A while ago, I decided that I want to play a character with PTSD. Unfortunately, published D&D offers little in the way of mechanics for this beyond the infamous Madness table, so I sat down and made a simple d6 table myself. And because I figured this might be useful to someone else, Iām now sharing it with yāall.
Disclaimer: These reactions are not exhaustive nor universal, and might not fit every character with PTSD. I specifically drew on PTSD seen in war veterans for this. If your character went through some other traumatic event, they may only display some of these reactions.
How to use: I personally use a Wisdom saving throw that can be repeated at the end of the characterās turn for this, but Intelligence or Charisma would work just as well. Also, I recommend creating a list of triggers sorted by severity to inform the DC of the saving throw to use in conjunction with this. If the player explains a coping mechanism the character has learned, or the character has in-game aid by an ally, you could award advantage on this saving throw. Itās really up to DM and player discretion.
Anyway, without much further ado, the table in question (click here to view on Homebrewery):
[ID: A random rolling table for D&D 5e, titled āPTSD Effects Tableā. The table has three columns: ād6ā³, āreactionā, and āeffectā.
1. Grief: Crushing grief overwhelms you as you relive painful memories. You are incapacitated.
2: Fear. You are overcome by fear. You must use your full movement to flee from the source of your trigger. You have disadvantage on attack rolls, but advantage on ability checks using Strength, Dexterity, or Constitution.Ā
3: Rage. Rage fuels your attacks. You have advantage on melee weapon attack rolls, but because you neglect your defense, enemies have advantage on all attack rolls against you.Ā
4: Tunnel Vision. You zero in on a specific task or goal, ignoring all other events around you. You have disadvantage on ability checks and saving throws using Intelligence, Wisdom or Charisma, but gain advantage on Strength, Dexterity, and Constitution ability checks related to your goal.Ā
5: Paranoia. Worry about hidden threats makes you anxious. You have disadvantage on all ability checks as you become jittery, but advantage on Perception checks used to detect threats.Ā
6: Confusion. You have difficulty telling friend from foe as hallucinations haunt you. You must use your turn to attack the nearest creature to you.
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