An Ouchie

When casting this spell, you stare at the victim and send the effects of the poisonous plant to them, as long as they are within sight of you. The effects of the poisonous plant are amplified, causing even deadlier effects than the supposed original ones. The opponent must have a Constitution higher than 15, if not, then they are instantly killed. If they are, they must make a Constitution saving throw with your Spell Save DC. A failed save causes the opponent to be poisoned, gain three levels of exhaustion, and take 12d12 necrotic damage. If the target is already poisoned, they had disadvantage on their Constitution Saving throw  and takes 14d12 necrotic damage

The effect ends and the target loses their poison status effect and three levels of exhaustion if your concentration is broken or you are forced to avert your eyes from them or blinded. (No, you don't have to keep your eyes open for three minutes, you can blink.)

(This was inspired by a stitch I had that hurt too much.)