You hold a disc of fruit at arm's length and whisper through it, focusing a precise instruction into the body of the target creature.
A creature targeted by this spell must make a Constitution saving throw. On a failed save, the target takes Xd10+4 Necrotic damage, where X=the target's CR, or, if the target's CR is less than 1, 1d10 flat Necrotic damage.
The creature also gains 1 level of exhaustion, which cannot be discharged except by a long rest during which the victim must either: eat a meal of fruit, or receive a Lesser Restoration.
If the target has any notable scars or past wounds, they reopen and bleed profusely. Otherwise a lifetime of tiny cuts and scrapes create the impression of a creature suddenly sweating blood from every pore.
A creature is unaffected by this spell if it is still suffering from exhaustion caused by this spell.
"There is no such thing as healing. From paper cuts to surgical scars, our bodies are catalogues of wounds: imperfectly locked doors quietly waiting, sooner or later, to spring back open." Geoff Manaugh, Infinite Exchange
* - (a round, dried slice of citrus fruit with a hole in the center)
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