Surgeon

Rogues who specialize in the art of surgery and medicine walk a thin line between life and death, mastering the skills of healing while using their knowledge of anatomy for deadly precision. Surgeons blend their expertise in medical practices with the stealth and cunning of a rogue, becoming fearsome in both healing and harming.

Combat medic

You have become a master at using healing tools in and out of combat.

• You gain proficiency with the Medicine skill if you don't already have it, and with healer’s kits.
• Additionally, you can use a healer’s kit to stabilize a creature as a bonus action, and when you use it to heal a creature, they regain additional hit points equal to your proficiency + Dexterity modifier.

Surgical Precision

You have learned to exploit weak points in the body with the knowledge of anatomy. When you use your Sneak Attack, you can choose one of the following options:

• Disabling Strike: Instead of adding your Sneak Attack damage, you can force the target to make a Constitution saving throw (DC = 8 + your proficiency bonus + your Dexterity modifier). On a failure, the target suffers disadvantage on attack rolls and Dexterity saving throws until the start of your next turn.

• Vital Strike: You can choose to deal your Sneak Attack damage as necrotic or radiant damage, representing either an attack that worsens a wound or stabilizes a killing blow, respectively.

• Surgical Healing: You may forgo dealing Sneak Attack damage to instead restore hit points to a creature you can touch within 5 feet. Roll a number of Sneak Attack dice up to your Dexterity modifier (minimum of 1 die), and the creature regains hit points equal to the result. You can use this ability a number of times equal to your Dexterity modifier per long rest.

Anatomical Expertise

You can read a creature’s body like a book, identifying its weaknesses and strengths with uncanny accuracy. You gain the following benefits:

• You have advantage on Wisdom (Medicine) checks.
• You can spend one minute observing a creature. After this, you know its vulnerabilities, resistances, immunities, and current hit points.

Emergency Triage

Your surgical knowledge and expertise allow you to treat injuries in ways that defy normal healing, properly diagnose and treat patients in the heat of battle, prioritizing their needs above all else to get them back into the fight.

As a bonus action you can do one of the following up to a number of times equal to your intelligence modifier

Precise Treatment.  You can use your healer's kit and remove a status condition (such as blinded, deadened, paralyzed, or poisoned) from one creature, or reduce a level of exhaustion

Adrenaline Surge. You can inject yourself or a willing creature with a surge of adrenaline. The affected creature gains the following benefits for 1 minute:

• Increased speed by 10 feet
• Advantage on Dexterity saving throws
• Temporary hit points equal to your rogue level

When this effect ends, the creature suffers 1 level of exhaustion due to the stain on their body.

 

Surgical Mastery

Your expertise in surgery has reached unparalleled levels, allowing you to channel all your skill into a single, life-altering strike. You gain the following abilities:

Perfect Precision: You can touch a creature within reach and restore hit points equal to the maximum possible roll of your Sneak Attack dice. When you use this healing option, you also remove any conditions or status effects currently affecting the creature, including blinded, deafened, paralyzed, poisoned, and even one level of exhaustion. 

Vital Weakness: Your surgical expertise lets you exploit even the smallest vulnerabilities in your foes. When you use your Sneak Attack, you may forgo all Sneak Attack dice to instead deal damage equal to the maximum possible roll of your Sneak Attack dice.

You can use this ability twice per long rest.