When casting depression the spellcaster must use an action to touch the target and verbally cast the spell (the target must hear you). The target must succeed a Wisdom saving throw equal to the spellcaster's spell DC or be inflicted with depression. While depressed the target must roll a d20 die every 24 hours and add their Wisdom modifier (roll as soon as possible after being affected). Depression uses the exhaustion system:
A natural 1 results in the target taking 3 levels of permanent exhaustion.
A 2-10 or dirty 1 adds 1 level of permanent exhaustion.
An 11-19 results in no change to the levels of permanent exhaustion unless they have over 3 levels already in which case they lose 1 level.
A 20 or higher or natural 20 results in the target being cured of their depression, losing all levels of permanent exhaustion.
Note: Permanent exhaustion can only be removed through the process listed above. Normal exhaustion can stack on top of permanent exhaustion potentially resulting in death although can be removed using the normal procedures.
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