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For purposes of stacking, treat this exactly as though it were onging damage. Therefore, as a further example, a creature taking ongoing 10 fire damage and cumulative 5 fire damage would take the greater of the two on any given turn - 10 fire damage on the first two failed saves and the cumulative value thereafter (assuming it doesn't save successfully).
The damage increases only once per round. As a result, if the victim were granted additional saving throws (from powers, items, etc.), it would '''not''' be at risk of further harming itself on a failure.
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