Hit Dice in 5e seem underutilized as a resource. I have no idea if this is intentional design, but here are some other possibilities.
- To power class abilities.
- Berserker barbarians' Frenzy ability could burn HD instead of causing exhaustion.
- A paladin's lay on hands ability could let them spend HD on another's behalf. That seems a little more sacrificial to me, and is swingier that picking an exact number of HP.
- Probably some sorcerer abilities, but who cares.
- Maybe a warlock invocation that lets you burn HD into spell slots. Seems like an appropriate risky sacrifice for power for that class.
- Magic item fuel. I did this once already.
- You could make attunement to an item in general require investing a HD in it, if you wanted to reduce magic item use a bit.
- Healing potions that let you spend hit dice would scale automatically to the character using them, based on HD size and Con modifier.
- Ring of X-Ray vision could eat HD instead of inflicting exhaustion.
- Instead of reducing max HP, damage caused by certain undead could also use up a hit die. They come back on their own at a long rest already, so no special rules needed on the monster. If the undead can create spawn, they do so by killing a creature with no HD remaining.
- Potions that restore HD.
- Diseases could eat away at HD.
- Spells that allow HD to be used, like 4e healing surges. Healing Word seems like an interesting candidate.
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