The area surrounding you in a 5 mile radius turns dark for a moment as everything in range begins to rapidly decay. Each creature in a 5 mile radius of of your choosing makes a Constitution saving throw. A creature takes 40d6 Necrotic damage on a failed save or half as much damage on a successful one.
A creature in the range of the spell that fails the saving throw will also have the following stacking effects in the following order, the next effect in the list will be added to them for each continual failed save after their first, the creature can repeat the saving throw at the end of their turn to remove the effects.
First failed save: the creature has disadvantage on all ability checks.
Second failed save: the creature has disadvantage on all attack rolls.
Third failed save: the creature gains two levels of exhaustion.
Fourth failed save: the creature dies.
~ Created by Azoroth Sorrowind of Thay.
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