Submitting my highest rated meme from Reddit, still the only class feature I know of that can work like this.

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Since that's a L17 player ability, I'm betting the point is that reducing to 0hp is generally more damage than (55) 10d10. So as a DM I'd rule it that it still takes you to 0 and doesn't do massive damage (instant kill)
- They're introducing the BBEG to a level 1 party, so that barbarian probably only has around 10 hp
  
  Don't classes start at max HP? So he has atleast 12, plus whatever con modifier he got going.
This ability was designed for high level play. I would have tweaked it to deal 4d6 or 3d8, or just handwaved the massive damage rule.

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