You cannot take this curse instead of an ability score improvement. This curse can only be given at the DM's discretion.
This curse is etched into the flesh of its bearer with the draconic words for “Innocent Death,” solidified with the boiling blood of the innocent. Over the span of a week, the curse causes the death masks of innocent people you have caused to die, or those who died unjustly because of you, to grow out of your body. At the end of the week, the masks burst forth, creating massive gaping wounds that reduce your maximum HP by one of your hit dice until healed.
Throughout this week, whenever you sleep, you experience the memories and final moments of those who have died. The closer you were to the deceased, the more vivid and detailed these visions become. Some of these masks may possess magical effects, as they may be inhabited by the spirits of the deceased. The magical properties of these masks are determined by the DM at their discretion. This curse can only be removed by the effects of a Greater Restoration or a Wish.
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