Splatbook*

Damage from hazards

If a hazard (improvised or prepared) deals damage, ask yourself what it could likely do to a normal person.

worst outcome die
Bruises & scrapes, pain, light burns d4
Nasty flesh wounds, bruises, burns d6
Broken bones, bad burns, debilitating pain d8
Death or dismemberment d10

Then, assign effects to the hazard according to its capabilities (choose all that apply):

if... effect
... armor can't protect against it ignores armor
... it slices through leather/hide 1 piercing, messy
... it can tear metal apart 3 piercing, messy
... it knocks them down or around forceful
... it's big/vicious/scary +2 damage
... the PCs have taken precautions disadvantage
... it catches them off-guard advantage

Apply disadvantage to the damage roll if the PCs knew (or suspected) about the hazard and proactively did something to protect themselves. For example, if the hazard is a poisonous gas and they cover their faces and mouths with damp cloth before entering it, impose disadvantage on the damage roll. By contrast, if the hazard catches them flat-footed, hurting them even before they realize it's there, then apply advantage to the damage roll.

[!quote] Certain death If a hazard (or other source of harm) would definitely, absolutely kill a normal person, then it shouldn't deal damage to the PCs—it should immediately reduce them to 0 HP and trigger the Death's Door move. If they survive, then that means they caught a break. You can and should still hurt them, badly.

Telegraph this sort of hazard very clearly. "If you fall, I'll probably give you one chance to catch yourself. But if that fails, it's a 60-foot drop onto jagged rocks and shallow water. You won't be taking HP damage, you'll be rolling Death's Door. You sure you want to do this?"