The target's lungs and throat corrode, filling their mouth and nose with the taste and stench of rotting flesh, causing them to retch uncontrollably. The target must make a constitution saving throw or take 1d4 poison damage, 1d4 acid damage, 1d4 necrotic damage, and become incapacitated. At the end of each turn, the target must make another constitution saving throw or take the damage again. The effect ends when the target succeeds on a constitution saving throw.