Testicular Torsion

You raise your hand in a clawed position and aim towards your target before yelling "TESTICULAR TORSION"  wherein unless your target physically does not have at least one testicle, they double over in screaming pain dealing 5d10 piercing damage and 3d6 psychic damage and making your target prone, and giving them the paralyzed debuff for 1 round and the frightened debuff for 3 rounds.

At higher levels the damage increases by 2d10 in both damage types and the debuffs last an extra round longer.