Twist of Fate

You gain the ability to twist a creature’s testicle or ovary by thought. When you cast the spell, and as your bonus action each round for the duration, you can exert your will on one creature’s testicle or ovary that is within range, causing the appropriate effect below. You can affect the same target round after round, or choose a new one at any time. If you switch targets, the prior target is no longer affected by the spell.

Creature. You can try to twist a creature’s testicle or ovary. Make an ability check with your spellcasting ability contested by the creature's Constitution check. If you win the contest, you are able to twist a creature’s testicle or ovary in any direction, including upward as long as it doesn’t break skin and bone. Until the end of your next turn, the creature’s testicle or ovary is restrained in your telekinetic grip.

On subsequent rounds, you can use your action to attempt to maintain your telekinetic grip on the creature’s testicle or ovary by repeating the contest.

Object. You can try to move a testicle or ovary that weighs up to 150 pounds. If the testicle or ovary isn't being restrained, you automatically cause testicular/ovarial torsion, but not beyond the range of this spell.

If the testicle or ovary is restrained by a creature, usually by gripping with their own hands, you must make an ability check with your spellcasting ability contested by that creature's Strength check. If you succeed, you cause testicular/ovarial torsion.

You may only cause testicular/ovarial torsion on a testicle or ovary with your telekinetic grip.