Telekinetic Mangle

You raise your hand up to your target, thorny plant in fist, and twist it with ill intent. When you complete this motion, take 3d6 piercing damage as the material digs into your hand and disintegrates shortly afterward. Your target must make three CON saves against your spell DC, taking 4d4 psychic damage for each failed one and half for each successful one. For each failed roll,  roll 1d6 and consult the table below, stacking any duplicate effects.

1. Snapped Fingers/Toes: If your target has digits of any kind, 1d6 of them are bent back and snapped.
2. Pulled Muscle: If your target has limbs of any kind, roll 1d4. on a roll of a 1 or 2, the target the target's arm muscles are agonizingly pulled, having them suffer disadvantage on attacks with that arm. On a roll of 3 or 4, the muscles in a leg are pulled, reducing target movement by 1d12 feet.
3. Twisted Limb: If your target has limbs of any kind, roll 1d4. on a roll of a 1 or 2, an arm is mangled and broken. On a roll of 3 or 4, the same happens to a leg.
4. Blown Ribcage: The target's ribcage is ripped apart. The target's ability to hold breath is lost, and their hit point maximum is reduced by a number of the target's hit dice equal to 1/4th of their level until the injury is healed.
5. Fractured Skull: The target's skullcap is pried open inside their body. They suffer disadvantage on any dice rolls regarding INT, and take 1d4 bleeding damage every 12 seconds until the injury is healed.
6. Bent Spine: The target's spine is cracked sideways. They take 2d10 extra psychic damage and are paralyzed, and the effect continues unless they make a CON roll of this spell's DC at the start of any of their turns.

*This spell may only be used on targets up to 1 size larger than the caster, and with analogues to the body parts affected by the spell.