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Health, mana, and stamina (hms) points are gained every level from 1 to 100. Characters can also gain hms through a process involving large amounts of sacrifice and an arcane ritual by a mysterious and powerful person - the meta sage.
A player may begin to meta at level 20, spending experience points and gold to add points to stats (i.e. strength, dexterity, etc) and hms or to buy more practice sessions. The stats of a character may, in this way only, be raised past racial limits. There is no limit to the number of times a character may go through this ritual. In fact, to reach the highest levels a player will have to meta a great number of times.
For help in-game, see: help meta