As a bolt of pure nauseating necrotic damage hits the target, and they find themselves vomiting for one entire round. Then on the next round and for every half-minute following the incantation the creature will gain 1 level of exhaustion until they eat something. Also, for very round after the first the creature also receives 2d8 necrotic damage due to hunger
During a battle, a creature affected by this spell also gains a bite attack that uses the rules of an unarmored strike but with a +1d6 to both attack roll and damage and dealing piercing damage. if the attack hits 3 times the creature is no longer under the magic effect and loses 1 level in exhaustion. you can cast a cantrip that requires touch together with this attack as a bonus action but instead attacking again the creature only ads the damage to the final roll.
If a creature is hit by this spell they cant cast or concentrate in spells level one or higher and it will always use its action and bonus action to attack the closest target, wanting to feed on them. AS said before, the creature can use cantrips that require touch as a bonus action.
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