Surgeon

When an adventurer is maimed by a monster or a soldier is wounded in battle, and the luxury of magical healing is not an option, Surgeons step up to fill the void. Using their intimate understanding of anatomy and biology, Surgeons can analyze any ailment, and, when pressed, they can turn their medical knowledge onto their foes, crippling them with precise cuts.

Surgical Strike

You hit a critical strike on a 19 or 20 on the die of an attack roll.

Vital Incision

When you deal Sneak Attack damage, you can add one of the following Surgical Strike effects. Each effect has a die cost, which is the number of Sneak Attack damage dice you must forgo to add the effect. You remove the die before rolling, and the effect occurs immediately after the attack’s damage is dealt.

Eyes (Cost: 2d6). Target is blinded until the end of its next turn.

Legs (Cost: 2d6). Walking/swim speed is 0 until the start of your next turn.

Arms (Cost: 2d6). The target drops one item of your choice it is holding.

Neck (Cost: 2d6). The target cannot speak or cast spells with verbal components until the end of its next turn.

Level 3: Anatomical Studies

Medic. You gain proficiency in Medicine. When you make a Medicine check, you treat a roll of 7 or lower on the d20 as an 8. You can use a Cunning Action to use the Use an Object action but only for a medicine kit or an item that restores hit points. You gain a Poisoner’s Kit, and you have proficiency with them.

 

Field Medic

You can perform emergency medical aid with incredible speed and accuracy. As a Bonus Action, you can expend one use of Surgeon's Tools to stabilize a creature within 5 feet of you without needing a Medicine check. If the creature is stable at 0 HP, they regain 1 hit point.

When you take the Help action to assist with a Medicine check or healing ability, the creature regains extra hit points equal to your Rogue level (minimum 1).

Level 13: Improved Surgical Strike

Crit range becomes 18-20 on all creatures other than plants, oozes, and constructs Moreover Vital Incisions don’t cost your sneak attack damage

Combat Triage

When a creature within 30 feet of you that you can see takes damage that would reduce it to 0 hit points, you can use your reaction to intervene:

• The creature instead drops to 1 hit point, and you immediately move up to half your speed toward them (this movement doesn’t provoke opportunity attacks).

You can use this feature once per short or long rest.

Level 17: Perfect Incision

Your strikes are masterpieces of precision. Once per turn when you hit with a weapon attack and deal Sneak Attack damage, you can maximize the Sneak Attack damage—dealing the highest possible number on each Sneak Attack die.

You can use this feature once per short rest.