-Creatures have disadvantage to hit any targets 5 or more feet above them, regardless of their size or level of cover (applies to weapon and spell attacks) -Creatures have advantage to hit any targets 5 or more feet below them (applies to weapon and spell attacks) -Spells that target saving throws cannot be used on creatures above you to bypass disadvantage, a "Too High" indicator is provided, there is no indication how high "Too High" is -All ranged spells and abilities seem to have the same 60 foot range -Ranged weapons can hit targets further away with increased elevation