Player

Character Name

Race and Class

Level

Ability Scores
Racial
Bonus

Base

Gender

Alignment

Reactions

Hit Points

Modifier

(Add Level when

making Ability Checks)

Deity

Max HP

Initiative ( Level + Dex + Feat)

Bloodied
hp

Strength

Current Hit Points

Speed

Healing Surge
hp

Constitution

Surges/day
Dexterity

(Base + Armor + Misc)

Special Movement

Passive Insight

Surges Used
Second Wind

Intelligence

Passive Perception

Death Saving Throws

Vision Type

Conditions

Wisdom

Action Points

Immunities, Resistances, etc.

Action Point Effects

Charisma
Defense Bonus
vs. Opportunity
Attacks

Defenses
Armor Class
Temporary Effects

Fortitude

+
Ten +
Level

+
Armor
+ Shield

Str
or Con

Dex
or Int

Ten +
Level

Will

Ten +
Level

Conditional Bonuses

Basic Attacks

+
Wis
or Cha

Melee Weapon

To Hit

Level
+ Strength

+
Profic

Misc

Damage

Feat/
Enhancement

(Str)

Bluff

(Cha)

Diplomacy

(Cha)

Dungeoneering

(Wis)

Endurance

(Con)

History

Feat/
Enhancement

(Int)

Heal

Feat/
Misc
Enhancement (Shield,
if app.)

+
Class

Misc

Misc

(Weapon + Str + Misc)

Skill Modifiers, Notes, etc.

(Dex)

Athletics

Use these numbers to help calculate your At-Will Powers

=
Effects & Bonuses vs.

Level Armor
Bonus + Ability Penalty Racial

Arcana

Misc

Feat/
Enhancement

+
Class

+
Class

Conditional Bonuses

Dex or
Feat/
Int (if app.) Enhancement

Reflex

Trained

Acrobatics

Ten +
Level

Conditional Bonuses

Skills

(Wis)
(Int)

Insight

(Wis)

Intimidate

(Cha)

Nature

(Wis)

Perception

(Wis)

Religion

(Int)

Stealth

(Dex)

Streetwise

(Cha)

Thievery

(Dex)
Trained Skills recieve +5 to bonus

=
Effects & Bonuses vs.

Ranged Weapon

To Hit

Level
+ Dexterity

+
Profic

Damage

Feat/
Enhancement

Misc

Class Features
=

Effects & Bonuses vs.

To Hit

/
Other Combat Modifiers
Opportunity
Attacks
Combat Notes

Size

(Weapon + Dex + Misc)

Range

Misc Weapon

Proficiencies

Race Features

Level
+ Ability

+
Profic

Damage

+
Feat/
Enhancement

(Weapon + Ability + Misc)

Range
Combat
Advantage

Misc

Other Notes

Misc

design and layout by Kirin Robinson (kirin@lazyfuturist.com)

Equipped Items

Personal Information
Used
Height

Head
Used

Weight

Adventuring Company or Other Affiliation

Age

Hometown, City, or Tribe

Notes or Artwork

Used

Neck
Hands
Used

Used
Arms (uses Shield Slot)

Armor or Clothing

Used
Used

Left Ring
Used

Waist
Right Ring
Used
Weapon

Used
Shield or Off-hand Weapon

Used
Ranged Weapon

Used
Alternate Weapon

Languages

Feats

Used
Feet

Other Equipment
Clothing

Pack, Satchel or Bag

Carrying Capacity

Treasure

Normal

Total Weight
Base
Strength x 10

No Penalty

Base
Strength x 20

Requires both Hands

Base
Strength x 50

Can Only Drag or Push

Heavy
Maximum

Experience Points

Paragon Path

Epic Destiny
Next Level:

Coinage

Number of Powers

At-Will

Encounter

At-Will

Per
Encounter

Ritual Book
Ritual Name, Page Number, and Cost

Daily

Card Folder

Utility

Daily

Utility

Pages
Used

At-Will Power

At-Will Power

Name

Name

Standard
Move
Minor

Standard
Move

Power Source & Attack Type

Minor

Target & Range

Power Source & Attack Type

Target & Range

vs.

vs.
Defense

Defense

To Hit

Effects

To Hit

Effects

Damage

At-Will Power

At-Will Power

Name

Name

Standard
Move
Minor

Damage

Standard
Move

Power Source & Attack Type

Minor

Target & Range

Power Source & Attack Type

Target & Range

vs.

vs.
Defense

Defense

To Hit

Effects

Damage

At-Will Power
Name

Minor

Power Source & Attack Type

At-Will Power

Move
Minor

Power Source & Attack Type

Free

Personal

Effects

Damage

Standard

Free

Trigger

Effects

Name

Standard
Move

To Hit

Personal
Trigger Condition

Trigger

Effects

Trigger Condition

Encounter Power

Encounter Power

Name

Name

Standard
Move
Minor

Standard
Move

Power Source & Attack Type

Minor

Target & Range

Power Source & Attack Type

Target & Range

vs.

vs.
Defense

Defense

To Hit

Effects

To Hit

Effects

Damage

Encounter Power

Encounter Power

Name

Name

Standard
Move
Minor

Damage

Standard
Move

Power Source & Attack Type

Minor

Target & Range

Power Source & Attack Type

Target & Range

vs.

vs.
Defense

Defense

To Hit

Effects

Damage

Encounter Power
Name

Minor

Power Source & Attack Type

Encounter Power

Move
Minor

Power Source & Attack Type

Free

Personal

Effects

Damage

Standard

Free

Trigger

Effects

Name

Standard
Move

To Hit

Personal
Trigger Condition

Trigger

Effects

Trigger Condition

Daily Power

Daily Power

Name

Name

Standard
Move
Minor

Standard
Move

Power Source & Attack Type

Minor

Target & Range

Power Source & Attack Type

Target & Range

vs.

vs.
Defense

Defense

To Hit

Effects

To Hit

Effects

Damage

Daily Power

Daily Power

Name

Name

Standard
Move
Minor

Damage

Standard
Move

Power Source & Attack Type

Minor

Target & Range

Power Source & Attack Type

Target & Range

vs.

vs.
Defense

Defense

To Hit

Effects

Damage

Daily Power
Name

Minor

Power Source & Attack Type

Daily Power

Move
Minor

Power Source & Attack Type

Free

Personal

Effects

Damage

Standard

Free

Trigger

Effects

Name

Standard
Move

To Hit

Personal
Trigger Condition

Trigger

Effects

Trigger Condition