Tolbin's Tyrannical Timbre

The caster hums, sings, or plays at the exact octave needed to create disastrous physical effects in the target. A target that can hear you must make a constitution saving throw or become violently ill suffering from incontinence and nausea. A successful save prevents the effects. on a failed save the target suffers disadvantage on all attack rolls, constitution saving throws, and skill checks. They may attempt a new save at the end of their subsequent turns with disadvantage. A creature must have the appropriate anatomy for the spell. This spell bypasses poison resistance and immunity. At higher levels the caster may select an additional target per level cast above 3rd.