Place a hand on your intended target and as an action cast Zelladandriel's Merciless Hand. Upon casting the target takes 5D6 necrotic damage and must make WIS saving throw. On a failed save the target takes an additional 2D6 necrotic damage at the start of each of it's turns and is under the fear effect for the duration of the spell or until you end it.

Add an additional 1D6 of damage for each spell level above 4th. When this spell is cast at 9th level, if the targets health is below 1/4 of it's maximum Hit Points the targets heart is ripped out and dies