Makes you lose a heart once you die. If you die while you have 1 heart, then you will be eliminated forever.
When you die you lose one heart, no matter your max health. Dying with 1 heart will eleminate you, making a global sound and sending your death coordinates to the chat. That is basically it.
This works with anything to sets your MAX health! So you'd have to die 20 times if you would have 20 hearts. Updates in real time too.
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