View source for Publication:Dread Codex/Monsters/Primal Ghoul

=== Combat ===

Like lesser ghouls and ghasts, primal ghouls prefer to attack from ambush. In wilderness or urban areas, they like to climb sheer walls where they lie in wait, dropping down to attack from above when their prey passes beneath them. Few expect undead creatures to move quickly, so primal ghouls use their superior speed to make furious charge attacks from a distance or to flee from combat if they are overwhelmed. Primal ghouls are quite poor-sighted (they do not have darkvision or low-light vision), but they have exceptional senses of small and hearing.

'''{{Anchor|Ghoul Fever}} ([[Su]]):''' Disease — bite, Fortitude DC 16, incubation 1 day, damage 1d3 Dex and 1d3 Con. The save DC is Charisma-based.

An afflicted humanoid who dies of ghoul fever rises as a normal ghoul at the next midnight. A creature that becomes a ghoul in this way retains none of the abilities it possessed in life. It is not necessarily under the control of any other ghouls, but it hungers for the flesh of the living and behaves like other ghouls in all respects.

'''{{Anchor|Grappling Tendrils}} ([[Ex]]):''' A primal ghoul's internal organs have been transformed into animate tendrils. If the primal ghoul begins its turn holding an opponent within a square it threatens with its bite, it may transfer the victim to its abdominal tendrils with a successful grapple check. Thereafter, the tendrils can hold the opponent, freeing up whatever appendage had been holding the creature previously. As long as the hold is maintained, the primal ghoul automatically deals bite damage (including paralysis) to the held creature each round. If only these tendrils hold an opponent, the primal ghoul is not considered grappled.

'''{{Anchor|Improved Grab}} ([[Ex]]):''' To use this ability, a primal ghoul must hit with its tongue attack. If it establishes a hold, it can attempt to pull the victim to any position within its reach with an opposed Strength check.

'''{{Anchor|Paralysis}} ([[Ex]]):''' Those hit by a primal ghoul's bite, claw, or tongue attack must succeed at a DC 16 Fortitude save or be paralyzed for 1d4+1 rounds. Even elves can be affected by this paralysis. The save DC is Charisma-based.

'''{{Anchor|Spines}} ([[Ex]]):''' Any creature grappling a primal ghoul takes 1d6 piercing damage each round from bony growths on the monster's body.

'''{{Anchor|Stench}} ([[Ex]]):''' The stink of death and corruption surrounding these creatures is overwhelming. Living creatures within 15 feet must succeed a DC 16 Fortitude save or be sickened for 1d6+7 minutes. A creature that successfully saves cannot be affected by the same primal ghoul's stench for 24 hours. A delay poison or neutralize poison spell removes the effect from a sickened creature. Creatures with immunity to poison are not affected, and those resistant to poison receive their normal bonus on saves. The save DC is Charisma-based.

'''{{Anchor|Heightened Scent}} ([[Ex]]):''' Primal ghouls have the scent ability to a range of 90 feet, rather than the standard 30 feet (strong smells may increase this range). Within 30 feet, they can effectively "see" by means of scent, as if with the blindsight ability.

Creatures that have no scent (such as incorporeal creatures or some constructs) cannot be "seen" by the primal ghoul's sense of small.

'''Skills:''' Primal ghouls have a +8 racial bonus on Listen checks. When tracking by scent, they have a +10 racial bonus on Survival checks. They also have a +8 racial bonus on Search checks if the search might be aided by superior olfactory senses (for instance, finding a secret door when a creature has recently passed through it).
Alignment	Usually chaotic evil +
Challenge Rating	6 +
Environment	Any +
Level Adjustment	— +
Size	Large +
Title	Primal Ghoul +
Type	Undead +