Specifics: The character gains 20 hit points. This feat may be taken multiple times, up to a maximum of 200 hit points.
- Requires Hordes of the Underdark.
- Given the choice between this feat and great constitution, the latter is usually the better choice. Taking epic toughness twice grants 40 hit points (regardless of level), while taking great constitution twice grants (indirectly) a +1 bonus to fortitude saving throws and concentration, in addition to (at level 40) granting 40 hit points.