Heart attack

"And now the true test: hold fast or expire.Narration deathsdoor4.ogg"

- The Narrator on a hero at Death's Door

When a hero is driven beyond their limits of stress, they will suffer a heart attack. This can spell a quick death for those who mismanage their party's stress levels.

Effects
Heart attacks are guaranteed to occur if your hero reaches the maximum value of 200 on their Stress Bar while Afflicted, or if they somehow reach 200 stress without an Affliction check. Heart attacks immediately drop a hero's health down to 0, placing that hero on Death's Door and reduce their stress to 170. If they are already at 0 health when the heart attack occurs, the heart attack will kill the hero instead, disregarding Death Blow resistance. If your hero is currently Virtuous, they will not suffer a Heart attack, and instead lose the Virtue and reset to 0 Stress. If a hero is brought back from Death's Door after suffering a heart attack, in addition to the Death's Door Recovery debuff, they will receive a Heart Attack debuff for the rest of the quest:
 * -3 ACC, -10% DMG, -2 SPD, -15% Stress

Barks
Heroes suffering a Heart Attack emit a unique bark right before it occurs. There is one different bark for each Affliction, in addition to one general bark that any Afflicted hero may use. "IT IS UNBEARABLE!"

- An afflicted hero moments before suffering a heart attack.

"THE SHADOWS COME FOR ME AT LAST!"

- A fearful hero, moments before a Heart Attack.

"I KNEW IT!"

- A paranoid hero, dying from a Heart Attack.

"I COULD NOT BEAR THIS BURDEN!"

- A masochistic hero, moments before suffering a heart attack.

"I SHOULD KILL YOU ALL! I SHOULD—"

- An abusive hero, before collapsing from a Heart Attack.

"WHY DID I LET MYSELF COME TO THIS..."

- A selfish hero dying from a Heart Attack.

"ALL IS LOST..."

- A hopeless character before collapsing from unbearable stress.

"THE MYSTERY, AT LAST!"

- An irrational hero suffering a Heart Attack.

"I've failed...I cannot bear it."

- A rapturous Flagellant suffering a heart attack.