Agonizing Word (5e Spell)
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This spell is designed to work with the Z's Injury Levels variant rule, and uses mechanics detailed therein.
5e Spell
Agonizing Word
1st-level necromancy
Casting Time: Reaction, taken when the Injury Level of a creature you can see changes to Wounded.
Range: 60
Components: V
Duration: Instantaneous
Casters: Bard, Cleric, Paladin, Warlock
With a word, you punish the triggering creature to keep it from recovering, pushing it closer to the edge. The target creature must make a Charisma saving throw; On a failed save, the creature suffers 2d10 points of Necrotic damage, and cannot regain hit points for 1 minute.
At Higher Levels. When you cast this spell using a spell slot of 2nd level or higher, the damage increases by 1d10 for each slot level above 1st.