Putting in realism here though really messes with the game dynamics, without some other major changes. If an injured troll immediately wakes up all the other trolls in the room (realistic), which then make a tremendous amount of noise, everything in the vicinity will wake up (also realistic). This makes stealth based characters much harder to play without a 'hide in shadows' ability or at the very least, having monsters fall back asleep after some amount of time.
I think you'd just need a mechanism for monsters to stand down after x turns if they don't see the @ for themselves or there are no new alerts. Maybe a players stealth value can affect how long this takes.
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