You point your finger at an object or creature that you can see within range and mark it for deletion. If it is an object, it must be Huge or smaller and cannot be an artifact or worth more than 20,000 gp. If it is a creature, it must have 50 hit points or less remaining. If these conditions are met, the target instantly disappears. Otherwise you can maintain concentration on the spell and the target will disappear as soon as the conditions are met, such as if a target creature drops to 50 hit points or lower. If you break concentration or the duration expires without the conditions being met, the target is unaffected.
A target deleted by this spell is permanently erased from reality, the very matter it was composed of having ceased to be. If it was a creature, its soul is destroyed with the rest of it and it does not pass on to any afterlife. It cannot be brought back in any way, not even a Wish spell or divine intervention. A Wish spell or similar magic can be used to create a perfect replica of the target, but while superficially identical it is not the same. If it is a creature, it has all the memories of the original but a new and separate consciousness.
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