College of Medicine

Students of the College of medicine make works of art out of weeping wounds, transform disfigurement into displays of transcendent beauty, and mould flesh into innovative adaptations inspired by the flora and fauna around them. A medicine bard down on their luck might find employment as a battlefield surgeon, while the epitome of a medics career is to be the chief facemaker to royalty, altering their visage and physiology through biomantic rituals and deft needlework.

Level 3: ductile image

You learn to use your wit to supernaturally distract, confuse, and otherwise sap the confidence and competence of others. When a creature that you can see within 60 feet of yourself makes a damage roll or succeeds on an ability check or attack roll, you can take a Reaction to expend one use of your Bardic Inspiration; roll your Bardic Inspiration die, and subtract the number rolled from the creature’s roll, reducing the damage or potentially turning the success into a failure.

over one minute, you can cast without expending a spell slot, but can only choose 'change appearance'. when casting a spell this way, it doesnt require concentration.

over a 10 minute duration, you can use your surgeon’s tools to change the appearance of a willing creature. It magically gains the benefits of the Change Appearance effect of the alter self spell, which lasts until it finishes a long rest. After you use your surgeon’s tools in this way, you can’t do so again until you finish a long rest.

Level 6: ritual rethink

after 10 minutes, you can perform a surgical ritual on creatures that you can see within 60 feet of you (including yourself), up to a number equal to your Charisma modifier (minimum of one creature). The creatures gain one of the following adaptations for the next hour. You choose one adaptation to affect all creatures:

• Bull’s Buns. The target has advantage on Strength checks, and counts as one size larger when determining its carrying capacity and the weight it can push, drag, or lift.
• Cactus Skin. The target is covered in razor- sharp spikes. At the end of each of the target’s turns, each creature grappling it must make a Constitution saving throw against your bard spell save DC. On a failure, a creature takes piercing damage equal to your Bardic Inspiration die and releases the target from its grapple. On a success, a creature takes half as much damage and doesn’t have to release the target.
• Cat’s Paws. The target has advantage on Dexterity checks. It also doesn’t take damage from falling 20 feet or less if it isn’t incapacitated.
• Fish Form. The target can breathe underwater and gains a swimming speed equal to its walking speed.
• Owl’s Sight. The target has advantage on Wisdom checks and initiative rolls.
• Rhino’s Hide. The target has advantage on Constitution checks and gains temporary hit points equal to one roll of your Bardic Inspiration die plus your Charisma modifier (minimum 1), which are lost when the effect ends.

After you use this feature, you can’t do so again until you finish a long rest, unless you expend a spell slot of 3rd level or higher to use this feature again.

Level 14: Soul binding

if a creature uses one of your Bardic Inspiration dice, or fails a saving throw against your Suturer feature’s Unspool or Acupuncture effects, it becomes ‘soulsewn’ to you for 1 minute. While soulsewn, an ethereal thread connects you to this creature via a straight line that only you and creatures with truesight can see. This thread breaks if the creature is ever more than 100 feet away from you. Spool. You can use a bonus action to teleport to the nearest unoccupied space of a soulsewn creature of your choice, or attempt to switch places with a soulsewn creature. If the creature is unwilling to switch places, you must succeed on a contested Charisma check against the creature. On a success, or if the creature is willing, you and the target teleport, switching places with one another. If there is not enough space for either of you to switch places, you automatically lose the contest. You can teleport using this feature a number of times equal to your Charisma modifier (minimum 1), and you regain all expended uses when you finish a long rest.