Garrote: This is anything used to strangle someone from behind. Most garottes are simply lengths of rope or cloth. Once successfully used, it is considered a Sustained Hold. If the target takes five or more Health Levels of damage from the intial attack, he is considered to be choking. This means that he cannot speak or cry out and cannot soak the damage from the garrote on subsequent turns in the hold!!
The initial damage from a garotte is Stun damage. After the victim falls unconscious, he will take Kill damage if the hold is maintained. However, there are wire garottes that do Kill damage initially, instead of Stun; they usually end up nearly decapitating the victim.
When used in conjunction with the Choke Hold maneuver, a Garotte adds +2 to damage.