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Sebastian Crowe's Guide to Drakkenheim, adjusted

Pestilence

3-level Necromancy

Casting Time: Action
Range/Area: 90 feet
Components: V, S, M
Materials: a withered flower
Duration: 1 minute

You infect up to three creatures you can see within range with a magical disease. At the start of each of the target's turns, it must make a Constitution saving throw. On a failed saving throw, the creature takes 3d6 necrotic damage and gains 1 level of exhaustion. If a target succeeds on three of these saves, the spell ends for that creature.

A lesser restoration spell cast on a target ends this spell early for that creature.

AN: Bit similar to Creeping Rot, but it does exhausiton which I think is stronger than Poisoned. The damage might need to be buffed a bit though, but I removed concentration and added upcasting.

At higher levels:

Additional 1 target within range of the spell can be added for each spell slot higher than 3.

Available for: Death Knight

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