This requires the Dual Nature Boon to have been taken already. You can choose to add a third elemental source to your form. When you do so, you gain the associated benefits of your new element from Primordial Affinity in addition to your current source benefits.
Flaw.
Force of Nature. You are losing your connection to societal norms. The needs of civilization, community, and morals pale in comparison to the elemental chaos roiling within you. Whenever you complete a long rest, if you are within civilization, you do not regain any hit dice or lose any levels of exhaustion. In these circumstances, the GM decides if a location is considered civilized or not. Alternatively, the GM can decide that a park or grove within a city is sufficient.
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