payment of life, whether up-front or over time.
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Magic in The Dresden Files has everything it needs to be this. The attempt to gather and channel the necessary power for the spell can itself backfire and hurt the caster, especially if they're in a hurry, evocations always involve a mandatory hit to one's mental stress track (making it easy for a wizard to potentially knock him- or herself out with a few quick spells even if they all work as planned), one of the easier ways of adding power to a thaumaturgic ritual is to accept consequences reflecting mental or physical harm... Most of this is recoverable with time as long as the caster doesn't go overboard (simple mental stress doesn't even last from one scene to the next, for example), but it still serves as a major check on the power of magic in a game that, as per the source material, tends to focus rather a bit on it.
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In Dragon Ball the Mafuba/Evil Containment Wave was initially stated to be so taxing as to kill the user without fail, and indeed both Mutaito and Roshi die after they use it. If it actually always kills the user is somewhat unclear: in the anime Tien uses it against Drum (having aimed for Piccolo) and survivesnote Although it failed at the last second because Piccolo destroyed his jar, Roshi missing the jar didn't keep him from dying. Both the anime and manga have Kami using the wave on Piccolo Jr., which he survives even though Piccolo reversed it on him; he even stated beforehand that it provided a way to stop Piccolo without killing him, which would also kill himself. Both of these suggest that a significantly strong body could survive without long-term consequence, there just wasn't anyone known to be strong enough before then. Dragon Ball Super proves that strong enough people can use the technique without too much worry with the health. Master Roshi, Piccolo, Goku and Trunks manage to learn and use it well without too much worry, which makes sense given their astronomic power.
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Suikoden
Using the Rune of Punishment in Suikoden IV costs the user a chunk of HP. Until you fix it, anyway... At which point it heals the hero while doing damage to his enemies.
The Rune of Condemnation in Suikoden V, being the child rune of the Rune of Punishment, is just like that. It can heal too depending on which spell you use.
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In Beast Wars, Transformers have a fail-safe mode called "stasis lock" that forces them to shut down temporarily if low on power or heavily damaged. In the episode "Code of Hero", when Dinobot ends up having to stand against all of the Predacons by himself, he has to override this safety feature in order to keep fighting. Dinobot uses his last bit of energy to destroy the Golden Disk that contained a record of future events, costing Megatron one of his biggest advantages and saving the future of the human race.
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Fireborn had this as a potential side effect. It takes one(or a group) so much power to cast a spell to be built up. Depending on the situation, one can roll a lot of dice and hope to quickly cast it, or do so slowly and carefully. However, if you go over the needed number of successful rolls and charge up too much power, the excess physically damages you. Of course, one can eliminate this by learning ways to channel that overload into the spell, usually for enhanced range/duration/effect.
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Ragnarok Online:
The Paladin's Martyr's Reckoning skill sacrifices HP for damage.
The Scholar's Indulge skill exchanges HP for SP. In addition there's the Sorcerer's Spirit Cure, which uses your own HP/SP to recover your summoned spirit's HP/SP.
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In The Dawnhounds, weaving requires life energy going in to put magic out. That energy can come from an external source, but in a pinch can come from the weaver themselves. It has a tendency to go poorly.
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Strangely warped in Rune Factory. Nearly every action costs RP, but if you have none left, it will drain HP instead. The only thing you can't Cast from Hit Points is, well, actual magic.
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In Dungeon Fighter Online, the Berserker class literally uses his own blood as a weapon, to the point of dual wielding swords made from his own blood. All of his blood skills (understandably) use hit points instead of mana, and he gets buffs that allow him to drain health from enemies.
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 Dungeon Fighter Online (Video Game)
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Stars Without Number: psychics who use non-mastered powers after running out of points have a high risk of suffering Torching, which reduces either Wisdom or Constitution, determined randomly. Dropping Constitution too low will kill you; dropping Wisdom turns you into a deranged killing machine, and that you get to use powers for free is not much of a consolation prize.
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Final Fantasy Tactics has Worker 8. Worker 8, while being an Atheist (0 faith, the stat used when determining the effects of magic), can still do abilities without MP; it only takes some hit points. Also, the Squire ability "Wish" allows you to heal an adjacent ally by giving him some of your hit points (you actually give twice as much as you lose)
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The Life Leech from the Blood series normally uses trapped souls as ammunition; if you run out of those, it uses your HP as ammo instead. It's really a non-issue, considering it drains health from any enemy it hits and adds it to your own.
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Deadlands: The Weird West has the Whateley family's Blood Magic, which consumes both "Strain" and "Wind" (which would be "Subdual Damage" in other games) as the caster's tainted blood is consumed by dark forces. All without even breaking the skin!
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In Elona, a character's Mana Meter can go negative, which causes damage each time you go deeper into the negative, and causes more damage the further it goes negative. The Magic Capacity skill reduces how much damage is caused, a skill which can be learned from mage's guild, or you can start out with if your character class is mage or war mage. Additionally, the Elea character race has a racial perk which further reduces the damage in half.
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In the F-Zero series, this is how the Nitro Boost works in all entries from F-Zero X onward, with your ship's shield and said boost sharing the same energy bar, forcing the player balance their ability to survive hits from the environment and other racers with the need to boost their way into first place. This is the central mechanic of most F-Zero games, except for the first game and Maximum Velocity. Your vehicle has a Nitro Boost that propels it several hundred kilometers-per-hour faster than normal, but to use it you must consume Energy, which also serves as your health. Energy can also be reduced by colliding with opposing vehicles, and if your Energy runs out your vehicle explodes and you get a Game Over.
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 F-Zero (Video Game)
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Dominion powers in Anathema are cast from your "anathema", which is your health.
 Cast from Hit Points / int_d54c3294
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 Anathema (2011) (Tabletop Game)
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M.U.G.E.N: Team S.M.R.T's version of Homer Simpson has his "BEER RIOT mode", where he chugs an entire keg of Duff beer. It cuts off 50% of Homer's remaining hit points to make his attacks much stronger and gives them greater priority. In this mode Homer's strongest Hyper combos become available: Drunken Tornado, Touch of Death (which grants full immunity at the cost of having to be right on top of them), Road Roller D'oh!, and Shun "Homer" Satsu, aka "Raging Donut".
 Cast from Hit Points / int_d556dc75
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In the The Saga of Ryzom, you can customize your attack skills and spells to do this. It's considered an economical choice.
 Cast from Hit Points / int_d5ae73fe
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 Ryzom (Video Game)
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Gold Digger: The Renewing Breath technique is a wonderful and terrible variation: It requires a sacrifice to heal the mortally-wounded, but rather than cast from the life of the user, it takes the life of the one who taught the technique to the user.
 Cast from Hit Points / int_d5bdc32e
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In Monark, all Arts skills besides the basic attack cost a certain percentage of HP to use. This is in contrast to Authorities, which Cast from Sanity instead.
 Cast from Hit Points / int_d7053da1
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 Monark / Videogame
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In DOTA All-Stars and Dota 2, Huskar's Burning Spear ability is entirely Cast from Hit Points. Centaur Warrunner's Double Edge attack also consumes hitpoints rather than mana, but lorewise is considered a physical attack rather than a magical ability. Lord of Avernus (Abbadon)'s Death Coil skill and Phoenix (Icarus)'s Sun Ray costs both mana and hitpoints. There's also the Soul Ring item which allows any hero to expend hitpoints to provide a temporary boost to mana, which can then be used to cast spells; good for those strength heroes with lots of hp and small mana pools.
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The Spelljammer spell "Create Atmosphere" involves permanent hit point sacrifice from the caster. It makes a cubic mile/level of the air self-renewing for more than a year, after all.
 Cast from Hit Points / int_d930a4c7
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Trails Series
The first 3 arcs all feature certain Crafts that use HP to refill CP which, when enough is filled up, they can use a S-Craft/S-Break. In order, they are: Agate Crosner's Wild Rage, Randy Orlando's War Cry, and Gaius Worzel's Golden Howl.
Aaron Wei also has a Craft that decreases his HP, but unlike the above examples, it doesn't give him CP. Instead, it grants him other bonuses, such as Insight.
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In the Quest for Glory series, you have Health, Stamina, and Magic points. If magic is drained, you can't cast spells, no matter what. However, this trope applies to Stamina, which allows you to do anything more strenuous than day-to-day activities (like fighting, running, and so on): if Stamina runs out, you get the message that "You are so exhausted that everything you do hurts." Any subsequent use of Stamina will drain your health, and you can, in effect, exercise to death. If this happens in battle, however, you die (due to lacking sufficient energy to defend yourself).
 Cast from Hit Points / int_da73d677
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In Tsukihime, the Mystic Eyes of Death Perception cause brain damage, which is increasingly severe with every use. They're also quite taxing on the psyche. How drastic the damage is depends on what Shiki is trying to destroy, and merely severing alone lines does less still. The low ends of the scale is merely slicing or destroying a normally living creature. The farther end is potentially lethal and covers trying to kill objects, concepts, and properties, such as walls, the senses (theorized but never utilized), and the toxic factor in poison.
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In The Witcher: Game of Imagination, when mages cast spells beyond their current number of Arcane Points, the difference is taken from HP. Certain spells by default go beyond the limit of Arcane Points one can have, causing casters to faint or drop dead after or during the casting. They should be instead used by a group of mages supporting each other or around outside sources of magic energy.
 Cast from Hit Points / int_dd30f115
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 The Witcher: Game of Imagination (Tabletop Game)
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Cast from Hit Points / int_dd30f115
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Most games in the Atelier Series use this system, special attacks costing a percentage of a character's HP to use. The Updated Re-release of Atelier Rorona drops this in favor of a standard HP/MP pool.
 Cast from Hit Points / int_dd5934e0
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In Kingdom Hearts III, Sora's Rage Form has the Riskcharge command, which sacrifices half of his current health to increase his strength. It must be used three times to enable the form's Finishing Move.
 Cast from Hit Points / int_de8f1f24
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 Kingdom Hearts III (Video Game)
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This serves as one of the primary mechanics of Revita, where the main way to earn relics and get more powerful is to sacrifice your HP at mother statues or shops.
 Cast from Hit Points / int_df044ee6
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 Revita (Video Game)
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AFK: Serena's healing spells are fueled by her own energy, so the more she heals it weakens her.
 Cast from Hit Points / int_dfc5ad2f
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1.0
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The Sigil in Strife is the most powerful weapon in the entire game. Its ammo is your hitpoints of course, and it uses more when you upgrade it by finding the other pieces of it.
 Cast from Hit Points / int_e18ab4ea
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In the Inheritance Cycle, magic is cast by expending the caster's physical energy. It takes as much energy to do something magically as it would to do something physically. In addition, once an incantation has been uttered, the caster must commit to the spell, even if it kills them. Knowing your limits is very important for a spellcaster in this universe. Dragon riders have an advantage: a rider can borrow his dragon's hit points to cast spells. Dragons, needless to say, have lots. As of book 2, Eragon learns to cast spells by drawing energy from his environment, which kills the surrounding wildlife, but doesn't cause him any serious harm (it affects him emotionally, though). He also learns to invest his energy into gemstones, after which he can use it to power spells without exhausting himself. In book 3, yet another power source is introduced: magical stones that come from dragons and also serve as their Soul Jars. In Inheritance, it is mentioned that one rider essentially turned herself into a matter/energy explosion during the Fall, rendering Vroengard a radioactive wasteland and killing at least one of the Forsworn in an extreme example.
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Dragon Quest:
In Dragon Quest III, the double-edged sword is a weapon version of this before it became a skill to be used.
Dragon Quest IX: Gladiator's Signature Attack, Double-Edged Slash, does incredible damage... and 25% of it right back to the Gladiator. It's entirely possible (and likely) to kill yourself outright when using this, especially if combined with Tension and Double Up.
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Temtem:
Temtem without enough stamina to perform the chosen battle technique on a given turn will do this, suffering "overexertion" which results in a cost of 2 HP for every point of stamina overdrawn, as well as the inability to act on the following turn. Certain species may have traits that prevent self-KO via overexertion, or allow immediate action on the following turn despite overexertion.
The technique Madness Buff boosts some of the user's stats at the cost of its HP.
Scaravolt's Half-Full trait cuts its HP in half at the start of the battle, but also boosts most of its stats.
 Cast from Hit Points / int_e26a1053
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Cast from Hit Points
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Magic in Buffy the Vampire Slayer sometimes works this way, Depending on the Writer. Notable examples would be Willow teleporting Glory away in Blood Ties (which leaves her bleeding, with headaches for weeks afterwards) and the portal-opening spell in Get It Done (which she casts from the hit points of Kennedy and Anya, the two strongest beings in the room).
 Cast from Hit Points / int_e293455a
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1.0
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 Buffy the Vampire Slayer
hasFeature
Cast from Hit Points / int_e293455a
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Cast from Hit Points
 Cast from Hit Points / int_e2cb4c1
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Doctor Strange: In Jason Aaron's 2015 run, this is how the kind of magic that Doctor Strange uses works (and it's implied that's how all magic works now). Just as punching someone can hurt your hand, sorcerous attacks can badly mess up the sorcerer inside. It turns out that this damage can be transferred to others and Wong has been training an order of monks to do exactly this, without telling Steven.
 Cast from Hit Points / int_e2cb4c1
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The Magnificent Ms. Marvel: The Stormranger suit powers itself by converting portions of its own mass into energy. It does so extremely efficiently, meaning that it only needs to consume tiny bits of itself at once, but using a lot of energy — such as to fuel powerful attacks — will eventually corrode and consume its body. Kamala uses this to give the being an existential crisis during their second confrontation.
 Cast from Hit Points / int_e35d0b89
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Michael Jackson's Moonwalker has a bunch of special moves that come with the cost of draining your life bar, including throwing your hat as a boomerang and causing all the bad guys on the screen to get their groove on, after which they all drop dead. They don't drain health in the Arcade Game, only the console versions.
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Ms. Marvel (2014):
Kamala's powers, or at least her Healing Factor, come straight from her life force, so overusing them (like healing a potentially lethal wound and going on a rescue mission not long afterwards) leaves her ravenously hungry and so tired as if she skipped sleeping for days. When she embiggened her fists in a fight while already been mortally wounded, the strain of both (which was already preventing her from transforming her appearance into that of someone else) "pretty much uses up the very last little bit of my strength. I can't heal fast enough to get ahead of it. Whatever fuel my healing factor uses up is gone."
The Magnificent Ms. Marvel: The Stormranger suit powers itself by converting portions of its own mass into energy. It does so extremely efficiently, meaning that it only needs to consume tiny bits of itself at once, but using a lot of energy — such as to fuel powerful attacks — will eventually corrode and consume its body. Kamala uses this to give the being an existential crisis during their second confrontation.
 Cast from Hit Points / int_e4501142
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 Ms. Marvel (2014) / Comicbook
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Shakugan no Shana has this in Yuji. As a Torch, he's technically already dead, and, under ordinary circumstances, would inevitably be doomed to burn out and fade from existence. However, he's also a Mystes, and happens to have the artifact Reiji Maigo sealed within him, which replenishes his power of existence every midnight. As such, as long as he doesn't use up all of his existence in a day, he can lend his power to Shana, and, later, cast his own unrestricted spells, using his very existence.
 Cast from Hit Points / int_e4d1ce93
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GURPS allows casters to do this, though it's more difficult than using other energy sources, presumably because the pain makes it hard to concentrate. Usually, spells are powered with Fatigue Points (i.e. wizards get tired when they cast spells) or with enchanted "energy batteries" called powerstones. Once you burn through all your available FP (or earlier, if you choose), if you keep casting spells without resting, you start burning HP. Ordinarily, you can only use up hit points until you lose consciousness, at which point the energy drain stops (you don't die). The supplemental advantage "Word of Power" drains so much fatigue that it's guaranteed to drain life from a normal person. It will keep speaking itself even if the caster dies in mid sentence.
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Amea applies this by aversion of Required Secondary Powers — for instance, fire spells burn your hands. You can reduce the cost of spells by finding gloves.
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In ​Arknights​
Aak has two skills that do this: Type-γ Stimpack, which increases DEF and Max HP, and Durian-Flavored Stimpack, which increases ATK and ASPD. Activating either skill will result in a rapid loss of 500HP for his chosen ally, which can kill them​ if used at the wrong time, since there's no safety net in case their current health level is too low. Upgrading his skills only improves the buffs given and doesn't alleviate the HP loss.​
Warfarin's ​'Unstable Plasma'​​ ability increases the ATK stat of Warfarin and a random ally within range in exchange for scraping off 3% of their max HP per second. In total, each activation will result in a ding of 45% max HP, so for your own sanity's sake, do not put her together with an Ifrit specced for Scorched Earth, unless you have another Medic at the ready to hold both of their hands.
Several operators have skills that reduce their HP on use or on deployment. They are typically part of an archetype that benefits from or alleviates the demerits of being at low HP (e.g. Musha Guard or Dollkeeper Specialist) or has a talent to make use of the HP loss (e.g. Morgan).
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Ixtli, the Aztanli-specific Boons in Scion, have a number of abilities that grant extra Legend for physical sacrifices. The amount gained from bleeding another creature is half what you get for doing the same thing to yourself.
 Cast from Hit Points / int_e6758d93
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Both Godzilla and Spacegodzilla in The Bridge seem to be able to unleash most of their special attacks from an energy pool. Once that is expended however, they can resort to this trope to keep fighting; albeit at a cost. After dueling for hours they expended so much power that their last strike nearly killed both of them.
 Cast from Hit Points / int_e7a27429
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The central plot device in the Lamentations of the Flame Princess module Better than Any Man is a spell that is essentially Wish, as a first level spell. The main catch is that the caster dies when casting it. (The other catch is that casting it requires several assistants, and all of them must agree on what they're wishing for. If even one of them dissents, the spell fails and the caster died for nothing.)
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In Mega Man Battle Network 4 and 5, the use of a Dark Chip will allow Mega Man to perform a very powerful attack, at the cost of losing 1 hitpoint permanently for each Dark Chip he uses.
 Cast from Hit Points / int_e863cc41
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 Mega Man Battle Network (Video Game)
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Nuclear Throne:
Rebel's main ability is to create/summon allies at the cost of losing HP. The first ally costs 1 HP to spawn, but the second and onward all cost 2 HP. This cost is slightly mitigated by her secondary ability to recover a small amount of HP from entering portals.
If you run out of explosive ammo, the Blood Launcher and Cannon will use your health for ammo instead. Missing an attack with a Blood Hammer will take your HP as payment.
Skeleton's special fires a shot without using ammo, but it has a small chance of damaging you.
 Cast from Hit Points / int_e931907b
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Inverted in The Elder Scrolls II: Daggerfall. Your character has a chance of absorbing the magicka (mana) of the spell being slung at him and add it to his own reserves but, if you absorb much more magicka than you have capacity for, you die.
 Cast from Hit Points / int_ea91a4bf
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 The Elder Scrolls II: Daggerfall (Video Game)
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Epideromancers in the tabletop RPG Unknown Armies power all their magic by hurting themselves.
 Cast from Hit Points / int_eb4ec2c0
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Mages in Mage: The Awakening can burn some of their health for a quick boost in Mana. It also works the other way around, though this is easily the least efficient means of magical healing in the whole game. In the previous game, Mage: The Ascension, a substance called Quintessence makes casting spells easier. A mage that runs out of Quintessence can rip some from their own body, damaging it in the process.
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Chi manipulation in Saiyuki apparently works this way, at least in defensive uses. Hakkai exhausts himself to the point of fainting when he has to heal Gojyo after not having enough sleep, and it's mentioned outright that trying to do this when injured can kill him. He also gets weak after holding up a chi barrier for too long, trying to save the party from being buried alive in an underground room.
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In the Sword Art Online fanfic, Fairy Dance Of Death, modifying a magic spell with nibralth lowers the required skill level and splits the cost equally to the caster's HP and MP.[1] It's the only way Sasha can cast the spell needed to break the defenses of the 25th gateway boss, «Hrungnir the Impervious», leaving her with only a small fraction of health... and the undivided attention of a boss many levels higher than she is.
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 Sword Art Online
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In The Bartimaeus Trilogy, the most vital part to a Golem's functioning is a magical scroll inserted into the construct's mouth. The writing of said scroll drains the vitality out of the writer to be transferred into the golem, and writing more than one manuscript (at least in a short time) is likely to kill you. (Though since golems completely neutralize all demon magic in their vicinity and all of magicians' power is based on demon magic, one is often enough.)
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In Mahoromatic, Mahoro's most powerful weapon (usually manifesting as a plasma-like flame on her fist) is directly powered by her life force. Since her energy is running low to begin with, using it shortens her remaining lifespan dramatically. Mercilessly made explicit by the "Days until Mahoro stops functioning" counter that is shown after every episode. There will always be a significant drop in numbers whenever she uses it.
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Ars Magica: Leper magi can transmute their life energy into vis, a precious form of Mana, suffering a Wound and creating vis points proportional to the wound's severity. They can even kill themselves in this manner — the vis can be harvested from the body.
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In Assassin's Creed III: The Tyranny of King Washington DLC, Ratonhaketon gains several powerful animal abilities, but they drain his health quickly while active.
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In Revenge of the Sith, Darth Sidious does this during his battle with Mace Windu. Windu has him cornered and disarmed, as Anakin rushes in. Sidious attempts to seize on the distraction and electrocute Windu with Force Lightning. In order to overpower Windu's block, he even uses energy from his life force. But when Windu reflects the bolts of lightning back at him, the sapping from his life force intensifies until the grandfatherly-looking elder is left looking like a withered old man.
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Metroid series:
Super Metroid: Using the Shinespark drains your energy with the distance traveled. If you drop to 30 the shinespark is immediately interrupted.
Metroid Prime 3: Corruption:
The game does this for the use of the PED Suit's Hypermode feature. When Samus goes into it, she instantly utilizes one tank of energy to act as an "ammo magazine". She can gain back some of the lost energy by exiting Hypermode early, making it a surprisingly effective defense if you only turn it on when getting hit by a high-damage attack, as Samus is completely invulnerable during Hypermode (with the exception of the event on Phaaze where Hypermode is permanently activated at that point until the final boss is defeated). The used life points can also be stretched by using corrupted Hypermode effectively during heated battles; once corrupted Hypermode is entered, energy from the expended tank can no longer be reclaimed, but Samus will regenerate internal Phazon energy (HP) until the Auto Vent occurs whenever entering corrupted Hypermode.
The Grapple Voltage upgrade allows one to either feed energy from your Energy Tanks into objects or to do the opposite and drain energy from them to power them down. This also applies to certain enemies, like Phaz-Ings.
Metroid Dread: The Phantom Cloak will drain your energy (deactivating at 1HP) if you run out of Aeion using it.
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In Kingdom of Loathing, drinking a Jumbo Dr. Lucifer reduces the user to 1 HP, converting the rest of their HP into MP with a multiplier. Since Death Is a Slap on the Wrist, though, that may not be as bad as it seems. Additionally, if the item combined with a Pastamancer spell known as "Cannelloni Cocoon," which heals the user's full hit points for 20 MP, it wouldn't really matter how hard-hitting death was. Full hit points for a fraction of the magic you just regained.
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This is how the original Shuffle Alliance defeat Devil Gundam Form II in Mobile Fighter G Gundam, at the cost of their own lives. The main characters later learn the same technique, but manage to pull it off without dying, possibly by virtue of being much younger and healthier than their aging predecessors.
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Comes up late in the game in Indivisible, in two ways. Ajna's 11th-Hour Superpower drains her health bar to hurl herself at incredible velocities in any direction. Meanwhile, after even that, in her Battle in the Center of the Mind, Kala is not damaged by Ajna's attacks and has 108 health bars, but burns through those health bars to attack. The whole fight is just defending yourself until the end.
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Iari's Golemn spells in Summoner 2 use HP, and explosion knocks her out. If you've got the right gems equipped, it's virtually the only way to kill her late in the game, so make sure you have it if you take her into Survival in the Arena, or you'll be there forever.
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While after the first book of the Dragonlance series, magic functions by drawing power from the Moon Gods, before they are unsealed all magic is used with the caster's own energy, as shown whenever Raistlin uses too many consecutive spells and is left exhausted.
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Yu-Gi-Oh!:
There's a fair number of cards in the game that require paying Life Points to activate. This used to be a much bigger deal early on, but as the game's pace accelerated due to Power Creep players realized that the only Life Point that matters is the last one, thus paying LP is considered virtually costless unless your opponent has a monster with big stats that can beat over your field or there is a card on the field forcing you to pay up, such as Masquerade the Blazing Dragon. This is heavily exaggerated with the Dinomorphia archetype, a Dinosaur archetype that relies on Trap Cards that halve the user's LP to activate them and several Fusion Monsters who become more powerful the closer your LP is to 0.
Related is cards that send cards from your Deck as cost. Decking out is an alternate loss condition, so milling cards may seem detrimental at first glance since you don't necessarily want to run out. However, in the modern card game, many cards can do things from the Graveyard or have effects that trigger when sent to the Graveyard in a specific fashion, so oftentimes milling yourself on purpose is actually a benefit moreso than a detriment.
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In Not a Villain, the Game allows Specials which move points between attributes, allowing characters to cast from any attribute.
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Dragonvarld: Marcus learns the more powerful spells take energy from him enough to cause exhaustion after he uses several while fighting.
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In Paladin's Quest, all spells draw from HP. Casting a healing spell kills the caster and heals the rest of the party. The sequel game, Lennus II, uses the same system.
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In Dragon Ball Xenoverse, the "I'll turn you and your planet into space dust!" Z-Soul increases the power of Vegeta's Galick Gun in exchange for making it drain a portion of the user's health.
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Dark Age of Camelot has a hand-to-hand class called the Savage that can buff themselves with faster and more damaging hits at the cost of losing a percentage of their current health once the effect ends.
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The Gloom weapons dropped by Phantom Ganon in Tears of the Kingdom have some of the highest base weapon strengths in the game, but deal gloom damage to Link every four attacks. Hearts lost to gloom can be recovered on the surface, beneath lightroots, or by eating food made with Sundelions, but recovering HP and restoring Gloom damage are two different effects, meaning that extended use of the Gloom weapons will turn Link into a Glass Cannon.
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In Heroes Rise, the player has two separate meters for power and health, but can drain one to fill the other.
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Kingdom Hearts:
In Kingdom Hearts II, Axel "puts his whole being into an attack" and disintegrates on the spot. Luckily for him, this ends up reviving his original, human self in a later game.
In Birth by Sleep, one of Terra's unique attacks is "Sacrifice", which consumes HP — although never enough for you to KO yourself using it. The same technique is available to Riku in Dream Drop Distance.
The Oblivion keyblade in Re:coded has the Two-Edged Blade clock ability, which gives a huge boost to the power of physical attacks but damages Sora with every successful hit.
In Kingdom Hearts III, Sora's Rage Form has the Riskcharge command, which sacrifices half of his current health to increase his strength. It must be used three times to enable the form's Finishing Move.
Also in III, Donald goes full Cutscene Power to the Max and busts out Zettaflare, a borderline Wave-Motion Gun spell that one-shots Terra-Xehanort. He then collapses on the spot, unconscious and possibly near-dead, explaining why he doesn't use this more often.
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In Code Lyoko, there is a somewhat literal example: Aelita has the power to manipulate the environment of Lyoko, mainly creating new features, but using this power costs her half her life points.
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In Aidyn Chronicles: The First Mage on the Nintendo 64, magic is cast using stamina, which along with endurance and character level determine total Hit Points.
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Luna Nera: The energy needed for the Gender Bender spell which Antalia had cast on Valente took her youth, aging her by decades.
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YuYu Hakusho:
Yusuke Urameshi funnels his life energy into a last-ditch assault on at least one occasion, in the final phases of his fight with Suzaku of the Four Saint Beasts. The strain leaves him unconscious and on the verge of (another) death, and it takes Kuwabara channeling some of his own life energy into him to save him.
Kuwabara's energy blade is directly provided by his spirit energy, so when he runs out of it he'll remain vulnerable until a rest (as shown after his fight against Byakko). It's notably less costly with the ultimate form of the blade (Dimensional Sword), likely to make up for the great difficulty of pulling it off in the first place.
Kurama attempts a Heroic Sacrifice during the Dark Tournament using this trope. When he (just barely) survives, he discovers the magic fruit he's been using to temporarily become Yoko Kurama has been wearing off faster because Yoko Kurama's power is bleeding into his own.
While first using it caused severe burns on the arm he cast the attack with, Hiei's merging with the Dragon of the Darkness Flame causes him to pass out for several days.
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Aaron Wei also has a Craft that decreases his HP, but unlike the above examples, it doesn't give him CP. Instead, it grants him other bonuses, such as Insight.
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 The Legend of Heroes: Trails through Daybreak (Video Game)
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Micaiah's "Sacrifice" ability in Fire Emblem: Radiant Dawn worked the same way, where she gives up 1 HP for every 1 HP restored to her target (and could be used until the target was fully healed or Micaiah was at 1 HP). Most players consider its only uses to be level grinding (it grants XP to Micaiah, who can then be healed to give XP to the healer as well), particularly after she class changes and can use a proper staff, and the fact that it heals status conditions for free.
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Elohim Eternal: The Babel Code: The Divine Mageia, Wild Waste, costs 40% of the user's LP as well as 40 DP. The upgrade, All Consuming, costs the same percentage of LP, but costs 50 DP.
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City of Heroes has at least two powers like this; Oppressive Gloom, which keeps nearby enemies stunned while it's toggled on by draining a small amount of HP, and Energy Transfer, which was one of the most devastating single-target melee attacks in the game until it got nerfed. There's also the healing power "Absorb Pain" and later "Share Pain." The first is a Hero-only power that heals far more than any other healing power in the game. At the cost of a percent of the caster's health, and rendering them unable to recover HP in any way for several seconds. Share Pain is the Villain version of the power. It's almost identical to the Hero version in effect but rather than giving your health to the target, you take on their pain and getting a rush from it in the form of a boost to the damage you deal.
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Sailor Moon:
Usagi's Silver Crystal worked this way for dramatic tension; it's explicitly commented on in two movies, specifically her (temporary) death after using it while already exhausted in the first movie. It is also heavily implied in the backstory Queen Serenity died from strain of using it. In the anime, Usagi's ability to have the senshi safely boost her power may explain why its use decreases later in the series.
While the manga version seems more powerful and less dangerous to use, late in the manga, Sailor Moon's (temporarily) entire body disintegrated completely from its use. Then again she was technically using all the Sailor Crystals to defeat Chaos.
Played with in Pretty Guardian Sailor Moon, where the audience assumes this rule for why Usagi shouldn't use her crystal. We later find out the object is dangerously neutral in regards to reacting to Usagi's emotions, and Beryl rightfully points out Sailor Moon could end up killing everyone else.
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Amun-Ra in Heroes of Newerth has a piss-poor mana pool, but none of his abilities cost mana to use. Both of his active skills use a percentage of his HP to cast, and he gets bonus health regen on his passive. He makes up for it with his ultimate, which automatically revives him on death. This is the only ability that uses any mana, which revives him with less health if his mana percentage is too low.
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Some of the Fighting Fantasy books, especially the aptly named Sorcery! four-parter, have EVERY spell being cast at a cost of health.
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The Chronicles of Dorsa: Sorcerers' spells drain them of energy. After creating the illusionary army for Tasia, Evrart and his fellow Brothers of Culo are exhausted. He estimates it will be three days until another feat like that could be performed.
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Super Smash Bros.:
Pichu from Super Smash Bros. Melee is a Moveset Clone of Pikachu, except it's faster and takes damage from using its special attacks.
Both Roy and Ike have a chargeable special move (named Flare Blade and Eruption respectively), which, after unleashing the fully charged move, will deal 10% damage to themselves.
In the fourth game, Charizard sustains 5% damage to itself when using Flare Blitz. Charizard sustains an additional 5% if the move actually connects with an opponent.
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In The Greenhouse, demons normally can't be heard by anyone other than their host. They can get around this, though, by spending truly enormous amounts of energy. When Red does this after being severed from Mica, each sentence visibly reduces chunks of her body to tattered mist.
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The Wheel of Time (2021): Moiraine weakens herself by keeping the others and all of their horses fresh with the One Power, which Lan notes. Technically this is overexertion rather than a metaphysical trade of life for power, but the result is the same. It eventually makes her collapse and have to be treated.
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Metroid Prime 3: Corruption:
The game does this for the use of the PED Suit's Hypermode feature. When Samus goes into it, she instantly utilizes one tank of energy to act as an "ammo magazine". She can gain back some of the lost energy by exiting Hypermode early, making it a surprisingly effective defense if you only turn it on when getting hit by a high-damage attack, as Samus is completely invulnerable during Hypermode (with the exception of the event on Phaaze where Hypermode is permanently activated at that point until the final boss is defeated). The used life points can also be stretched by using corrupted Hypermode effectively during heated battles; once corrupted Hypermode is entered, energy from the expended tank can no longer be reclaimed, but Samus will regenerate internal Phazon energy (HP) until the Auto Vent occurs whenever entering corrupted Hypermode.
The Grapple Voltage upgrade allows one to either feed energy from your Energy Tanks into objects or to do the opposite and drain energy from them to power them down. This also applies to certain enemies, like Phaz-Ings.
 Cast from Hit Points / int_ff9ca30
featureApplicability
1.0
 Cast from Hit Points / int_ff9ca30
featureConfidence
1.0
 Metroid Prime 3: Corruption (Video Game)
hasFeature
Cast from Hit Points / int_ff9ca30

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type
Cast from Hit Points
 Bloodborne (Video Game) / int_51567188
type
Cast from Hit Points
 Bloody Roar (Video Game) / int_51567188
type
Cast from Hit Points
 Bombergirl (Video Game) / int_51567188
type
Cast from Hit Points
 Bonfire (Video Game) / int_51567188
type
Cast from Hit Points
 Bounty of One (Video Game) / int_51567188
type
Cast from Hit Points
 Bravely Default (Video Game) / int_51567188
type
Cast from Hit Points
 Bravely Default II (Video Game) / int_51567188
type
Cast from Hit Points
 Breath of Fire IV (Video Game) / int_51567188
type
Cast from Hit Points
 Briganty (Video Game) / int_51567188
type
Cast from Hit Points
 Bullet Witch (Video Game) / int_51567188
type
Cast from Hit Points
 Bunny Must Die (Video Game) / int_51567188
type
Cast from Hit Points
 Castle of the Winds (Video Game) / int_51567188
type
Cast from Hit Points
 Castlevania: Curse of Darkness (Video Game) / int_51567188
type
Cast from Hit Points
 Castlevania Fighter (Video Game) / int_51567188
type
Cast from Hit Points
 Castlevania: Harmony of Despair (Video Game) / int_51567188
type
Cast from Hit Points
 Castlevania: Order of Ecclesia (Video Game) / int_51567188
type
Cast from Hit Points
 Chains of Satinav (Video Game) / int_51567188
type
Cast from Hit Points
 Chibi-Robo! (Video Game) / int_51567188
type
Cast from Hit Points
 Claw (Video Game) / int_51567188
type
Cast from Hit Points
 Code Vein (Video Game) / int_51567188
type
Cast from Hit Points
 Comix Zone (Video Game) / int_51567188
type
Cast from Hit Points
 Command & Conquer: Red Alert 3 (Video Game) / int_51567188
type
Cast from Hit Points
 Complex Doom (Video Game) / int_51567188
type
Cast from Hit Points
 Copy Kitty (Video Game) / int_51567188
type
Cast from Hit Points
 Crash Fever (Video Game) / int_51567188
type
Cast from Hit Points
 Crisis Core (Video Game) / int_51567188
type
Cast from Hit Points
 Crypt of the NecroDancer (Video Game) / int_51567188
type
Cast from Hit Points
 Curious Expedition (Video Game) / int_51567188
type
Cast from Hit Points
 DNF Duel (Video Game) / int_51567188
type
Cast from Hit Points
 Darkest Dungeon II (Video Game) / int_51567188
type
Cast from Hit Points
 Dave the Diver (Video Game) / int_87f18568
type
Cast from Hit Points
 Dawncaster (Video Game) / int_51567188
type
Cast from Hit Points
 Death Palette (Video Game) / int_51567188
type
Cast from Hit Points
 Death Rally (Video Game) / int_51567188
type
Cast from Hit Points
 Death Stranding (Video Game) / int_51567188
type
Cast from Hit Points
 Deepwoken (Video Game) / int_51567188
type
Cast from Hit Points
 Defense of the Ancients (Video Game) / int_51567188
type
Cast from Hit Points
 Denjin Makai (Video Game) / int_51567188
type
Cast from Hit Points
 Devil Children (Video Game) / int_51567188
type
Cast from Hit Points
 Devil Survivor (Video Game) / int_51567188
type
Cast from Hit Points
 Diablo II (Video Game) / int_87f18568
type
Cast from Hit Points
 Dicey Dungeons (Video Game) / int_51567188
type
Cast from Hit Points
 Digimon Adventure (PSP) (Video Game) / int_51567188
type
Cast from Hit Points
 Discworld MUD (Video Game) / int_51567188
type
Cast from Hit Points
 Dofus (Video Game) / int_51567188
type
Cast from Hit Points
 Dokapon Kingdom (Video Game) / int_51567188
type
Cast from Hit Points
 Dota 2 (Video Game) / int_51567188
type
Cast from Hit Points
 Dragon Ball Online (Video Game) / int_51567188
type
Cast from Hit Points
 Dragon Ball: The Breakers (Video Game) / int_51567188
type
Cast from Hit Points
 Dragon Ball Z: Kakarot (Video Game) / int_51567188
type
Cast from Hit Points
 Dragon Ball Z: Legendary Super Warriors (Video Game) / int_51567188
type
Cast from Hit Points
 Dragon Quest III (Video Game) / int_51567188
type
Cast from Hit Points
 Dragon Ball Z: Budokai Tenkaichi (Video Game) / int_51567188
type
Cast from Hit Points
 Dragon's Dogma (Video Game) / int_51567188
type
Cast from Hit Points
 Dungeon Crawl (Video Game) / int_51567188
type
Cast from Hit Points
 Dungeons & Dragons: Chronicles of Mystara (Video Game) / int_51567188
type
Cast from Hit Points
 Dungeons & Dragons Online (Video Game) / int_51567188
type
Cast from Hit Points
 Dyson Sphere Program (Video Game) / int_51567188
type
Cast from Hit Points
 E.Y.E: Divine Cybermancy (Video Game) / int_87f18568
type
Cast from Hit Points
 Elona (Video Game) / int_51567188
type
Cast from Hit Points
 End of Nations (Video Game) / int_87f18568
type
Cast from Hit Points
 Eternal Card Game (Video Game) / int_51567188
type
Cast from Hit Points
 Etrian Odyssey (Video Game) / int_51567188
type
Cast from Hit Points
 Etrian Odyssey (Video Game) / int_51567188
type
Cast from Hit Points
 Etrian Odyssey IV: Legends of the Titan (Video Game) / int_51567188
type
Cast from Hit Points
 EverQuest (Video Game) / int_51567188
type
Cast from Hit Points
 Evolve (Video Game) / int_51567188
type
Cast from Hit Points
 FAST (Video Game) / int_51567188
type
Cast from Hit Points
 FTL: Faster Than Light Multiverse (Video Game) / int_51567188
type
Cast from Hit Points
 FTL: Faster Than Light Multiverse (Video Game) / int_87f18568
type
Cast from Hit Points
 F-Zero (Video Game) / int_51567188
type
Cast from Hit Points
 F-Zero (1990) (Video Game) / int_51567188
type
Cast from Hit Points
 F-Zero 99 (Video Game) / int_51567188
type
Cast from Hit Points
 Far Cry 3: Blood Dragon (Video Game) / int_51567188
type
Cast from Hit Points
 Fell Seal: Arbiter's Mark (Video Game) / int_51567188
type
Cast from Hit Points
 Final Fantasy Dimensions (Video Game) / int_51567188
type
Cast from Hit Points
 Final Fantasy IV (Video Game) / int_51567188
type
Cast from Hit Points
 Final Fantasy Tactics (Video Game) / int_51567188
type
Cast from Hit Points
 Final Fantasy Tactics A2 (Video Game) / int_51567188
type
Cast from Hit Points
 Final Fantasy: The 4 Heroes of Light (Video Game) / int_51567188
type
Cast from Hit Points
 Final Fantasy Type-0 (Video Game) / int_51567188
type
Cast from Hit Points
 Final Fantasy VII Rebirth (Video Game) / int_51567188
type
Cast from Hit Points
 Final Fantasy XV (Video Game) / int_51567188
type
Cast from Hit Points
 Final Fight (Video Game) / int_51567188
type
Cast from Hit Points
 Fire Emblem Gaiden (Video Game) / int_51567188
type
Cast from Hit Points
 Fire Emblem Warriors: Three Hopes (Video Game) / int_51567188
type
Cast from Hit Points
 Fist of the North Star: Ken's Rage (Video Game) / int_51567188
type
Cast from Hit Points
 Fossil Fighters (Video Game) / int_51567188
type
Cast from Hit Points
 Fraxy (Video Game) / int_51567188
type
Cast from Hit Points
 Freedroid RPG (Video Game) / int_51567188
type
Cast from Hit Points
 Fuga: Melodies of Steel 2 (Video Game) / int_51567188
type
Cast from Hit Points
 Galaga (Video Game) / int_51567188
type
Cast from Hit Points
 Ge.ne.sis (2009) (Video Game) / int_51567188
type
Cast from Hit Points
 Gekido (Video Game) / int_51567188
type
Cast from Hit Points
 Gemcraft (Video Game) / int_51567188
type
Cast from Hit Points
 GIGADEEP (Video Game) / int_51567188
type
Cast from Hit Points
 Glory of Heracles (Video Game) / int_51567188
type
Cast from Hit Points
 Glory of Heracles (DS) (Video Game) / int_51567188
type
Cast from Hit Points
 Grand Chase (Video Game) / int_51567188
type
Cast from Hit Points
 Grim Dawn (Video Game) / int_51567188
type
Cast from Hit Points
 Grimoire Shiritsu Grimoire Mahou Gakuen (Video Game) / int_51567188
type
Cast from Hit Points
 Guenevere (Video Game) / int_51567188
type
Cast from Hit Points
 Guild Wars (Video Game) / int_51567188
type
Cast from Hit Points
 Gundam Battle Assault 2 (Video Game) / int_51567188
type
Cast from Hit Points
 Gunfire Reborn (Video Game) / int_51567188
type
Cast from Hit Points
 HROT (Video Game) / int_51567188
type
Cast from Hit Points
 Hades (Video Game) / int_51567188
type
Cast from Hit Points
 Hellgate: London (Video Game) / int_51567188
type
Cast from Hit Points
 Heroes of the Lance (Video Game) / int_51567188
type
Cast from Hit Points
 Heroes of the Storm (Video Game) / int_87f18568
type
Cast from Hit Points
 Heroes Rise (Video Game) / int_51567188
type
Cast from Hit Points
 Heroes of Newerth (Video Game) / int_51567188
type
Cast from Hit Points
 Heroic Armies Marching (Video Game) / int_51567188
type
Cast from Hit Points
 Heroine's Quest (Video Game) / int_51567188
type
Cast from Hit Points
 Hours (2020) (Video Game) / int_51567188
type
Cast from Hit Points
 Hunter: The Reckoning (Video Game) / int_51567188
type
Cast from Hit Points
 IDOLA: Phantasy Star Saga (Video Game) / int_51567188
type
Cast from Hit Points
 I Miss the Sunrise (Video Game) / int_51567188
type
Cast from Hit Points
 I Was a Teenage Exocolonist (Video Game) / int_51567188
type
Cast from Hit Points
 Idle Skelly (Video Game) / int_51567188
type
Cast from Hit Points
 Iji (Video Game) / int_51567188
type
Cast from Hit Points
 Ill Will (Video Game) / int_51567188
type
Cast from Hit Points
 Indivisible (Video Game) / int_51567188
type
Cast from Hit Points
 Iron Harvest (Video Game) / int_51567188
type
Cast from Hit Points
 Jedi Knight: Jedi Academy (Video Game) / int_51567188
type
Cast from Hit Points
 Joe Dever's Lone Wolf (Video Game) / int_51567188
type
Cast from Hit Points
 Joy Mech Fight (Video Game) / int_51567188
type
Cast from Hit Points
 Kabuki Quantum Fighter (Video Game) / int_51567188
type
Cast from Hit Points
 Kingdom Hearts coded (Video Game) / int_51567188
type
Cast from Hit Points
 Kingdom Hearts III (Video Game) / int_51567188
type
Cast from Hit Points
 Kirby's Dream Course (Video Game) / int_51567188
type
Cast from Hit Points
 Knights of the Round (Video Game) / int_51567188
type
Cast from Hit Points
 Kunio-kun (Video Game) / int_51567188
type
Cast from Hit Points
 League of Legends (Video Game) / int_51567188
type
Cast from Hit Points
 Legends of Runeterra (Video Game) / int_87f18568
type
Cast from Hit Points
 Lennus II (Video Game) / int_51567188
type
Cast from Hit Points
 Lightning Returns: Final Fantasy XIII (Video Game) / int_51567188
type
Cast from Hit Points
 Lost Saga (Video Game) / int_51567188
type
Cast from Hit Points
 Love of Magic (Video Game) / int_51567188
type
Cast from Hit Points
 Lufia: The Legend Returns (Video Game) / int_51567188
type
Cast from Hit Points
 Luxaren Allure (Video Game) / int_51567188
type
Cast from Hit Points
 M.U.G.E.N (Video Game) / int_51567188
type
Cast from Hit Points
 Magical Battle Arena (Video Game) / int_51567188
type
Cast from Hit Points
 Mana Khemia: Alchemists of Al-Revis (Video Game) / int_51567188
type
Cast from Hit Points
 MapleStory (Video Game) / int_51567188
type
Cast from Hit Points
 Mario & Luigi: Paper Jam (Video Game) / int_51567188
type
Cast from Hit Points
 Marvel Puzzle Quest (Video Game) / int_51567188
type
Cast from Hit Points
 Marvel vs. Capcom (Video Game) / int_51567188
type
Cast from Hit Points
 McDonald's Treasure Land Adventure (Video Game) / int_51567188
type
Cast from Hit Points
 MechWarrior (Video Game) / int_51567188
type
Cast from Hit Points
 Medabots: Metabee and Rokusho (Video Game) / int_51567188
type
Cast from Hit Points
 Median XL (Video Game) / int_51567188
type
Cast from Hit Points
 Mega Man Battle Network (Video Game) / int_51567188
type
Cast from Hit Points
 Mega Man Unlimited (Video Game) / int_51567188
type
Cast from Hit Points
 Megami Tensei II (Video Game) / int_51567188
type
Cast from Hit Points
 Metroid Dread (Video Game) / int_51567188
type
Cast from Hit Points
 Metroid Prime 3: Corruption (Video Game) / int_51567188
type
Cast from Hit Points
 Metroid Prime Trilogy (Video Game) / int_87f18568
type
Cast from Hit Points
 Midnight Suns (Video Game) / int_51567188
type
Cast from Hit Points
 Million Knights Vermillion (Video Game) / int_51567188
type
Cast from Hit Points
 Mind Zero (Video Game) / int_51567188
type
Cast from Hit Points
 Mobile Suit Gundam Battle Operation 2 (Video Game) / int_87f18568
type
Cast from Hit Points
 Monster (Video Game) / int_51567188
type
Cast from Hit Points
 Monster Tale (Video Game) / int_51567188
type
Cast from Hit Points
 Mortal Kombat 9 (Video Game) / int_51567188
type
Cast from Hit Points
 Neon Abyss (Video Game) / int_51567188
type
Cast from Hit Points
 Nexus War (Video Game) / int_51567188
type
Cast from Hit Points
 Night of the Full Moon (Video Game) / int_51567188
type
Cast from Hit Points
 1942 (Video Game) / int_51567188
type
Cast from Hit Points
 Ninja Baseball Bat Man (Video Game) / int_51567188
type
Cast from Hit Points
 No Delivery (Video Game) / int_51567188
type
Cast from Hit Points
 Noita (Video Game) / int_51567188
type
Cast from Hit Points
 Nuclear Throne (Video Game) / int_51567188
type
Cast from Hit Points
 Odin Sphere (Video Game) / int_51567188
type
Cast from Hit Points
 Okage: Shadow King (Video Game) / int_51567188
type
Cast from Hit Points
 100% Orange Juice! (Video Game) / int_51567188
type
Cast from Hit Points
 Onechanbara (Video Game) / int_87f18568
type
Cast from Hit Points
 Oracle of Tao (Video Game) / int_51567188
type
Cast from Hit Points
 Orcs Must Die! (Video Game) / int_51567188
type
Cast from Hit Points
 Ori and the Will of the Wisps (Video Game) / int_51567188
type
Cast from Hit Points
 Paladin's Quest (Video Game) / int_87f18568
type
Cast from Hit Points
 Panzer Dragoon (Video Game) / int_51567188
type
Cast from Hit Points
 Parasite Eve 2 (Video Game) / int_51567188
type
Cast from Hit Points
 Path of Exile (Video Game) / int_51567188
type
Cast from Hit Points
 Path of the Midnight Sun (Video Game) / int_51567188
type
Cast from Hit Points
 Peglin (Video Game) / int_51567188
type
Cast from Hit Points
 Perimeter (Video Game) / int_51567188
type
Cast from Hit Points
 Persona 3 (Video Game) / int_51567188
type
Cast from Hit Points
 Persona 3 Reload (Video Game) / int_51567188
type
Cast from Hit Points
 Persona Q: Shadow of the Labyrinth (Video Game) / int_51567188
type
Cast from Hit Points
 Phantasy Calradia (Video Game) / int_51567188
type
Cast from Hit Points
 Phantasy Star II (Video Game) / int_51567188
type
Cast from Hit Points
 Phantasy Star Online (Video Game) / int_51567188
type
Cast from Hit Points
 Phantasy Star Zero (Video Game) / int_51567188
type
Cast from Hit Points
 Phantom Dust (Video Game) / int_51567188
type
Cast from Hit Points
 Phantom Rose (Video Game) / int_51567188
type
Cast from Hit Points
 Pillars of Eternity (Video Game) / int_51567188
type
Cast from Hit Points
 Pirates of the Caribbean Online (Video Game) / int_51567188
type
Cast from Hit Points
 Pokémon Diamond and Pearl (Video Game) / int_51567188
type
Cast from Hit Points
 Pokemon Emerald Kaizo (Video Game) / int_51567188
type
Cast from Hit Points
 Pokémon Masters (Video Game) / int_51567188
type
Cast from Hit Points
 Pokémon Unbound (Video Game) / int_51567188
type
Cast from Hit Points
 Pokémon X and Y (Video Game) / int_51567188
type
Cast from Hit Points
 Prince of Persia 2 (Video Game) / int_51567188
type
Cast from Hit Points
 Prince of Persia: Warrior Within (Video Game) / int_51567188
type
Cast from Hit Points
 Prop Hunt (Video Game) / int_51567188
type
Cast from Hit Points
 Psychic Force (Video Game) / int_51567188
type
Cast from Hit Points
 Puzzle & Dragons (Video Game) / int_51567188
type
Cast from Hit Points
 Quest for Glory (Video Game) / int_51567188
type
Cast from Hit Points
 Quest for Glory II (Video Game) / int_51567188
type
Cast from Hit Points
 RWBY: Arrowfell (Video Game) / int_51567188
type
Cast from Hit Points
 Rabi-Ribi (Video Game) / int_51567188
type
Cast from Hit Points
 Ragnarok Online (Video Game) / int_51567188
type
Cast from Hit Points
 Rally-X (Video Game) / int_51567188
type
Cast from Hit Points
 Red Resurrection (Video Game) / int_51567188
type
Cast from Hit Points
 Revita (Video Game) / int_51567188
type
Cast from Hit Points
 Rise of the East (Video Game) / int_51567188
type
Cast from Hit Points
 Risk of Rain (Video Game) / int_51567188
type
Cast from Hit Points
 Risk of Rain 2 (Video Game) / int_51567188
type
Cast from Hit Points
 Rune Factory (Video Game) / int_51567188
type
Cast from Hit Points
 Rune Factory 5 (Video Game) / int_51567188
type
Cast from Hit Points
 Rune Factory Frontier (Video Game) / int_51567188
type
Cast from Hit Points
 Rushing Beat (Video Game) / int_51567188
type
Cast from Hit Points
 Ryzom (Video Game) / int_51567188
type
Cast from Hit Points
 SYNTHETIK (Video Game) / int_51567188
type
Cast from Hit Points
 SaGa Frontier 2 (Video Game) / int_51567188
type
Cast from Hit Points
 Sailor Moon (1993) (Video Game) / int_51567188
type
Cast from Hit Points
 Scott Pilgrim vs. The World: The Game (Video Game) / int_51567188
type
Cast from Hit Points
 Second Wind (Video Game) / int_51567188
type
Cast from Hit Points
 Sega Heroes (Video Game) / int_51567188
type
Cast from Hit Points
 Sekiro: Shadows Die Twice (Video Game) / int_51567188
type
Cast from Hit Points
 Senran Kagura (Video Game) / int_51567188
type
Cast from Hit Points
 Seven Kingdoms (Video Game) / int_51567188
type
Cast from Hit Points
 Shadow of the Ninja (Video Game) / int_51567188
type
Cast from Hit Points
 Shin Megami Tensei Liberation: Dx2 (Video Game) / int_51567188
type
Cast from Hit Points
 Shin Megami Tensei: Strange Journey (Video Game) / int_51567188
type
Cast from Hit Points
 Silent Hill 2 (Video Game) / int_51567188
type
Cast from Hit Points
 Silent Hill 4 (Video Game) / int_51567188
type
Cast from Hit Points
 Skyforge (Video Game) / int_51567188
type
Cast from Hit Points
 Slay the Spire (Video Game) / int_51567188
type
Cast from Hit Points
 Socket (Video Game) / int_51567188
type
Cast from Hit Points
 Sonic Robo Blast 2 (Video Game) / int_51567188
type
Cast from Hit Points
 Sonic the Hedgehog 2 (Video Game) / int_51567188
type
Cast from Hit Points
 Spore (Video Game) / int_51567188
type
Cast from Hit Points
 Standstill Girl (Video Game) / int_51567188
type
Cast from Hit Points
 Star Control (Video Game) / int_87f18568
type
Cast from Hit Points
 StarCraft II: Nova Covert Ops (Video Game) / int_51567188
type
Cast from Hit Points
 Star Ocean: Till the End of Time (Video Game) / int_51567188
type
Cast from Hit Points
 Star Traders: Frontiers (Video Game) / int_51567188
type
Cast from Hit Points
 StarCraft (Video Game) / int_51567188
type
Cast from Hit Points
 Starfighter (Video Game) / int_51567188
type
Cast from Hit Points
 Stella Glow (Video Game) / int_51567188
type
Cast from Hit Points
 Streets of Rage (Video Game) / int_51567188
type
Cast from Hit Points
 Streets of Rogue (Video Game) / int_87f18568
type
Cast from Hit Points
 Strife (Video Game) / int_51567188
type
Cast from Hit Points
 Strife (Video Game) / int_87f18568
type
Cast from Hit Points
 SubSpace (Video Game) / int_51567188
type
Cast from Hit Points
 Summon Night Craft Sword Monogatari: Hajimari no Ishi (Video Game) / int_51567188
type
Cast from Hit Points
 Super Bomb Survival (Video Game) / int_51567188
type
Cast from Hit Points
 Super Lesbian Animal RPG (Video Game) / int_51567188
type
Cast from Hit Points
 Super Metroid (Video Game) / int_51567188
type
Cast from Hit Points
 Super Smash Bros. Melee (Video Game) / int_51567188
type
Cast from Hit Points
 Sword of the Berserk: Guts' Rage (Video Game) / int_51567188
type
Cast from Hit Points
 Tales of Arise (Video Game) / int_51567188
type
Cast from Hit Points
 Tales of Berseria (Video Game) / int_51567188
type
Cast from Hit Points
 Tales of Maj'Eyal (Video Game) / int_51567188
type
Cast from Hit Points
 Tales of Vesperia (Video Game) / int_51567188
type
Cast from Hit Points
 Teenage Mutant Ninja Turtles: Turtles in Time (Video Game) / int_51567188
type
Cast from Hit Points
 Tekken 8 (Video Game) / int_51567188
type
Cast from Hit Points
 Temtem (Video Game) / int_51567188
type
Cast from Hit Points
 Thaumcraft (Video Game) / int_51567188
type
Cast from Hit Points
 The Binding of Isaac (Video Game) / int_51567188
type
Cast from Hit Points
 The Crackpet Show (Video Game) / int_51567188
type
Cast from Hit Points
 The Crystal of Kings (Video Game) / int_51567188
type
Cast from Hit Points
 The Drop (Video Game) / int_51567188
type
Cast from Hit Points
 The Elder Scrolls Online (Video Game) / int_51567188
type
Cast from Hit Points
 THE iDOLM@STER: Cinderella Girls (Video Game) / int_51567188
type
Cast from Hit Points
 The Immortal (1990) (Video Game) / int_51567188
type
Cast from Hit Points
 The Incredible Hulk: Ultimate Destruction (Video Game) / int_51567188
type
Cast from Hit Points
 The Last Spell (Video Game) / int_51567188
type
Cast from Hit Points
 The Lord of the Rings Online (Video Game) / int_51567188
type
Cast from Hit Points
 The Magic Circle (Video Game) / int_87f18568
type
Cast from Hit Points
 The Millionaire of 3 Kingdoms (Video Game) / int_51567188
type
Cast from Hit Points
 The Punisher (Capcom) (Video Game) / int_51567188
type
Cast from Hit Points
 The Secret World (Video Game) / int_51567188
type
Cast from Hit Points
 The Tower of Druaga (Video Game) / int_51567188
type
Cast from Hit Points
 There Came an Echo (Video Game) / int_51567188
type
Cast from Hit Points
 Thexder (Video Game) / int_51567188
type
Cast from Hit Points
 30XX (Video Game) / int_51567188
type
Cast from Hit Points
 Tiny Tina's Wonderlands (Video Game) / int_87f18568
type
Cast from Hit Points
 Titenic (Video Game) / int_51567188
type
Cast from Hit Points
 Touhou Gouyoku Ibun ~ Suibotsushita Chinshuu Jigoku (Video Game) / int_87f18568
type
Cast from Hit Points
 Touhou Gouyoku Ibun ~ Sunken Fossil World (Video Game) / int_87f18568
type
Cast from Hit Points
 Tower of Fantasy (Video Game) / int_51567188
type
Cast from Hit Points
 Trails Series (Video Game) / int_51567188
type
Cast from Hit Points
 Trine (Video Game) / int_51567188
type
Cast from Hit Points
 Under Night In-Birth (Video Game) / int_51567188
type
Cast from Hit Points
 Undertale 2: Revenge of the Robots (Video Game) / int_51567188
type
Cast from Hit Points
 Unlight (Video Game) / int_51567188
type
Cast from Hit Points
 Urbanoids (Video Game) / int_51567188
type
Cast from Hit Points
 Vagrant Story (Video Game) / int_51567188
type
Cast from Hit Points
 VOCALOID no Natsuyasumi -Final 4 Days- (Video Game) / int_51567188
type
Cast from Hit Points
 Way of the Warrior (Video Game) / int_51567188
type
Cast from Hit Points
 Weird and Unfortunate Things Are Happening (Video Game) / int_51567188
type
Cast from Hit Points
 Wipeout (Video Game) / int_51567188
type
Cast from Hit Points
 Wizard101 (Video Game) / int_51567188
type
Cast from Hit Points
 Wizardry (Video Game) / int_51567188
type
Cast from Hit Points
 World of Horror (Video Game) / int_51567188
type
Cast from Hit Points
 World of Tanks (Video Game) / int_51567188
type
Cast from Hit Points
 Wynncraft (Video Game) / int_51567188
type
Cast from Hit Points
 XCOM 2 (Video Game) / int_87f18568
type
Cast from Hit Points
 X-Men (1992) (Video Game) / int_51567188
type
Cast from Hit Points
 Xander The Monster Morpher (Video Game) / int_51567188
type
Cast from Hit Points
 Xenoblade (Video Game) / int_51567188
type
Cast from Hit Points
 Xenoblade Chronicles 1 (Video Game) / int_51567188
type
Cast from Hit Points
 Yohane the Parhelion -BLAZE in the DEEPBLUE- (Video Game) / int_51567188
type
Cast from Hit Points
 Yu-Gi-Oh! Duel Links (Video Game) / int_51567188
type
Cast from Hit Points
 Yu-Gi-Oh! Reshef of Destruction (Video Game) / int_51567188
type
Cast from Hit Points
 ZanZarah: The Hidden Portal (Video Game) / int_87f18568
type
Cast from Hit Points
 Zero Team (Video Game) / int_51567188
type
Cast from Hit Points
 PaladinsQuest
seeAlso
Cast from Hit Points
 Ancient Domains of Mystery / Videogame / int_51567188
type
Cast from Hit Points
 Archon (Video Game) / int_51567188
type
Cast from Hit Points
 Clive Barker's Jericho (Video Game) / int_87f18568
type
Cast from Hit Points
 Eden's Last Sunrise / Videogame / int_51567188
type
Cast from Hit Points
 Lost Planet / Videogame / int_87f18568
type
Cast from Hit Points
 Monark / Videogame / int_51567188
type
Cast from Hit Points
 Nightmare Reaper (Video Game) / int_51567188
type
Cast from Hit Points
 [PROTOTYPE] / Videogame / int_51567188
type
Cast from Hit Points
 Rune Factory 3 (Video Game) / int_51567188
type
Cast from Hit Points
 Shadowrun Returns / Videogame / int_51567188
type
Cast from Hit Points
 The Krion Conquest (Video Game) / int_51567188
type
Cast from Hit Points
 Full Metal Daemon Muramasa (Visual Novel) / int_51567188
type
Cast from Hit Points
 Princess Waltz (Visual Novel) / int_51567188
type
Cast from Hit Points
 Rewrite (Visual Novel) / int_51567188
type
Cast from Hit Points
 Soranica Ele (Visual Novel) / int_51567188
type
Cast from Hit Points
 Summer Pockets (Visual Novel) / int_51567188
type
Cast from Hit Points
 The Sanity Circus (Webcomic) / int_51567188
type
Cast from Hit Points
 Adventure Is Nigh (Web Video) / int_51567188
type
Cast from Hit Points
 Aventures (Web Video) / int_51567188
type
Cast from Hit Points
 Critical Role (Web Video) / int_51567188
type
Cast from Hit Points
 Koibu (Web Video) / int_21b741a8
type
Cast from Hit Points
 Masako X - Dragon Ball What-If (Web Video) / int_51567188
type
Cast from Hit Points
 Perpetual Players (Web Video) / int_51567188
type
Cast from Hit Points
 Suburban Knights (Web Video) / int_87f18568
type
Cast from Hit Points
 Unicorn Of War Winx Club Rewrite Series (Web Video) / int_51567188
type
Cast from Hit Points
 City of Trees (Webcomic) / int_87f18568
type
Cast from Hit Points
 Collar 6 (Webcomic) / int_51567188
type
Cast from Hit Points
 Everyone Is Home (Webcomic) / int_51567188
type
Cast from Hit Points
 Head Trip (Webcomic) / int_51567188
type
Cast from Hit Points
 Lint (Webcomic) / int_51567188
type
Cast from Hit Points
 Love Me To Death (Webcomic) / int_51567188
type
Cast from Hit Points
 MoringMark - TOH Comics (Webcomic) / int_51567188
type
Cast from Hit Points
 Roommates (Webcomic) / int_87f18568
type
Cast from Hit Points
 6 Gun Mage (Webcomic) / int_87f18568
type
Cast from Hit Points
 The Greenhouse (Webcomic) / int_51567188
type
Cast from Hit Points
 The Silver Eye (Webcomic) / int_51567188
type
Cast from Hit Points
 The Sorcerer's Apprentice (Webcomic) / int_51567188
type
Cast from Hit Points
 This Is the Worst Idea You've Ever Had! (Webcomic) / int_87f18568
type
Cast from Hit Points
 TwoKinds (Webcomic) / int_51567188
type
Cast from Hit Points
 Mortasheen (Website) / int_51567188
type
Cast from Hit Points
 Amphibia / int_51567188
type
Cast from Hit Points
 Challenge of the GoBots / int_51567188
type
Cast from Hit Points
 Code Lyoko / int_51567188
type
Cast from Hit Points
 Elena of Avalor / int_51567188
type
Cast from Hit Points
 Gargoyles / int_51567188
type
Cast from Hit Points
 Storm Hawks / int_51567188
type
Cast from Hit Points
 The Real Ghostbusters / int_51567188
type
Cast from Hit Points
 The Transformers / int_51567188
type
Cast from Hit Points
 Alexander Otsuka (Wrestling) / int_51567188
type
Cast from Hit Points
 Darby Allin (Wrestling) / int_51567188
type
Cast from Hit Points
 Evan Bourne (Wrestling) / int_51567188
type
Cast from Hit Points
 John Morrison (Wrestling) / int_51567188
type
Cast from Hit Points
 Justin Gabriel (Wrestling) / int_51567188
type
Cast from Hit Points
 Katsuyori Shibata (Wrestling) / int_51567188
type
Cast from Hit Points
 Gundam Build Fighters Try / int_51567188
type
Cast from Hit Points
 Arrangements / Fan Fic / int_51567188
type
Cast from Hit Points
 Trinton Chronicles / int_51567188
type
Cast from Hit Points
 castfromhitpoints
sameAs
Cast from Hit Points
 Natsume's Book of Friends (Manga) / int_51567188
type
Cast from Hit Points
 Pokemon Tabletop Adventures (Tabletop Game) / int_51567188
type
Cast from Hit Points
 Fight'N Rage (Video Game) / int_51567188
type
Cast from Hit Points
 The Reconstruction / Videogame / int_51567188
type
Cast from Hit Points
 Universe at War (Video Game) / int_51567188
type
Cast from Hit Points
 White Knight Chronicles (Video Game) / int_51567188
type
Cast from Hit Points
 Wild ARMs 5 (Video Game) / int_51567188
type
Cast from Hit Points
 Charlie the Unicorn (Web Animation) / int_51567188
type
Cast from Hit Points