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Sewer Plague

Sewer plague is a generic term for a broad category of illnesses that incubate in sewers, refuse heaps, and stagnant swamps, and which are sometimes transmitted by creatures that dwell in those areas, such as rats and otyughs.

Exposure. When a humanoid creature is bitten by a creature that carries the disease, or comes into contact with filth or offal contaminated by the disease, the creature must succeed on a

DC 11 Constitution saving throw or become infected.

Symptoms. Take 1d4 days to manifest and include fatigue and cramps. The infected creature suffers one level of exhaustion, and it regains only half the normal number of hit points from spending Hit Dice and no hit points from finishing a long rest.

Recovery. At the end of each long rest, an infected creature must make a

DC 11 Constitution saving throw. On a failed save, the character gains one level of exhaustion. On a successful save, the character's exhaustion level decreases by one level. If a successful saving throw reduces the infected creature's level of exhaustion below 1, the creature recovers from the disease.

Cure. lesser restoration removes the disease.

  • name Sewer Plague
  • type disease
  • description A wasting illness spread by rats, otyughs, and contaminated filth.