You cause a nearby creature's heart to beat irregularly, making them partially lose control of their bodies as their pulse falters. Creatures that don't have a heart or similar organ aren't affected by this spell. A target must succeed on a constitution saving throw or be affected by one of the following effects (your choice):
Bradycardia: The creature's heart beats too slow, causing it disadvantage on saving throws and ability checks, dealing 1d8 necrotic damage at the start of each of their turns.
Tachycardia: The creature's heart beats too fast, causing disadvantage on saving throws and all dexterity based ability checks. When the effect ends, the must roll a constitution saving throw with a DC of 5 + the number of turns they were affected by tachycardia. On a failure, they take 8d8+10 necrotic damage as their heart fails.
* - (Drop of Blood)
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