This horrifying apparition is the disturbing amalgam of a funerary shroud and a set of absurdly large floating teeth. The creature has a roughly humanoid form and clacks its teeth together with terrible ferocity.

Ghosts with Teeth. A fleshspurned is created when a humanoid is eaten alive or dies while swallowed by a creature such as a purple worm. These people are driven insane by their horrible deaths and arise as monstrous spirits that crave the flesh of other creatures to replace the bodies they lost. However, in a twist of fate, the fleshspurned cannot stomach corporeal flesh, leading it to consume the ectoplasm of wraiths and ghosts or the essence of creatures it turns ghostly with its strange bite.

Ghosts Hunting Ghosts. Fleshspurned are treated with a mixture of fear and loathing by intelligent ghostly creatures, such as specters and ghosts, since any ghostly creature killed and devoured by a fleshspurned is permanently destroyed, even if it would ordinarily return to haunt an area after being killed. Fleshspurned are sometimes controlled by powerful necromancers to act as ghost exterminators, clearing out haunted graveyards and ruins of other spiritual undead.

Undead Nature. The fleshspurned doesn’t require air, food, drink, or sleep.

Fleshspurned

Medium undead, chaotic evil
Armor Class 14
Hit Points 75 (10d8 + 30)
Speed 0 ft., fly 40 ft. (hover)

STR	DEX	CON	INT	WIS	CHA
1 (-5)	18 (+4)	16 (+3)	10 (+0)	14 (+2)	16 (+3)

Saving Throws Wis +4
Skills Perception +4, Stealth +6
Damage Resistances acid, cold, fire, lightning, thunder; bludgeoning, piercing, and slashing from nonmagical attacks
Damage Immunities necrotic, poison
Condition Immunities charmed, exhaustion, frightened, grappled, paralyzed, petrified, poisoned, prone, restrained
Senses darkvision 60 ft., passive Perception 14
Languages any languages it knew in life
Challenge 4 (1,100 XP)

Ghost Eater. The fleshspurned has advantage on attack rolls against ghosts, wraiths, and other undead with the Incorporeal Movement trait, and such creatures aren’t immune to the necrotic damage dealt by the fleshspurned’s bite. When the fleshspurned kills one of these creatures, the fleshspurned gains temporary hp equal to double the creature’s challenge rating (minimum of 1).

Incorporeal Movement. The fleshspurned can move through other creatures and objects as if they were difficult terrain. It takes 5 (1d10) force damage if it ends its turn inside an object. A fleshspurned can’t move through other creatures with the Incorporeal Movement trait.

Actions

Phantasmal Bite. Melee Weapon Attack: +6 to hit, reach 5 ft., one target. Hit: 18 (4d6 + 4) necrotic damage. If the target is a creature other than a construct or an undead, it must succeed on a DC 14 Constitution saving throw or become ghostly for 1 minute. While ghostly, it has the Incorporeal Movement trait and is susceptible to the fleshspurned’s Ghost Eater trait. The creature can repeat the saving throw at the end of each of its turns, ending the ghostly effect on itself on a success.

Chatter. The fleshspurned clashes its oversized teeth together to create a clattering din. Each creature within 30 feet of the fleshspurned must succeed on a DC 14 Wisdom saving throw or be confused for 1 minute. While confused, a creature acts as if under the effects of the confusion spell. A confused creature can repeat the saving throw at the end of each of its turns, ending the effect on itself on a success. If a creature’s saving throw is successful or the effect ends for it, the target is immune to the fleshspurned’s Chatter for the next 24 hours.

Alternate Traits and Actions

The following changes allow GMs to alter a fleshspurned without modifying its challenge rating.

Fleshburned. If a creature strikes the fleshspurned with an unarmed strike, it rolls its unarmed strike damage twice. The second roll is psychic damage. A corporeal creature that merely touches the fleshspurned inflicts 2 (1d4) psychic damage to the fleshspurned.

The fleshspurned gains immunity to one of the following types: acid, cold, fire, lightning, or thunder.

Frightful Chatter. The fleshspurned clashes its oversize teeth together to create a menacing din. Each creature within 30 feet of the fleshspurned must succeed on a DC 14 Wisdom saving throw or be frightened for 1 minute. Incorporeal undead are not immune to the frightened condition inflicted by the fleshspurned’s chatter. A frightened creature can repeat the saving throw at the end of each of its turns, ending the effect on itself on a success. If a creature’s saving throw is successful or the effect ends for it, the target is immune to the fleshspurned’s Frightful Chatter for the next 24 hours.

The fleshspurned loses its Chatter action. Alternatively, it retains its Chatter action, but it’s modified to recharge on 4–6 while Frightful Chatter also recharges on 4–6.