Prerequisite: Must be rebirthed Rebirth cannot be through divine means (Ie. The Everlight)
Main Gist: Blood cannot be on one's hands (literally or metaphorically), blood will need to be transformed to that of one's element or the kill/injury will need to be done without blood. If it's done with blood (not transformed) it will need to be purged. If not purged, player will take 2d6 damage per 3 turns of bloodied conscience.
Class Exemptions: Blood Hunters, Grave Domain Clerics, Hemocraft Specialised Wizards