A natural 20 on the d20 for a Death Saving Throw restores 1 Hit Point under D&D 2024. Your next DnD Dynamic Sheet update should therefore involve checking the recovered HP, rather than only recording another successful save.
The special result depends on what the die shows. A total of 20 obtained another way is not a natural 20 for that reason. Nor does rolling twenty restore twenty Hit Points.
Reconstruct the change first
In this original example, a character has a maximum of 24 HP and is currently at 0. They have recorded one successful and one failed Death Saving Throw. At the start of their turn, they make the save and the d20 shows 20.
The special rule restores 1 HP, changing the record from 0/24 to 1/24. The official 2024 Basic Rules also reset both death-save success and failure counts when any HP is regained or the character becomes Stable. This case involves regaining HP, so reflect that when reviewing the records you keep at the table.
It does not increase the maximum to 25, grant Temporary Hit Points or revive a character who has already died. The example starts with a character at zero making a valid Death Saving Throw.
Update the records you actually use
The DnD Dynamic Sheet public brief documents HP, notes, turn actions and custom counters. We do not assume that one roll triggers every related update automatically.
One possible table procedure is:
- Confirm that this was a Death Saving Throw and the d20 itself showed 20.
- Adjust current HP for the recovered point while preserving the maximum.
- Review and reset the death-save successes and failures you are tracking.
- If keeping an event note, name the cause: “natural 20 on Death Saving Throw; regain 1 HP”.
You need not create another counter if you already track the information elsewhere. If using your own note or counter, treat the review as manual unless your version documents otherwise.
Getting up is a separate decision
Dropping to zero imposes the Unconscious condition, which ends on regaining HP; becoming Unconscious also leaves the character Prone. Recovering a point does not itself mean standing up. Check conditions and movement with the table before narrating the character running or returning to an earlier position.
This avoids an incomplete update: changing HP and then resolving the relevant conditions and actions are related but distinct steps.
Review the turn and rest demonstrations to decide whether the Windows character sheet suits your play. The beta is available to purchase, with final pricing at checkout. The tool organizes the character while the table continues to read the applicable rule.