Your constitution score increases by 2 and your Strength increases by 2.

Ghouls age similarly to humans.

Ghouls range as much as humans when it comes to alignment, though they tend toward chaotic alignments due to their forced separation from human society

Ghouls vary widely in height and build, from barely 5 feet to well over 6 feet tall. Your size is Medium.

Your base walking speed is 30 feet.

You gain nourishment from human flesh, though you don't need to eat every day. Additionally, you must pass a DC 15 CON check to keep yourself from vomiting should you consume any other foods. Drinks, however, are fine.

You may regrow limbs on long rests but you sacrifice regaining spell slots hp or anything else

Once every d20+10+ Constitution modifier days you need to consume at least 1.5 lbs worth of human flesh (or a sentient equivalent). Every meal resets the days and a reroll is needed. When the amount of days left is equal to your constitution modifier, you must pass a DC 12+1 (per day after) charisma saving throw or suffer one of the effects from the short term madness table in the DMG for an additional 15 minutes.

You have advantage on perception checks based on smell. You can distinguish between ghouls and non-ghouls without the need for a roll. Lastly, dim light no longer affects your vision negatively.

You can speak, read, and write Common and one other language of your choice.

You have spider leg-like appendages that form at the base of your spine as your action, you can attack with these appendages to deal 1d4+ your Strength modifier in piercing damage. You can attack with more than one appendage when you reach higher levels: two appendages at 5th level, three appendages at 11th level, and four appendages at 17th level. You can direct the appendages at the same target or at different ones. Make a separate attack roll for each appendage. The range is 10ft.

Your climb speed is equal to your walk speed due to your kagune.