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Originally Posted by runarm
Not necessarily. Even with a double attack AOA you are not guaranteed to put your enemy down since the damage from the two attacks does not stack for major wound purposes.
Doing a single strong AOA "might" put him down, but it's a risk since you might not hit and you might not do enough damage even if you do.
Starting the attack with a grapple allows you to keep the enemy from getting away from you in case your initial attack fails to put him down and it reduces his possible defenses and attack possibilities as well.
Also, your GM might give you a +1 to hit the neck for having the opponent in a grapple, especially if he's mentally stunned.
As a GM I would also ask a player exactly how he planned on cutting the enemy's throat from behind without grabbing hold of the target - that is unless the attacker is unusually lanky. After all, unless the target has a long neck, pulling the head back to expose the throat is almost a requirement.
R.
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I've heard, from more than one source, that sentry removal by attacking the neck is accomplished by stabbing from side to side, and then pushing the blade outward through the throat. This increases the chance that the carotid and jugular on at least one side, and possibly both, are severed.
It will take no less than 3-4 seconds for the victim to lose consciousness and die from loss of blood volume; that 3-4 second number is also how long it takes, MINIMUM, to bleed out from a fully transected aorta.