Tearing Power From Beyond

A mysterious chaotic unstable force permeates the very air we breath, most are oblivious to its existence, but there are those learned and reckless enough to tap into its vastness, and at any cost untold power and vision will be theirs.

A spellcaster’s spell slots is a limit on how many spells they can SAFELY cast. Not how good their memory is (or how many spells the mind can contain if you prefer), but how many times they can channel otherworldly energy through themselves before they become exhausted and things start to go awry.

The Further Adventures of Tearing Power from Beyond:

Grip_of_Chaos.jpgWhen they can’t cast any more spells safely, spellcasters may attempt to cast further spells with an ability check against their casting stat. There is no limit on the level of spell slot a caster can attempt to cast this way. A penalty of -1 per level of the spell slot being created is applied, but characters proficient in Arcana may apply their proficiency bonus. The spellcaster must still have a spell prepared in order to cast it in this way.1

There can be consequences to this. For a minor consequence roll on the Chaos Reigns table. When you’ve seriously fucked up roll on That Which Should Not Be. Any effect that calls for a saving throw or check uses the caster’s standard spell save DC.

d20 result Cast the Bones
4 or less That Which Should Not Be
4 to 9 Spell Collapse and Chaos Reigns
10-14 Spell Collapse
15-19 Success, plus Chaos Reigns
20 or more Spell functions normally without consequences

Spell Collapse

On a result of Spell Collapse roll or just decide what makes most sense for the spell/situation.

1d6 result Spell Collapse
1 Normal spell effect inflicted on caster.
2 Half spell effect inflicted on caster.
3-4 Spell works as normal. Roll for Wild Surge according to the Sorcerer ability.
5 Half spell effect inflicted on random target.
6 Half spell effect inflicted on target.

Chaos Reigns

1d20 Chaos Reigns
1 Roll on Abyssal Side-Effects. Not only does this effect happen now, but every time you cast this spell from now on.
2 That’s new… Roll on Transmutation table.
3 A rotting golden idol melts out of thin air and hovers in the centre of the area. Everyone present rolls 3d6, including animals and inhuman monsters. Whoever rolled highest increases a random ability score by 1. Whoever rolled lowest loses 1 from the same ability score.
4 A screaming hairless hound manifests, it disembowels itself with fleshy pink hands, then offers you its entrails. Screaming all the while from its toothless maw.
5 You start violently weeping and you don’t know why. Anyone looking at you while you weep can see a dripping halo of blood over your head.
6 Make an Intelligence save every time you want to read something from your spellbook. If you fail all you can read is a shorthand account of all your personal shortcomings in the hand of whoever you have held most dear in life.
7 The caster’s mind switches place with that of a random enemy, or if no enemies are present, that of a man-sized putrid pink anthropomorphic toadbeast that claws its way out of the ground. The caster retains their spellcasting abilities.
8 The scent of rotting cabbage wafts through the air within 30’ of the caster. Everyone in the area must roll a Constitution save. Those who fail shake and sweat as if with a fever and become sexually uncontrollable for the next 1d4x10 minutes (each rolls separately).
9 A pale green mist billows from the caster’s mouth and they lose consciousness for 1d8x10 minutes. During this time the player may control the mist. They cannot communicate, move at a Lightly Encumbered rate, can expand to fill a 30’ radius, and are affected by things as a normal mist would be. Anyone who breathes in the mist must make a Constitution save or die as their lungs liquefy.
10 Everyone within 30’ begins to feel an itching in their flesh, and if they look closely they will notice pores stretching and closing as if something was moving through them. Something is now moving beneath the skin and it burns. If anyone digs into their flesh they will discover shimmering turquoise things like jellyfish the size of fingernails, but with tentacles that harden like glass needles. After 1d6 rounds the itching stops and the jellyfish disappear.
11 You fall to your knees and regurgitate (roll d8):
1. Green algae filled with struggling black crabs.
2. Bubbling water, you hear whispers and childlike laughter as the bubbles expand and burst.
3. A golden eel with the face of a man.
4. A bloated, pregnant rat whose belly splits open when it hits the floor, spilling its young.
5. A pool of gritty tar. A multi-sided puzzle box is slowly revealed in the centre of the puddle, it doesn’t appear to emerge from the floor, more like it remains still and the tar sinks down from its sides. You can’t be sure of how many sides, you always seem to lose count. You have no idea how it fit through your mouth let alone your throat.
6. Blood. And eyes and teeth and hair. Like a burst tumor.
7. Writing. Not on paper, not in patterns, just writing. It doesn’t make sense and nobody else can see anything but vomit but you regurgitate writing. It tells you how you die. But you can’t read it, the words won’t make sense, and they keep moving, and you try to hold them down but they slip through your fingers, but you know that the writing tells you everything. If only you could read it.
8. Eight gold coins. If these coins are used to buy something, that night the person who used the coin will dream of the one they gave it to. The air is nothing but bushfire-black fog, and molten gold runs from their face. It might fill their mouth, their eye sockets, pour from their ears.. They desire to murder you with a psychotic rage, you wronged them, why did you wrong them? If you kill them in your dream you will wake up covered in blood and brain matter, standing on their bed in what used to be their head. And vice versa.
12 A plant grows in the caster’s stomach. One night per week 1d3 dry black tendrils emerge from the caster’s orifices and bear glossy plump deep purple fruit. In the centre of the fruit is a small black multi-limbed figure in a foetal position, of the same consistency as the fruit.
If the caster has been acting immorally the fruit is sweet and grants a 1d4 alchemical bonus to Strength, Dexterity and Intelligence for 1 hour (Constitution save or become addicted).
If the caster has been acting morally the fruit tastes of ash and salt and induces extreme paranoia and jealousy.
13 Everything the caster is wearing has a 50% chance of (roll 1d6):
1. Decomposing into a swarm of cooing lime green spiders which caress you with their tiny limbs.
2. Turning into rose-coloured glass that reflects things all wrong.
3. Becoming pliable and moist. It will fuse to your skin the next time you touch it.
4. Puffing into a foul smelling dust which swirls in place for a few minutes, then reforms, then puffs into dust, and so on.
5. Splashing to the ground like thick paint.
6. Turning into hair from some kind of beast you’ve never seen before, some parts still have bits of scalp attached and tiny lice swarm throughout.
14 A dog runs into the area, if you were attacking someone it immediately latches onto them. He’s just the cutest most loyal little dog ever yes he is. Anyone else that looks at it sees its fur shivering and shaking while its head splits open and the monkey skull within screams at them.
15 The caster vomits forth an enormous pink toad which croaks loudly and collapses into a puddle of slime. For the next 3 hours everyone who was within earshot must make a Charisma save when they wish to speak, otherwise they vomit up a small pink toad which stares and follows them. The bumps on its back constantly sweat beads of black fluid.
If you actively lick one there is a 50% chance it cures you (as a Cure Wounds spell cast at 1st level) , otherwise you hallucinate for 1d6 x10 minutes.
16 Black Blood. The caster’s Strength increases to 18 and they fly into a murderous frenzy. Any wound they sustain immediately sprays boiling black blood. As a bonus action, the caster can caster spray blood from his eyes on a creature within 5 feet, dealing acid damage equal to his caster level. This lasts for 1d8 rounds, after which the caster blacks out for that many hours.
17 Everyone within view of the caster must make a Strength save. Those who fail begin to give birth through their mouths, umbilical cord and placenta and all. The foetus is them. If they kill it there are no consequences, if they allow it to live it will leech a year of their life every day, growing visibly older.
If they eat the child, increase a random ability score by 1.
18 Your lips seal shut like they never existed and your tongue seems to double in size, it’s moving around your mouth and feels like it’s getting bigger, it’s trying to choke you. If you bite your tongue in half you’ll find that your mouth is full of black, legged maggots, and your lips were never sealed shut.
50% chance you really did bite your tongue in half.
19 Beacon of Sin. Others find it hard to repress taboo desires around you. A trail of incest and lynchings is left in your wake for the next 1d6 weeks, on a roll of 6 it is permanent.
20 Every non-living object in a 5’ radius around the caster is liquefied into a foul-smelling orange pus. Including the floor, their hair, and everything they are wearing.

Abyssal Side Effects

1 Fat, silvery tadpoles that look more like sperm squeeze out of your tear ducts, if kept in water for 3 weeks they will mature into long-limbed vaguely translucent milky frogs without eyes. The frog’s tongue oozes lazily from its mouth before being drawn back in, its croak is a gurgle, you never see it feed. Licking the frog is a powerful aphrodisiac.
2 Bright blue mushrooms sprout within a 30’ radius from the caster. Moving through/among them requires a Dexterity save to avoid breaking them. If you break one it screams the way you imagine a tree screams while being cut down with a chainsaw. Make a Wisdom save or the spores it sprays into the air drive you to fall to your knees and shovel the ruined mushroom into your mouth. In a week a crop of mushrooms will grow from a random place on your body overnight. They’ll decay on their own after a day, leaving a blue stain on your skin, otherwise they spray spores into the air, repeat.
3 Thick, inch long crimson maggots pour from the caster’s every orifice for the next 1d4 rounds, popping and melting as they fall.
4 Geometric outlines raise beneath your skin and twist and grind against each other like a puzzle desperately trying to solve itself. Hope it doesn’t, 1% chance that it does, in which case a gate (to a random outer plane) opens beneath your skin..
5 Animal magnetism. For the next 1d6 hours any animal that catches your scent becomes amorously infatuated with you. Referee discretion on what counts as an animal. When the pheromones wear off it will be like coming down for them, they may not be too happy with you for not smelling as good.
6 A random target of at least human intelligence (including the caster) falls to their knees and clasps their hands over their ears, screaming in a pitch beyond hearing while incomprehensible light shines from their eyes. The affected creature may make a Charisma save each round to end the effect. If it takes more than 10 rounds, their Wisdom increases by 1.
7 Blood pours from your eyes, blinding you for 1d4 x10 minutes. You feel that if your hands were covered in blood before casting the spell you would be protected. In reality the blood will pour from your eyes either way, but you’ll be able to see through it. See through the blood itself.
8 Your fingernails roll back and tear from your fingertips. New ones seem to be crystallising in their place, but you have disadvantage on all Strength and Dexterity checks for the next 1d2 hours while they grow back.
9 Thick yellow blisters erupt in 1d4 random locations on your flesh. The pus inside happens to be highly flammable.
10 Worms emerge from your flesh, their voices rising in a Gregorian chant to accompany your own as you cast the spell.
11 You void your bowels. It isn’t pretty but there it is. 50% of the time it’s nothing but fragile discarded insect shells.
12 Bloodthirst. Until you drink blood, any kind of blood, you lose 1 hit point every 10 minutes and cannot benefit from a short rest. If your HP reach zero you fall unconscious, gain a random insanity and roll on the transmutation table.
13 Insects with long, hanging legs that fly without wings appear in the wake of the spell. If you make a Charisma save they don’t notice you, and if the spell was cast on a living being they will land on them, dissolving cones of flesh beneath their feet dealing 1d4 points of damage per spell level. If you fail they are drawn to you and land softly on your skin, you can’t touch them, they press what you assume to be their heads to your flesh and emit a pleasant humming.
14 Beams of dark light rise from your body like heat waves, seeking the eyes of those around you. Anyone within 10’ must make a Wisdom save or gain 1 Intelligence and a random insanity.
15 A goitre expands on your neck and grows every time this spell is cast. If it is ever burst or cut off a squishy white fungal version of the caster at a stage of development equal to its size will be found inside.
16 You fall prone and your ribs open up out of your chest, tearing through armour and splitting your torso open as your internal organs spray out and hover in front of you, veins and gore string between them and the open cavity of your body, making them look like cities on a bizarre roadmap. After one round the process reverses and seals like it never happened, but it will be 1d4 rounds before you can stand again. Every time this happens it looks different somehow, you can’t place it, it’s almost as if something is missing, as if something has been altered..
17 You feel a sharp pain in your abdomen. Referee only: roll 2d4. This is the Gestation. Once the spell has been cast that many more times the caster will have no choice but to pass the gallstone that has been growing inside them. It takes half as many rounds as the Gestation, and requires the caster to roll a Constitution save. If they fail it tears their genitals apart even as it breaks itself to pieces, and deals half as much damage as the Gestation. If successful the gallstone is passed intact. Its surface is glassy and of no discernible colour, with sections that shoot off in perfectly cut gem spires and others formed of strangely reflective bubbles. If the caster thinks to do so it can be used as a spell focus.
18 Three inch long hairs which are actually sentient fungi grow from a random location on your body. If you try to remove them, the uncut hairs inflict a debilitating pain which requires 1d4 rounds to finish cutting them off and deals 1 damage per round you persist.
If left alone, the hairs have a 50% chance of releasing hallucinogenic spores at inconvenient times a maximum of once per day.
19 You start sweating a sickly sweet substance. Winged insects seem to shimmer out of the air around you, their pale opalescent carapaces only becoming clear when they settle on your skin to feed. Every round you try to get them off they will sting you for 1 damage, if you have already been stung once make a Strength save after every subsequent sting or lose bodily control for 1d4 rounds. Once they are left alone they will finish feeding in 1d4 rounds. You may move around while they are feeding, but any strenuous activity like attacking will cause them to sting the hell out of you.
20 The flesh of your left arm becomes spongy and pliable. Every time you cast this spell there is a 10% chance of the condition progressing.
1. The skin turns sour and sticky. 2. The arm begins to turn black in places. 3. The arm turns utterly black. 4. The fingernails fall off and a clear yellowish fluid constantly sweats and drips out of the arm. 5. The flesh seems to be losing its integrity, parts of it are often left on things you have struck or held too long, but it’s painless, and you can never see where it’s missing. 6. The flesh bubbles and writhes, small black hands reach out of it, boils pop and flesh falls from beneath your arm, burning the floor like acid, a face forms in the midst of your churning flesh and seems to silently scream “stop”, and then it’s over. 7. You watch as four lines split down the length of your arm starting at your hand. The flesh tears and oozes and rolls back up your arm in four quarters until it reaches your shoulder and sloughs to the floor. You stare at the glassy bones of your arm and the violent yellow mist coursing through them, it whispers something you can’t comprehend, a piercing noise forces everyone to their knees and in the ringing you feel the glass bones shatter. When you open your eyes the mist is gone and your discarded flesh is clutching at you with the hands of children, screaming endlessly without a voice.


1 Your legs become pudgy and pink and your feet turn black like frostbite. When the flesh sloughs away from your feet they are cloven like a pig’s. You discover you now have three sets of distended teats lining your stomach. Two pudgy, pliable arms gradually grow from just above your hips, if a pig had fingers they would look like this. Treat the arms like a hireling, any time you want to do something with them you must succeed on a Charisma (persuasion) check, otherwise you just throw up on yourself.
2 Your jaw dislocates and your throat dangles like a crop. Your jaw now hinges on over-elasticised tendons and your throat can stretch and swell like that of a pelican or frog.
3 1d4 small hard nodules push out of your shoulders around the base of your neck. They continue to grow and twist out into hard, ridged horns, like some kind of morbid cage collar behind your head, within a month they’re about 3 feet long, but they won’t stop there. They make an excellent spell component when ground into a fine powder if the caster ever thinks to do so.
4 Luminous orange anemone fronds grow in and around your eye sockets, engulfing your eyes. You can see normally in light (from the small black dots at their tips), and in darkness you can sense your surroundings within 50’.
5 For the next 2 weeks your nose becomes an ideal environment for the incubation of hundreds of small seed-shaped slippery tags of flesh, like a capsicum. If the seeds aren’t harvested daily you are likely to become a target for birds and rodents.
6 A mouth grows from a random location on your body. For the most part it just breathes loudly and tries to bite anything that comes near it, but as soon as you tell a lie it will yell the truth.
7 Your abdominal muscles cramp terribly for the next week while a line forms in a spiral from your navel. The skin along this line dies and falls away and you gain control of two elastic hard-toothed tentacles which twist themselves out from your stomach, anchored to the flesh below your navel. Your organs seem to have a new greenish film over them to ward off infection, but are left otherwise unprotected while the tentacles are unfurled.
8 You grow a set of breasts in addition to any you may have already. These breasts constantly leak a bitter smelling amber fluid. You keep waking up with small soft crawling things with bright eyes feeding from you in the dark.
9 A random part of your body begins to swell, and fine layers of sticky silk thread develop over it until it is no more than a webbed mound. Delicate pure white moths constantly fly in and around it, if you cover it the flesh beneath burns as if being bitten by a thousand ants. Every now and then it will burst to release the aggressive black-bronze carapaced young.
10 You can’t stop drooling black bile. It seems to be mildly acidic to everything but your own flesh. If you regurgitate a pool of it eyes emerge and pop amongst its surging mass.
11 Rat Mother. Thick mounded glands swell from the sides of your throat, when pressed they secrete a pungent black grease. Female rats are drawn to you, forming a protective maternal coven.
12 Your bones liquefy and you find your body as pliable as an octopus. Make a Charisma save whenever you want to pull yourself back into a solid human form. If you fail you look like a fleshy blob of ooze. If you succeed you force yourself back into a human form for up to 1 hour, but take 1 damage.
13 The skin of your back becomes porous and elastic and you sprout thousands of thick dry skin tags. Your tongue can now extend 3 feet in length and sweats some kind of oil, you find yourself licking your back to relieve the dry pain.
14 Vaguely translucent oyster-like keratin growths appear in multiple places on your body. After a week there are enough to grant you +1 AC. If split open they squirting black ink into the eyes of the aggressor (Dexterity save or blinded for 1 round). When inspecting or splitting them open there is a 5% chance of revealing a black pearl worth 100gp.
15 Short fleshy stalks bearing pink textured globes grow from a random location on your body. In times of extreme stress these globes explode into violet flowers in a cloud of white dead-skin spores. You immediately feel the sensation of being wildly licked by multiple tongues over the stalked area by something you cannot see, but afterwards you feel a heightened sense of things, gaining advantage on any Investigation rolls. Within a week the stalks will regrow in a new location. Over time you will learn to control the spores, but hope you never see the things following you for nourishment.
16 Hundreds of blueish 6 inch long tendrils grow below your jaw and down your throat. They thirst for blood.
17 Your eyes boil and burst and the skin of your arms and hands splits as new eyes bubble out like eggs on a frog’s back. You gain advantage on Perception checks.
18 Roll 1d6: 1. Your right arm. 2. Your left arm. 3. Your right leg. 4. Your left leg. 5. Your abdomen. 6. Your entire body. The selected body part is racked with agonising pain for the next 1d6 hours. As this time progresses the body part bruises and turns black and the flesh begins to twist and scream. By the end the body part resembles a gnarled burnt tree, and short wavering tendrils of flesh of various lengths emerge and sway from your flesh. The flesh is in a constant state of change, the tendrils retract and appear elsewhere, your skin sinks and twists and inflates, a knot hole will appear and whisper something incomprehensible. Anyone touched by this flesh must make a Wisdom save or lapse into hysterics (becoming panicked) for 1 minute.
If your entire body was affected decrease Charisma by 1d6 and add a similar amount to Intelligence, but something whispers to you in the night.
19 Fluted holes appear in your skin near hard areas of bone, particularly your elbows, shins, shoulders and spine. A colony of glassy purple ant-like creatures takes residence inside your bones, feeding on the marrow. Your HP are permanently reduced by 1 per die. Any time you are physically attacked there is a 50% chance the ants fling themselves from your body to attack the aggressor (treat as a summon swarm spell), and a 25% chance that they both attack and begin to mend the wound, restoring 1HP every 2 rounds.
20 Over the next week the flesh sloughs away from your legs and abdomen. Your belly falls away to reveal a pale yellow segmented carapace, wavering tendrils emerge from holes and slimy manipulator arms unfurl below your chest. Eventually your chest rots away to reveal two pulsing uncovered organs on either side of a ridged breastbone, you’re not yet sure what they’re for. Your legs reveal nothing but discoloured bone as they rot, eventually decomposing and collapsing beneath your weight. The mass of short segmented legs and tendrils that have taken the place of your groin and buttocks allow you to move as fast as you ever did, maybe even faster.

Random Insanity

1 Whose arm is this? You are convinced that one of your arms does not belong to you. You will tear and bite at it until it is removed.
2 You find a surprisingly large rotting rat. You tear its head off, maggots falling from its eyes, and go on your way. You can no longer make a decision without consulting the divine Verminhead.
3 You believe darkness is an entity that will enter your mouth to feed on your breath until your lungs turn to dust. There’s no way they can make you put out your lantern, doesn’t matter what they think they hear coming.
4 Coprophagia.
5 You believe your blood is finite. When wounded you fly into a rage against your aggressor, gaining advantage on attack and damage until they are dead, after which you spend an equal amount of rounds trying to scoop their blood into your wounds.
6 Cats are filthy spies. Plotting your murder. Damn their furry hides!
7 Pick a random companion, you become convinced that they are some kind of parasite in the shape of a man. You don’t want them to know you’re on to them just yet but you will go to great lengths to prove this to everyone else.
8 Rain terrifies you, it burns you like acid!
9 You believe you are a hermit crab, wearing this body like a shell. If it’s damaged you’ll just get a new one.
10 You refuse to cut your nails ever again. Finger or toe. You refuse to tell anyone why. If they break you become hysterical.
11 Cotard’s syndrome. You believe you are dead and rotting, you’re not sure how your companions can bear the stench. 15% chance that you believe you are immortal.
12 Night terrors.
13 They’re out to get you, they know your secrets, they wish you dead! Paranoia takes hold and you see everyone around you as an enemy with psychotically violent results. You’ll get over it after a good sleep or being knocked unconscious.
14 You are constantly accompanied by the floating decapitated head of a morbidly obese pig. Large stones are jammed into its sockets in place of eyes and a decaying golden laurel hovers behind its head. It speaks to you, it’s really quite friendly. When it does, maggots fall from its mouth and golden leaves from its severed neck. Obviously no one else can see it.
15 You’re convinced that if you cover yourself in mud and faeces and have your companions spit all over you you will be invisible to the naked eye of most beings. You’ll be fucking shocked the first time it doesn’t work, they mustn’t have spit hard enough.
16 You can’t stand to be touched by others, you think they’re trying to meld with your flesh.
17 You believe that books read you back. After you finish reading anything other than your spellbook you will burn it to prevent it telling your secrets to others.
18 When entering a structure you haven’t tasted before you need to get down and lick the floor or you’ll freak out in 1d4 rounds.
19 You carve crossed-out triangles into every bit of skin you can reach. It takes about an hour, you refuse to do anything else until you’re finished, if you’re dragged away you’ll kick and curse until they release you so that you can continue. You tell your companions it is to protect from falling into the room without walls, you strongly suggest they do the same.
20 You start collecting hair, nails, and dead skin from your companions while they sleep. If they bleed you will scoop some up if you can. It all goes towards the putrid godball you’re building in secret. They wouldn’t understand.

That Which Should Not Be

1 A dozen hands push out in a line down your torso, drawing back your flesh like a stage curtain. When you look into the darkness it’s like going through a tunnel until you reach yourself illuminated by a hundred tallow candles, standing before an enormous canvas, brush in hand, painting the present scene.
The jagged, segmented grey legs pulling themselves through the hole in your torso are getting longer and more numerous, like a great spider with a thousand legs, you keep painting them growing further and further out. Your companions look terrified, you paint one fallen to their knees, praying to a god they have never known. You paint a look of realisation on your closest friend, that this is the end of all things, that this creature will rot the world and drink the remains. You have the same realisation as you paint more and more legs dragging themselves through your curtain of flesh.
There are too many legs to paint over now, you can feel them on the canvas, they penetrate through all things, but the body has not yet emerged, though you feel it no longer needs the help of your brush to pull itself through. You are still painting, and you know that time is running out.
2 The next time the party wakes they will find the caster crusted to their bedding like a chrysalis, their hand sticking out the side like it is expecting to be held. If anyone touches the hand they feel a sting before it shrivels back inside the crusted shell. Constitution save or the same happens to you the next time you sleep. You may not want to wait to find out what will eventually hatch from the cocoon.
3 The next time the caster sleeps, the Wounded Wretch appears to them in a dream. Limp brown hair hangs over her face and she lets her thin white shawl drop to the floor, revealing three sets of pendulous breasts. Her belly and thighs are a mess of scar tissue and rings like rope burn decorate her calves, ankles and wrists. She asks the caster to suckle her. If the caster is female they are invited to become one of her Wombs. If the caster doesn’t agree to become a Womb choose a breast or roll d6:
1 (Top Left). If female, the caster becomes pregnant. If male, the next woman the caster touches becomes pregnant with their child. The child will grow to be a highly influential figure. And a secret killer.
2 (Top Right). Fruiting bodies with vibrant pink caps and fluorescent yellow/green gills continually grow from the caster’s stomach, the fungal mass within now sustains them and they no longer need to eat. The mushrooms themselves are incredibly poisonous, killing the imbiber with knowledge.
3 (Middle Left). The caster’s lips meld to the Wretch’s breast and it is the most comforting thing imaginable. The Wretch cradles and feeds them for all time.
4 (Middle Right). The caster sees the Wretch’s true face and screams, until their throat is bloody and raw, for the rest of their life.
5 (Bottom Left). The caster drinks their own blood and fluid from the mother’s breast, shrivelling into a dried husk.
6 (Bottom Right). Regardless of gender the caster immediately begins birthing a true child of the Wretch. As the baby crowns from whichever orifice it is using its body opens like a Pear of Anguish, tearing its way through the caster, and the writhing snarling mass of bubbling nightmare flesh within begins to cry for its first meal, lashing out at anything nearby. HD equal to the caster’s level.
4 Thin white iron spikes with hanging wires and ridges and rings pierce outwards from the caster’s shoulders and neck in an elaborate halo. Faces suspended within the mess chatter noiselessly and tiny men and women walk around on hanging bridges debating judgement and stabbing and rutting amongst themselves. 50% chance the denizens of the halo judge the caster worthy, remaining with them and providing a 1d4 bonus to any Cast the Bones check. Otherwise a beautiful marble woman rises through the crown of the caster’s head, her arms delicately held above her in a classical pose, lowering them to softly lick the blood and brain matter from her body like a faun drinking dew from a leaf before leaning down and pushing her arms through the pupils of the caster’s eyes, leaving them in a gibbering mess on the floor.
5 The ground melts into a surface like white light without a glow, sound causes soft spikes like bars on an equaliser to bounce out of the ground and cling to the source of the noise. Footsteps echo and coat your legs. Silence is golden.
(If there are enemies present the Referee should have one yell and run at the caster. Spikes leap out of the ground so high that you lose sight of them, when the spikes retreat back into the ground a featureless pure white figure with black pinholes for eyes is standing in their place. Turning to stare at you wherever you move.)
6 The caster’s head shreds open and a fountain of blood towers out of their kneeling body. The blood is thick and viscous and shifts into surprising palettes of colour, it splatters and spreads across the roof, there are things in it. They reach out with breaking joints before slopping to the floor and reforming as something else, they give birth to things which consume them and crawl towards you with a scream that is a gurgle then float to the roof like a drop of water watched in reverse.
You should probably seal the door.
7 A dripping ball of smouldering black sludge consumes your heart, burning a hole through your chest. You still live. When you deal damage the sludge consumes half the Hit Points, also transferring them to you if you are wounded. It grows bigger and hotter, slopping out of your chest cavity and slapping against your stomach. When you take damage the sludge is diminished by an equal amount. When it reaches 25HP it begins to beg for more blood, more carnage, making a d8 attack of its own if exposed in combat. If it reaches 50HP it will envelop and slowly digest your body while regenerating your flesh, using you like a magical fission reactor to power its hysterical killing spree.
8 The Ocean. When you are wounded your body gushes saltwater instead of blood, tiny translucent organisms and vibrant crustaceans you never imagined writhe about on the floor. If you are killed your body will burst and release the ocean.
9 Everything goes dark, you lose sight of the walls, your companions are around you with shining white eyes, they rend and tear at your flesh, stuffing their mouths, not even chewing in their haste to fill their bellies, your attempts to fight back pass through them like a shadow.
Your companions find themselves sitting in a circle around the place where you last stood with distended bellies and blood soaked hands and mouths. The only remaining trace of the caster is a wax-sealed skull sitting in their midst.
10 Snake birthing pit. Your throat expands and they begin to slide out of your mouth, your stomach splits open and piles of them slop to the floor, offspring slime out of their wombs and reach adulthood almost as fast as they are born, in turn giving birth to their own young, they slither across the floor in an ever expanding pile of writhing flesh and scales.
(Blood ruby red, their diamond scales seem raised from the surface of their flesh, tiny valleys running between them. If bitten roll a Constitution save. In 4d20 hours you’ll share the same fate. They’ll stop birthing after they’ve multiplied enough to fill a 30’ room. After a day they harden into actual ruby. If you break them a baby snake falls out and the process starts all over again.)
11 Your flesh bubbles into bulbous purple mounds, becoming a hive for long-legged beetles which seem to glide rather than crawl. Your consciousness now resides in the beetles, not your ruined hive of a body. Your body now has its own hit point pool (as a 1st-level character of your class). It can no longer be healed. Your hit points reside with the beetles. As long as the beetles aren’t wiped out they will repair the body at 1 HP per day. If the beetles abandon the body entirely they can infest a corpse and convert it at the same rate. When outside a body the beetles only have AC10, but have resistance to all attacks.
You are a single consciousness split into many parts, when part of you is lost your thoughts become erratic and confused. You gain the confused condition any time you take damage, which lasts until healed.
12 Heavy rain begins to fall from the floor into the sky.
If you’re inside, a pool of sloshing water forms in the ceiling, and after 1d4 rounds pastel colour-shifting spined tentacles emerge and seek those below, one for every being present (Strength save to avoid being grappled). If they pull you into the water the ocean stretches in blue darkness further than you will ever see, constellations of pinhole lights swim and dance all around you and you feel nothing but calm as you are pulled into the swirling mass of colour and sentience that engulfs most of your vision.
If you’re outside, a swirling pastel colour-shifting cloud forms overhead, and after 1d4 rounds sparks of brain-lightning flash inside its mass and the rain begins to fall back to earth, carrying plate-sized albino soldier crabs with hands instead of claws, 1d4 per being present. They crawl onto your chest and lean into your face, speaking from their terrible mouths. They tell you all the secrets of the cosmos. Your brain feels like someone is pouring acid on it and you will never remember any of it. Halve your Intelligence, round down, and add the amount you lost to Wisdom (to a maximum of 30).
13 One of the caster’s eyes pops from their head and a crimson serpent slithers from the socket holding the eye within its mouth. The serpent coils and rears up, staring at those around it. The dry leaf whisper in their minds asks them what they wish of it.
Any wish granted by the serpent decreases the caster’s HP by 1, but this isn’t obvious aside from the growing flow of blood from their empty eye socket. If the caster reaches 0HP they fall and dash against the ground into a pile of dust.
After a number of weeks has passed equal to HP lost by the caster anything bestowed by the serpent will turn to blood, either literally or figuratively.
14 Hours later, slowly at first, the flesh of your stomach begins to twist inwards. It continues to churn into your body until a spiralling tunnel gapes between your ribs and groin, seen from the front it seems to extend at least 30’ into your body. The twisting flesh of the tunnel emits a faint blue glow, and at the end nothing can be seen but whispy tendrils of darkness. You feel phantom stomach cramps of hunger around the recently dead.
Any recently killed flesh placed within the spiral is drawn gently inward and floats along its length until it disappears in darkness, and soon afterwards 1d10 gold coins of an antiquity no one can place clatter out of your belly. Once 400 coins have emerged, the thing inside is satisfied with the flesh offerings and the host’s body is stretched and turned and curled backward around the spiral tunnel, forming grotesque screaming ever widening rolls of flesh as the tendrils of darkness are drawn ever closer to the surface until it erupts and fills the room with glowing blue flesh and darkness, corrupting minds and bodies with enlightenment. The flesh of anyone in the immediate vicinity erupts in unimaginable constantly changing new forms while their minds expand into unreachable levels of consciousness even as everything they were as a person implodes.
Over the next hour this influence radiates a further 900’ in all directions, after which every living thing in that sphere will disappear, save for a few mindless abominations apparently rejected from ascendancy.
15 Another, naked you falls away from you to the floor, like a photograph being moved away from another, strands of pus and membrane string between you. There is a 50% chance that the naked one is actually the caster. If the caster is killed and the Other is not, inform the player after the session who they are.
If the Other is allowed to stay with the party they will be friendlier than ever, and will become steadfastly loyal to whoever shows the most interest in a true friendship. Once they have made a true friend they will want to be near them always, and one night while their friend sleeps by their side the Other’s jaw will dislocate and stretch, and they will try to swallow their friend whole.
16 You lift into the air and 1d4 limbs tear themselves away from your body. Flesh rips and tendons snap, you watch as the limbs dissolve in mid air as if being digested before you drop to the floor.
17 Someone is calling to you when you sleep, they need you, go find them, you stop by the water, they’re so close, they need you, go into the water..
Every night for the next 2 weeks you come to your senses next to the blue moonlit water, even if there was no water nearby when you went to sleep, Wisdom save to resist stepping in. Every night after that you get closer to her/him/whatever you find most attractive before waking up soaking wet in the morning light. If you enter the water they will embrace you and consume your flesh with translucent echidna-quill teeth while making love to you.
18 You keep seeing a shadow in your peripheral vision but when you turn it’s never there. As soon as it can get you alone this damp ashy shadow doppelgänger will try to kill you. It wants to be you. The real you. It has the same Ability Scores as you, gains a shadow version of any item that you take in your hand, and has +2 AC, it’s mostly incorporeal, and it wants to change that. It would rather not injure you, preferring to strangle or choke you with its fist. If the doppelgänger kills you it will split you open and eat your organs before wiggling into its new flesh. Your new flesh. Re-roll your Ability Scores while you get settled into your new body. Skills, spells and memories are inherited.
19 Constitution save. If successful spend the next 2d6 rounds vomiting up an egg sac. Otherwise, congratulations! You are now pregnant with godflesh. You want to share this blessing with everyone. Especially your friends. While they sleep.
20 Intelligence save. If successful the caster takes 2d4 damage and a random insanity. Otherwise, after the session inform the player that their consciousness has been consumed and replaced by the projected consciousness of a lurking fear. From now on they will continue to assist in the party’s goals, but do their best to draw them towards the horror’s physical form.

Number and balance, as if we care

1 For anyone keeping score, you need a 20 or better on 1d20 to cast the spell without something horrible, chaotic, or horribly chaotic happening. Yes a 1st-level caster could try for a 9th-level slot to supercharge his magic missile in a pinch, but even an Arcana proficient caster with a 20 casting stat only gets +7 on the check, which, with the -9 penalty for the slot level, means that the best result they can get is an 18…yeah have fun with that one dude! Even a 20th level caster with a 20 stat has only +11, which nets to only +2 (for a only 15% chance of no-consequences success when attempting a 9th-level slot).

But, hey, we like dramatic last-ditch efforts against unbeatable odds with known consequences.

Tearing Power From Beyond

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