You reach out and touch a creature.
If the creature is willing the spell takes effect. If they are unwilling they make a constitution saving throw against your spell save dc.
If you are successful in casting the spell, you may choose to either rejuvenate or exhaust the target.
Rejuvenate: Your touch invigorated and supplies life saving energy to the target, their tired body becomes less fatigued. You may remove 1 point of exhaustion from the target or heal them for 6d6+ your spell casting modifier hit points.
Exhaust: Your cold cruel touch injures and fatigues the target, causing them more pain. You may add 1 point of exhaustion to the target or damage them for 6d6+ your spell casting modifer necrotic damage.
Additionally if you decide to exhaust the target, you may instead decide to move 1 of your exhaustion points to the target, ridding you of it.
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