5th-level necromancy (Rothenian)

Casting Time: 1 action
Range: 30 feet
Components: V, S, M (the desiccated heart of a horse)
Duration: Concentration, up to 1 minute

You cause a creature’s body to become engorged with blood or ichor. You target one creature that you can see within range. The target must make a Constitution saving throw. If it succeeds, it takes 2d6 bludgeoning damage and the spell ends. If it fails, the creature takes 4d6 bludgeoning damage and its hit point maximum is reduced by an amount equal to the damage taken. In addition, the creature is incapacitated and cannot breathe as it vomits up torrents of blood or ichor. An affected creature repeats the saving throw at the start of its turn. On a success, the spell ends; on a failure, the creature takes another 4d6 bludgeoning damage, its hit point maximum is reduced by the amount of damage taken, and it remains incapacitated and unable to breathe.

The reduction in the creature’s hit point maximum lasts until the creature finishes a long rest. The creature dies if its hit point maximum is reduced to 0.

At Higher Levels. When you cast this spell using a spell slot of 6th level or higher, one additional creature can be targeted for each spell slot level above 5th.

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