You create water in the lungs of a target creature. The target must succeed a Constitution Saving Throw. If failed, it takes 90% of its current hit points as bludgeoning damage and begin drowning as if it had failed to continue holding its breath. On the next round it hit points immediately drop to 0, and it falls unconscious. In the following round, it dies.
Coughing and other attempts by the subject to physically expel the water from its lungs are useless. However, another creature can stabilize the subject by making a Medicine check against your Spell DC on the creature before it dies.
Constructs, undead, and creature that can breathe in water is immune.
At Higher Levels. When you cast this spell using a spell slot of 7th level or higher, you can target one additional creature for each slot level above 6th. The creatures must be within 30 feet of each other when you target them.
* - (Fish gill)
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