You won't be able to do it automatically, as Macro's can't change values, unfortunately. IF you want to upgrade your membership to Mentor level, you'll get access to the API and you can pretty much do anything you want. However there's a couple ways you can make it slightly easier to manipulate than having to open the character sheet. On your character's token you have three bars. If the token is linked to their Character Journal sheet, you can link one of those bars to HP attribute. Whenever you take Fatigue, you can directly edit the token bar and it will effect the sheet. If you store the HP Attribute in the sheet with current/max values both filled in, it will give you a visual bar as well. Alternatively, if it only comes up occasionally, you can just have a Fatigue attribute linked to your token and use a macro to subtract that value from your MaxHP Attribute in your sheet and display it in the chat window. @{CharacterSheetName|AttributeName} or @{Selected|AttributeName}