Choose a humanoid or giant that you can see within range. If the target has 50 hit points or fewer and has relevant male anatomy, it loses concentration on spells, and is subject to crippling pain. Otherwise, the spell has no effect on it. A target is also unaffected if it is immune to being charmed.
While the target is affected by crippling pain, any speed it has can be no higher than 10 feet. The target also has disadvantage on attack rolls, ability checks, and saving throws, other than Constitution saving throws. Finally, if the target tries to cast a spell, it must first succeed on a Constitution saving throw, or the casting fails and the spell is wasted.
A target suffering this pain can make a Constitution saving throw at the end of each of its turns. On a successful save, the crippling pain ends.
A creature affected by this spell continues to experience pain after steeling its will against the initial effect. The root of this pain must be treated by a trained physician, or by a spell that restores hit points cast using a spell slot of 5th level or higher. If it is not treated within 10 days, the creature becomes permanently unable to sire offspring.
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