Your Mafia Wars health will only decrease as the result of a fight. The degree to which you were outmatched in the fight will determine how much health you lose. If you don't pick a lot of fights, you won't have to worry too much about this. You'll still want to keep an eye on it though, as others will often pick fights with you. Depending on the circumstances, you can let your health gradually refill over time, go to the hospital and pay cash to have it refilled, or buy a refill from the Godfather with reward points.
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