Plague Doctor

He coughs into his beaked mask, the various aromatic herbs

and flowers inside doing little against the putrid air. The
stench of death was everywhere, but the woman before him
was not yet meant for death. Her wounds begin close as he
draws on divine power to stablise her critical condition.
He takes her in his arms, the poisonous cloud he had
summoned to dispatch her ailants making way for the
procession to this woman's salvation.
He was the one who would stand between aliment and rot,
between life and death, and between this woman and a
gruesome end. In his wake, he left the corpses of the weak.
Plague doctors are a symbol of fear amongst many, their
presence often denoting the coming of disease and grim
duties. They commit themselves to complete the work too
grisly for even the strongest of stomachs.
They are masters of improvised medicines and, through
divine intervention, controlling miasmas of plague.
Ordained Healers
Plague doctors were the norm in areas where the power of
prayer had yet to reach the settlements there, and even in
places where a cleric's power was limited.
Their medical instruments were crude, but the power to
control and cure disease was often mistaken for a miracle. In
actual fact, these dark drudges were acting as the
instruments of the deities who needed a conduit to save the
people of the material plane from their mortal ravages.
In the modern day, the methods that plague doctors employ
is an out-moded form of healing, but there are some who
believe that some day, the gods may stop answering their
prayers, and there will only be those who have learned these
medical practices to keep mortal men from perishing.
Plague doctors accept that their otherworldly power comes
from a divine source, but are fully prepared to continue their
deity's work should their absence ever come to pass.
Grim Laborers
The life of a plague doctor is generally unpleasant. They are
witness to a great many unsightly illnesses and grisly scenes
which carry the stench of death. The practice of being a
plague doctor is usually born of neccessity, but sometimes
passed down within a family bloodline to ensure the skills
and knowledge aren't lost.

In some places, plague doctors are not recognised as holy

vessels, and Clergy often dismiss their tools and methods as

Note From the Author
This class is a WORK IN PROGRESS and does not
represent a refined product.
unnecessarily inhumane. Plague doctors whole-heartedly
believe in their tried-and-true practices, and often use the fear
and stigma they incite with their presence as leverage in
difficult situations.

Although they're given a wide berth by most, they

endeavour to live by their hippocratic oaths, lending their
If you have any feedback for me, please contact me assistance to the innocent in suffering.
on reddit under /u/lukemortora01

Some plague doctors swear their oath to their deity, where

as some simply swear it to their people. In either case, they
Playtest at your own risk. understand that their job might be an undesirable one, but
V4.4 - 03/03/2020 they fulfil their duties with somber dignity.

PART 1 | CLASSES
1
The Plague Doctor
Proficiency Cantrips Techniques
Level Bonus Features Known 1st 2nd 3rd 4th 5th 6th 7th 8th 9th Known
1st +2 Medical Techniques 3 2 — — — — — — — — 2
2nd +2 Restorative Regimen 3 3 — — — — — — — — 2
3rd +2 School of Medicine 3 4 2 — — — — — — — 2
4th +2 Ability Score Improvement 4 4 3 — — — — — — — 2
5th +3 — 4 4 3 2 — — — — — — 3
6th +3 Grim Harvest 4 4 3 3 — — — — — — 3
7th +3 School of Medicine 4 4 3 3 1 — — — — — 3
Feature
8th +3 Ability Score Improvement 4 4 3 3 2 — — — — — 3
9th +4 — 4 4 3 3 3 1 — — — — 4
10th +4 School of Medicine 5 4 3 3 3 2 — — — — 4
Feature
11th +4 Adaptive Procedures 5 4 3 3 3 2 1 — — — 4
12th +4 Ability Score Improvement 5 4 3 3 3 2 1 — — — 4
13th +5 — 5 4 3 3 3 2 1 1 — — 5
14th +5 School of Medicine 5 4 3 3 3 2 1 1 — — 5
Feature
15th +5 Waste Not, Want Not 5 4 3 3 3 2 1 1 1 — 5
16th +5 Ability Score Improvement 5 4 3 3 3 2 1 1 1 — 5
17th +6 — 5 4 3 3 3 2 1 1 1 1 6
18th +6 School of Medicine 5 4 3 3 3 3 1 1 1 1 6
Feature
19th +6 Ability Score Improvement 5 4 3 3 3 3 2 1 1 1 6
20th +6 WIP 5 4 3 3 3 3 2 2 1 1 6

Creating a Plague Doctor Class Features

While you are creating your plague doctor, consider where
you acquired your skills and power. Is the profession a family
tradition? Or were you taught by someone else? How did you
get your practitioner's manual and tools?
The other question should consider is whether you
worship a deity or not. You may choose to serve a deity if you
choose, but even if you don't, you are still the instrument of
some deific intervention. Not all plague doctors need to
worship a deity, and some are entirely unaware that their
power comes from a divine source - your DM may even
decide to use this as a plot hook.
Quick Build
You can make a plague doctor quickly by following these
suggestions. First, make Wisdom your highest ability score,
followed by Constitution. Second, choose the acolyte
background.
As a Plague Doctor, you have the following class features.
Hit Points
Hit Dice: 1d8 per plague doctor level
Hit Points at 1st Level: 8 + your Constitution modifier
Hit Points at Higher Levels: 1d8 (or 5) + your Constitution
modifier per plague doctor level after 1st
Proficiencies
Armor: Light armor.
Weapons: Simple Weapons, hand crossbows.
Tools: Herbalism Kit, Practitioner's Kit.
Saving Throws: Constitution, Intelligence
Skills: Choose three from History, Insight, Investigation,
Medicine, Nature, Religion and Survival.
Equipment Plague Doctor Unique Spells
You start with the following equipment, in addition to the As a Plague Doctor, you learn spells unique to your class at
equipment granted by your background: the following prerequisite levels. These spells do not count
towards the number of spells you can prepare. In addition,
A Simple weapon, leather armor and a practitioner's kit you know the poison spray cantrip, which does not count
(a) A hand crossbow with 20 bolts or (b) a dagger against your cantrips known.
(a) A priest's pack or (b) a scholar's pack
(a) A holy symbol or (b) a component pouch Plague Doctor Level     Bonus Spell
1st   Miasma
3rd   Expunge
Practitioner's Kit
5th   Vermintide
A practitioner's kit contains bandages, salves, and
splints as with the healer's kit, but also contains 7th   Wall of Corpses
syringes, a bone saw, an artificial leech, suture wire, 9th   Deadly Pathogen
needles, and medicines for common ailments.
Most importantly, it contains a practitioner's 11th   Maddening Haze
manual which you use to prepare your spells, and 13th   Nebulous Form
your plague doctor mask.
In addition, it contains the same things a 15th   Namtar's Revulsion
herbalism kit does. The kit weighs 8lbs in total and 17th   Pandemic
costs 20GP to replace if lost.
The kit has ten uses. As an action, you can
expend one use of the kit to stabilize a creature New Condition: Infected
that has 0 hit points, without needing to make a While a creature is infected, it suffers minor adverse effects
Wisdom (Medicine) check, or remove the infected such as a cough or fatigue, and is unable to gain advantage by
condition from one creature. You can replenish any means.
Many of your plague doctor unique spells and class
these uses by buying the supplies required for
features interact with the infected condition. This infection is
5GP.
unique to you, therefore you should track infections from
other sources separately.
The infected condition can be

removed with lesser restoration or similar healing magic.

Spellcasting Plague Doctor's Mask

As a conduit for divine power, you can cast plague doctor
spells. See chapter 10 of the Players Handbook for the
general rules of spellcasting. The plague doctor spell list is
detailed at the end of the plague doctor class section.
Cantrips
At 1st level, you know three cantrips of your choice from the
plague doctor spell list. You learn additional plague doctor
cantrips of your choice at higher levels, as shown in the
Cantrips Known column of the plague doctor table.
Preparing and Casting Spells
The Plague Doctor table shows how many spell slots you
While you are wearing your plague doctor mask, you gain
immunity to the effects of the spells cast by you listed under
the plague doctor unique spells feature, but you have
disadvantage on Wisdom (Perception) checks.
Spellcasting Ability
Wisdom is your spellcasting ability for your Plague Doctor
spells. The power of your spells comes from your devotion to
your deity. You use your Wisdom whenever a Plague Doctor
spell refers to your spellcasting ability. In addition, you use
you Wisdom modifier when setting the saving throw DC for a
Plague Doctor spell you cast, and when making an attack roll
with one.

have to cast your spells of 1st level and higher. To cast one of Spell save DC = 8 + your proficiency bonus +
these spells, you must expend a slot of the spell's level or your Wisdom modifier

higher. You regain all expended spell slots when you finish a

long rest. Spell attack modififer = your proficiency bonus +

You prepare the list of plague doctor spells that are
available for you to cast, choosing from the plague doctor
spell list. When you do so, choose a number of plague doctor
spells equal to your Wisdom modifier + your plague doctor
level rounded down (minimum of one spell). The spells must
be of a level for which you have spell slots.
You can change your list of prepared spells when you finish
a long rest. Preparing a new list of plague doctor spells
requires time spent in study of your practitioner's manual: at
least 1 minute per spell level for each spell on your list.
your Wisdom modifier
Ritual Casting
You can cast a plague doctor spell as a ritual if that spell has
the ritual tag and you have the spell prepared.
Spellcasting Focus
You can use a holy symbol or a component pouch (found in
chapter 5 of the Player's Handbook) as a spellcasting focus
for your Plague Doctor spells.

PART 1 | CLASSES
3
Medical Techniques
Through your learned craft of medical procedure and study of
your practitioner's manual, you are privvy to techniques which
enhance your abilities.
Starting at 1st level, you learn two medical techniques of
your choice. Your technique options are detailed at the end of
the class description. When you gain certain plague doctor
levels, you gain additional techniques of your choice, as
shown in the Techniques Known column of the Plague
Doctor table.
Additionally, when you gain a level in this class, you can
spend an hour in study of your practitioner's manual and
choose one of the techniques you know and replace it with
another technique that you could learn at that level.
Restorative Regimen
Starting at 2nd level, you can use a single charge of a healer's
kit or a practitioner's kit to provide treatment to a number of
willing creatures equal to your Wisdom modifier at the end of
a long rest.
As long as each creature has had an adequate amount of
food and drink, this treatment grants the same effect as the
lesser restoration spell.
School of Medicine
At 3rd level, you commit to a School of Medicine, all detailed
at the end of the class description. The school you choose
grants you features at 3rd level and again at 7th, 10th, 14th,
and 18th level.
Ability Score Improvement
When you reach 4th level, and again at, 8th, 12th, 16th, and
19th level, you can increase one ability score of your choice
by 2, or you can increase two ability scores of your choice by
1. As normal, you can't increase an ability score above 20
using this feature
Grim Harvest
Starting at 6th level you are able to tap into the life-energy of
creatures that die around you. Whenever a hostile creature
within 60ft of you is reduced to 0 hit points, you can store a
small amount of their life energy within your spellcasting
focus for 1 minute.
When you cast a spell of 1st level or higher that deals
damage or restores hit points, you can choose to expend this
life energy to deal additional necrotic damage or increase the
healing by an amount equal to your Wisdom modifier.
This feature is effective on spells that affect multiple
creatures, but only necrotic damage or additional healing can
be chosen, not both.
Adaptive Procedures
Starting at 11th level, you can spend a hour in study of your
practitioner's manual to exchange one of your prepared spells
for another spell on the plague doctor spell list.
Once you have used this feature, you must complete a long
rest before you can use it again.
Waste Not, Want Not
Starting at 15th level, if you have spell slots left over at the
end of a long rest, you can choose one of these spell slots to
store a spell of 5th-level or lower from the Unique Plague
Doctor Spells list. You can cast the stored spell once without
expending a spell slot. You cast this spell at the level at which
it was stored.
This effect lasts until the end of your next long rest.
Affliction
When you reach 20th level, you can unleash a disease of your
own invention. As an action, you can become a conduit to this
plague for 1 minute, touching any number of creature for the
duration to attempt to inflict them with this disease. Any
creature you touch must succeed on a Constitution saving
throw or become afflicted with your disease. A creature that
succeeds or fails this saving throw is not aware of this at the
time you attempt to inflict it.
Once you use this feature, you must complete a long rest
before you can use it again.
Each time you use this feature, you decide upon the
disease anatomy as per the below appendix.
Any creature attempting to diagnose or treat against your
affliction uses your spell save DC for any checks. You
automatically succeed on any check made to diagnose or
treat your own affliction, but this may not guarentee recovery
of the creature depending on the nature and intention of the
disease.
Disease Anatomy
You use the below to decide upon the details of the disease:
Incubation Period. This represents the time it takes for a
disease's symptoms to appear. The minimum incubation
period is 1 hour, and the maximum is 96 hours.
Symptoms. Symptoms of a disease can include painful
rashes, coughing, nausea etc. Your disease must have at least
1 symptom which an afflicted creature will notice once the
incubation period expires.
Contagiousness. You can decide whether the disease you
inflict is contagious or not. It can be any combination of
contact, airborne and waterborne. It is also capable of passing
between different specific creature types of your choosing. (A
highly contagious disease can have disasterous
consequences.)
Duration. This represents how long the symptoms of a
disease last. The minimum is 2 days and the maximum is 2
weeks.
Severity. This represents whether a disease is intended to be
fatal or not. If you choose for a disease to be fatal, at the end
of the duration, the creature must succeed on three
Constitution saving throws. A creature that has recieved any
form of appropriate treatment makes these saves with
advantage. Once the creature reaches 3 failures, it is reduced
to 0 hit points and dies. A creature that succeeds on these
saving throws recovers instead, but has its maximum hit point
total halved for one week.

Enigmatic Element
DM Notes on Affliction
When a player uses affliction, you should consider
how it might affect the creature they have targeted.
If the disease was contagious and applied to a
travelling trader, would they reach their destination
before they died? How likely is it that the infection
would spread? Does their destination have
adequate medical help to prevent an outbreak?
If the disease was applied to a creature, what
kind of effect would it have on the wildlife or
nearby settlement?
A settlement currently in danger of an outbreak
might put out an urgent request for help and
inadvertantly spread the disease. It is your
discretion how the disease spreads and how the
players learn of the consequences of this action.
Renewal
Schools of Medicine
Infectious Diseases
You have specialised in the field of infectious diseases which
has given you the ability to better control the miasmas of
plague you spread. Not only that, but you are also able to
increase the potency of your diseases, afflicting those who
would not normally be susceptable to its ravages.
Controlled Contaminant
Your understanding of how your plague spreads allows you to
manipulate which creatures it affects to varying degrees of
success. Starting at 3rd level, creatures you designate gain
advantage to saving throws against your spell effects which
cause poison damage or the infected condition.
Potent Mutagen
Defying all expected outcomes, your diseases are able to
affect creatures in unique ways. Starting at 7th level, your
spells ignore resistances to poison damage and the poisoned
condition. Creatures that are immune to poison take half
damage from your spells that deal poison damage.
This sometimes manifests itself in visible ways, such as
patches of rust on an iron golem, or rigor mortis upon the
undead.
Virus Mastery
You have mastered the ability to control the effects of your
diseases. Starting at 10th level, whnever you cast a plague
doctor spell, creatures you designate gain immunity to your
spell effects which cause poison damage or the infected
condition.
Symbiotic Bond
Starting at 14th level, once per turn when you cast a spell
that targets a single creature, you can target an additional
creature within 15 feet of it as long as the secondary target is
suffering from the infected condition.
The potency of your diseases has increased to violently
unstable levels. Starting at 18th level, creatures have
disadvantage on saving throws that would result in poison
damage or the infected condition.
Sawbones Medic
Apothecary
Starting at 3rd level, You can use your practitioner's kit to
make makeshift tinctures and ointments to cure minor
ailments like headaches and rashes. You can also choose to
spend an hour creating a medical prescription which will
suppress the effects of a disease. Whilst under this effect, a
creature can ignore the most severe effect of a disease it is
currently afflicted by, unless that effect causes the creature to
die or fall unconscious. This effect lasts for 24 hours.
Additionally, you gain proficiency in the medicine skill. If
you are already proficient, double your proficiency if you have
not already done so.
Starting at 7th level, you are able increase the potency of your
healing spells. When casting any healing spell of 2nd level or
higher, you can also end one condition afflicting each target.
The condition can be blinded, deafened, paralysed or
poisoned.
Curative Methodology
You have learnt how to deal with high-pressure situations
where lives are on the line. Starting at 10th level, as long as
you have a practitioner's kit, you have advantage when
performing any wisdom (medicine) check.
In addition, you can use your practitioner's kit to aid in the
recovery of your allies. Whenever a creature spends a hit die
during a short rest, they recover additional hit points equal to
your Wisdom modifier for each hit die they roll.
Envoy of Plague
Starting at 14th level, at the end of the long rest, you can give
a treatment to one willing creature using your practitioner's
kit. This creature becomes immune to any adverse effects of
any infected condition you inflict. Additionally, whenever the
treated creature would take poison damage from spell effect
you cast, the treated creature automatically passes the saving
throw, ignores any damage, and instead regains hit points
equal to twice the spell's level. (for multiple instances of
damage such as expunge, this effect is additive)
This effect only ends at the end of a long rest.
Surgeon General
Starting at 18th level, You have mastered your craft to the
point of perfection. You have a near-encyclopaedic knowledge
of ailments and diseases, as well as their treatments.
When making a Wisdom (Medicine) check to determine
the details on a disease, treatment, wound, cause of death, or
similar knowledge, treat any roll of 9 or lower as a 10.
In addition, your presence on the battlefield instills courage
in your allies. You can take the Help action as a bonus action
on each of your turns. That ally also gains 10 temporary hit
points which last until the start of your next turn.

Medical Techniques
Black-feather Malady
Prerequisite: Infectious Diseases school
Whenever you cast poison spray on a target and it fails its
saving throw, that target is also infected for 1 hour.
In addition, you can add your wisdom modifier to the
damage you deal with this cantrip.
Corvidae Corvus
You can cast find familiar once per day without using
material components or a spell slot. You can only choose a
Raven as its form (PHB 309).
Your familiar uses your spell attack bonus for its attacks,
and its maximum hit points are increased by twice your
plague doctor level.
When your raven hits with a melee attack, you can force
the target creature to make a constitution saving throw using
your spell save DC. On a failed save, the creature is infected
for 1 hour.
In addition, you are able to speak with Ravens and similar
avian creatures as if you had cast speak with animals.
Dark Laborer's Armor
Instead of relying on your own ability to avoid attacks, you
instead rely on the guidance of a power greater than yourself.
When calculating your armor class, you can use your
wisdom modifier in place of your dexterity modifier.
Doctorate
You gain proficiency in a skill of your choice. If you are
already proficient, double your proficiency for that skill if the
skill is on the plague doctor skill list. You can take this
technique more than once, but only once per skill.
Divine Esteem
Prerequisite: 5th level, Sawbones Medic school
Choose three additional damage equal to your wisdom modifier. This effect
spells from the cleric spell list. These become plague doctor
spells for you, and you can choose these when preparing your
spells.
Whenever you gain a level in the plague doctor class, you
can change these three spells for another three.
Expanded Medical Plan
Prerequisite: 15th level, Sawbones Medic school
The number of creatures you can treat with your Envoy of
Plague feature increases to 2. At 18th level, the number of
creatures increases to 3.
Experimental Booster Shot
Prerequisite: 3rd level, Sawbones Medic School
As an action, once per day, you can administer an
experimental concoction to a willing creature using your
practitioner's kit. This concoction has all of the effects of the
enhance ability spell, and lasts for 1 hour.
Healing Hands
Prerequisite: 13th level, Sawbones Medic school
When casting any healing spell of 2nd level or higher, you
can also end an additional condition afflicting each target.
The condition can be paralysed, petrified, stunned or a
condition listed under the renewal feature.
Infectious Impingement
Prerequisite: 7th level
When a creature hits you with a melee attack, you can use
your reaction to force them to make a constitution saving
throw. On a failed save, the creature takes poison damage
equal to your plague doctor level and is infected for 1 hour.
Miasmatic Affinity
Prerequisite: 5th level, Infectious Diseases school
The damage caused by your miasma spell increases by 1d4
at 5th, 11th and 17th level.
Neurological Assault
Prerequisite: 15th level, Infectious Diseases school
Your diseases have devastating effects on a creature's
synaptic processes.
Whenever you inflict the infected condition on a creature,
you can also choose to cause the creature to fall prone and
become stunned until the start of its next turn.
Once you have used this technique, you cannot use it again
until you complete a short or long rest.
Physiological Analysis
Prerequisite: 11th level
You can use an action to perform a Wisdom (Medicine)
check on a creature to determine its physical weak points.
The DC equals 8 + the CR rating of the creature. On a
success, you determine a weak point for your allies to strike.
Any subsequent attack roll that hits the creature deals
lasts for 1 minute.
This check automatically fails if performed on a creature
with no physical form.
If you fail this check, you cannot make it again on the same
creature until 24 hours have passed.
Plaguebringer
Prerequisite: 17th level, Infectious Diseases school
Casting Miasma at any level becomes a cantrip for you.
Makeshift Potions
Prerequisite: Sawbones Medic school
Using your practitioners kit and questionable ingredients
you find in your vicinity, you can create makeshift healing
potions. These potions only last 24 hours before they spoil; a
spoiled potion becomes mundane and has no effect when
drunk.
At the end of a long rest, you can create a potion which
heals a creature for Xd4 plus your plague doctor level, where
X is your wisdom modifier.

Transformative Technique

Prerequisite: 17th level Sawbones Medic school

Creatures treated by your Envoy of Plague feature can use

a bonus action to gain resistance to bludgeoning, piercing

and slashing damage from non-magical weapons for 1

minute.

If a creature under this effect drops to 0 hit points, they can

Symptom: Lethargy
Prerequisite: 13th level, Infectious Diseases school
When you inflict the infected condition on a creature, its
walking and climbing speed is also halved for the duration of
the condition.
Trauma Kit
Prerequisite: 7th level, Sawbones Medic School
You can use a charge of your practitioner's kit to cast
Gentle Repose on a creature without material components or
expending a spell slot.
In addition, You can use two charges of your practitioner's
kit to cast Revivify on a creature without material
components. You must have the spell prepared, and you must
also expend a spell slot of 3rd level or higher to cast it.
make a DC10 constitution saving throw to instead stay on 1
hit point. A creature can only make this save once per
treatment.
Violent Expulsion
Prerequisite: 7th level, Infectious Diseases school
The area of effect of your expunge spell increases by an
additional 5ft.
Virulent Strain
Prerequisite: 3rd level, Infectious Diseases school
Whenever you inflict the infected condition, you can
designate a creature within 10ft of the infected creature to
make a Constitution saving throw if they have not make a
saving throw to resist this condition already this turn. On a
failed save, that creature is infected for 1 hour.

Plague Doctor 2nd Level 4th Level 7th Level

Aid Aura of Life Finger of Death
Spells Blindness/Deafness Aura of Purity Forcecage
Cantrips (0 Level) Calm Emotions Death Ward Nebulous Form*
Acid Splash Crown of Madness Evard's Black Tentacles Regenerate
Chill Touch Enhance Ability Freedom of Movement Ressurection
Guidance Expunge* Hallucinatory Terrain Symbol
Infestation XG Gentle Repose Vitriolic Sphere XG
Light Hold Person Wall of Corpses* 8th Level
Mending Lesser Restoration A-D's Horrid Wilting XG
Poison Spray Melf's Acid Arrow 5th Level Antipathy/Sympathy
Resistance Prayer of Healing Cloudkill Dominate Monster
Spare the Dying Protection from Poison Contagion Feeblemind
Toll the Dead XG Ray of Enfeeblement Deadly Pathogen* Namtar's Revulsion*
Enervation XG Power Word Stun
1st Level 3rd Level Greater Restoration
Cause Fear XG Animate Dead Insect Plague 9th Level
Create or Destroy Water Bestow Curse Mass Cure Wounds Mass Heal
Cure Wounds Create Food and Water Raise Dead Pandemic*
Detect Poison and Disease Dispel Magic Synaptic Static XG Power Word Heal
Expeditious Retreat Fear Power Word Kill
False Life Feign Death 6th Level True Ressurection

Fog Cloud Gaseous Form Bones of the Earth XG

Healing Word Hypnotic Pattern Circle of Death

Inflict Wounds Magic Circle Create Undead

Miasma* Mass Healing Word Disintegrate

Purify Food and Drink Remove Curse Harm

Ray of Sickness Revivify Heal

Sleep Speak with Dead Maddening Haze*

Unseen Servant

Stinking Cloud

Vermintide*

Miasma
1st level conjuration
Casting Time: 1 action
Range: 60 feet
Components: V, S, M (a piece of blue toadshade mushroom)
Duration: Concentration, up to 1 minute
You make a swirling motion with your hands and conjure a
barely visible pale green cloud, riddled with all manner of
toxic substances.
You create a 5ft radius cloud of poisonous gas centred on a
point within range which lasts for the duration. The cloud
spreads around corners. When a creature enters the spell's
area for the first time on a turn or starts its turn there, that
creature must make a Constitution saving throw or take 2d4
poison damage and become infected for 1 hour.
Whilst concentrating on the spell, you can use your bonus
action to move the area up to 20 feet to a point within range
you can see.
At Higher Levels. When you cast this spell using a spell
slot of 2nd level or higher, you can increase the radius that
miasma covers increases by an additional 5 feet per spell
level beyond the 1st, up to a maximum of 10 additional feet.
Expunge
2nd-level evocation
Casting Time: 1 action
Range: 120 feet
Components: V, M (a dried leech)
Duration: Instant
A sickly wave of energy erupts from your hand, accelerating
the effects of nearby infections and causing them to burst
violently from their hosts.
You target any number of creatures within range that are
currently infected by you. The target creatures and any
creature within 5ft of each target must make a constitution
saving throw or take 1d6 poison damage. If a creature would
be subjected to multiple instances of this effect, they make
this saving throw only once, and all sources of damage apply.
Creatures that pass the saving throw take half damage.
Targets of the spell are no longer infected.
At Higher Levels. When you cast this spell using a spell
slot of 3rd level or higher, the damage of expunge increases
by 1d6 for each slot level above 2nd up to a maximum of 3d6
additional damage.
Vermintide
3rd-level conjuration
Casting Time: 1 action
Range: 120 feet
Components: V, S, M (a small rodent's skull)
Duration: Instant
You target a creature within range that is currently
infected by you and conjure a swathe of rats and vermin
which overwhelm it. The creature must make a dexterity
saving throw or become incapacitated and take 4d4 piercing
damage at the start of each of it's turns.
A creature incapacitated this way can make a dexterity
saving throw at the end of each of its turns to end this effect.
If it succeeds on this saving throw it instead takes half
damage and is only incapacitated until the end of it's next
turn.
A creature that is incapacitated by this spell by any means
has its speed reduced to 0.
Once the effect ends the rats disperse and vanish.
Wall of Corpses
4th-level necromancy
Casting Time: 1 action
Range: 60 feet
Components: V, S, M (a scrap of disease-ridden flesh)
Duration: Concentration, up to 10 minutes
You touch the ground and it erupts before you in a mound
of bones and flesh.
You create wall of corpses on a solid horizontal surface
within range. You can make the wall up to 30 feet long, 10
feet high and 5ft thick. The wall can be any shape you choose,
and lasts for the duration.
Any creature that attempts to climb the wall must succeed
on a athletics check to climb it, The DC equals your spell save
DC. Anyone who touches the wall must also make a
constitution saving throw or become infected for 1 hour. The
surface on top of the wall is difficult terrain.
Each 5ft section of the wall has an AC of 10, 70 hit points,
is resistant to bludgeoning, piercing and slashing damage and
immune to poison damage.
Deadly Pathogen
5th-level evocation
Casting Time: 1 action
Range: 120 feet
Components: V, S
Duration: Instant
You point at a creature and a streak of pale green energy
shoots from your hand and strikes it.
A target within range must make a constitution saving
throw. If it is infected by you, it makes this saving throw with
disadvantage. On a failed save, the creature takes 4d10 + 20
poison damage and becomes poisoned for 1 minute.
A creature poisoned this way takes 2d10 + 10 poison
damage at the start of each of its turns.
On a successful save, the creature takes half damage and is
not poisoned.
At Higher Levels. When you cast this spell using a spell
slot of 6th level or higher, the damage of all effects caused by
this spell increases by 1d10 for each slot level above 5th.
Maddening Haze
6th-level enchantment
Casting Time: 1 action
Range: 300 feet
Components: V, M (a drop of mercury)
Duration: Instant
You must be concentrating on a miasma spell in order to
cast this spell, otherwise the spell fails.
Your miasma turns a shade of purple as you magically
infuse it with hallucinogenic toxins.
All creatures within the area of effect of your miasma must
succeed on a Wisdom saving throw or take 6d8 psychic
damage and use its reaction to immediately move up to its
speed and make a melee attack with advantage against a
random creature also within the miasma. On a successful
save, a creature takes half damage and does not use its
reaction.
Nebulous Form
7th-level transmutation
Casting Time: 1 action
Range: Touch
Components: V, S, M (A small vial of poisonous gas)
Duration: Concentration, up to 1 hour.
You transform a willing creature you touch, along with
everything it's wearing and carrying, into a gaseous plague
cloud for the duration. The spell ends if the creature drops to
0 hit points. An incorporeal creature isn't affected. While in
this form, the target's only method is a flying speed of 50ft.
The target has resistance to nonmagical damage, and has
advantage on Strength, Dexterity and Constitution saving
throws.
The target can pass through small holes, narrow openings,
and even mere cracks, though it treats liquids as though they
were solid surfaces. The target can't fall and remains
hovering in the air even when stunned or otherwise
incapacitated.
While in the form of a gaseous plague cloud, the target
can't talk or manipulate objects, and any objects it was
carrying or holding can't be dropped, used, or otherwise
interacted with. The target can't attack or cast spells.
The target can enter and occupy the space of another
creature - if it chooses to do so at any point, that creature
must make a consitution saving throw or take 8d8 poison
damage and become infected for 1 hour. On a successful
save, the creature takes half damage and is not infected.
Namtar's Revulsion
8th-level illusion
Casting Time: 1 action
Range: 120ft
Components: S, M ()
Duration: Instant
You conjure up vile false images and smells which attempt
to overwhelm a creature's senses.
Choose any number of creatures within range that are
currently infected by you. These creatures must succeed on a
wisdom saving throw or take 8d6 psychic damage. On a
successful save, a creature takes half damage. On a failed
save, the creature falls prone and is incapacitated as it begins
vomiting profusely if it is able to vomit.
At the start of each of its turns it succeed on a constitution
saving throw or take 4d6 psychic damage, and be
incapacitated and fall prone as it continues to vomit.
A creature incapacitated by this spell has its speed halved.
Pandemic
9th-level enchantment
Casting Time: 1 action
Range: 120ft
Components: V, S, M (A plague doctor's mask, which you are
wearing.)
Duration: Instant
You speak a small prayer into your mask which resigns the
irredeemably sick to death, intended to open the gates to the
afterlife.
You target any number creatures within range that are
currently infected by you. If the target has 50 hit points or
fewer, it dies. If the target has more than 50 hit points, it must
succeed on a constitution saving throw or take half of its
current hit points in poison damage. Any creature that dies
expels noxius fumes within 10ft of it. All creatures within this
area must suceed on a consitution saving throw or become
infected by you for 1 hour.
Changelog
v4.4
Renamed Schools of "Medicine" to Schools of Medicine.
Reworked Restorative Regimen
Buffed Grim Harvest to be more in line with extra attack
and similar features
Stipulated a duration of "Waste not, Want not". RAW is
was possible to infinitely store a spell each day which was
not the intention.
Affliction buffed slightly and moved to 20th level capstone
feature.
Enigmatic element moved to 18th level because perma-
disadvantage is VERY strong
Symbiotic Bond added as 14th level feature
Reworked Divine Esteem as it was granting access to the
entire cleric spell list which is unfair. Unsure if this should
be limited to 5th level or lower spells.