You specialize in the magic of the humors, commanding the emotions of the body as easily as you command its diseases. You gain the following benefits:

• You have spell prowess with pathomancy spells (see below for information on spell prowess).
• The spells contagion, friends, heroism, and weird are added to the spell list of your spellcasting class.
• When you stop concentrating on a pathomancy spell, you can choose to have the spell persist as though you were still concentrating on it until the start of your next turn. The spell ends immediately if you begin concentrating on any other effect.
• When a creature fails a saving throw against the effects of one of your pathomancy spells, you may have that creature become unable to regain hit points. Also, if the spell was not a cantrip, you may choose one ability score. If you do, the creature has disadvantage on ability checks made using that ability score, and while the creature is poisoned or has any exhaustion, its speed is also reduced by half. These effects last until the end of its next turn or your next turn (whichever comes later).

Spell Prowess

Spell Prowess is a new feature for spellcasters. If you have spell prowess with a spell, you gain a bonus to the damage rolls of that spell equal to half your proficiency bonus.

In addition, when you attempt to cast a spell at a spell level equal to or less than two-thirds of your proficiency bonus and you have spell prowess with that spell, you can choose one of somatic, verbal, or material components to ignore for that casting of the spell. You cannot use this to ignore material components that are worth more than 10gp, and you can't ignore a component if the spell requires no other components.

Pathomancy Spells

The following spells count as pathomancy spells. New spells are marked with an asterisk. They appear in The Impermissicon and can be found here on D&D Beyond. Italicized spells are variant spells, also found in the same compendium. Spells marked with a dagger can be found in The Elements & Beyond, another D&D Unleashed compendium.

Cantrips (0 Level)

• Blood Boil*
• Chill Touch
• Ego Shock*
• Forbidding Strike (Booming Blade)
• Friends
• Poison Spray
• Siren's Touch (Lightning Lure)
• Vicious Mockery
• Vile Miasma*

1st Level

• Cause Fear
• Charm Person
• Dissonant Whispers
• Heroism
• Ray of Sickness
• Ray of Terror (Ray of Sickness)
• Spasm*
• Tasha's Hideous Laughter
• Weakening Smite*

2nd Level

• Blindness/Deafness
• Calm Emotions
• Crown of Madness
• Enthrall

• Ray of Enfeeblement

3rd Level

• Enemies Abound
• Excite Emotions*
• Fear
• Festering Arrows (Flame Arrows)
• Incite Self-Harm*
• Mortify*
• Plague Vector*
• Ray of Fatigue*

4th Level

• Agonize*
• Blight
• Charm Monster
• Compulsion
• Confusion
• Dominate Beast
• Hemorrhage*
• Plagued Weapon (Envenomed Weapon*)
• Wall of Wailing (Wall of Fire)

5th Level

• Befoul Water*
• Contagion
• Dominate Person
• Geas
• Grim Terror*

• Synaptic Static

6th Level

• Blood Fever*
• Essence Sap*
• Eyebite
• Harm
• Harmful Words (Harm)
• Rizzak's Ravenous Starvation*

7th Level

• Crystal Scream (Delayed Blast Fireball)
• Malady*
• Overwhelm Emotions*
• Power Word: Pain
• Symbol

8th Level

• Dominate Monster
• Feeblemind
• Psychic Intervention (Electric Interdiction †)
• Vertigo*
• Withering Weapon (Flaring Weapon †)

9th Level

• Amnesia*
• Frailty*
• Pestilence*
• Psychic Scream
• Weird