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Alter Sex in Dungeons & Dragons 5e
Kinks and Cantrips pg 165
Alter Sex
0-level (Cantrip) Transmutation
You assume a different form, taking on the genitalia of your choosing. You may choose the specifics of the genitalia such as whether it is circumcised or the hymen is intact. In addition, you may make subtle alterations to your physique such as gaining or losing breasts, changing your jawline, or hair length/style but you must remain the same race you were before casting the spell. Any creature that is familiar with you will still recognize you despite these changes. If a creature is affected by this spell with the same specific details every day for a month, the effects become permanent.
You may cast this spell using a spell slot to increase its capabilities (see below).
When you cast this spell using a spell slot of 3rd level or higher, you may instead target a willing creature within 5 feet of you. When you cast it using a spell slot of 5th level or higher, you may make the effect permanent on either yourself or another target as described above.
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