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We do not take kindly to you encroaching upon our fair village, Infected One. Leave at once.
—Unknown Townsmaster

Physical Description[edit]

Plaguespreaders are humanoid carriers of disease. They themselves are not afflicted, but run the high risk of infecting others. They are often pale and sickly looking, with light colored hair pigment, if any. Some Plaguespreaders look quite normal outward, while others sport blisters and skin anomalies. They are human-sized and occasionally have heterochromia.

Art by husz


Plaguespreaders are believed to be the embodiment or personification of those who died in plagues past. Often they were dismissed as mistaken ghosts, but recent findings indeed document these immortal wanderers to be real. Given their appearance and association to disease and death, they are often labeled Undead.


Luckily for Faerun, too few Plaguespreaders actually exist to form societies. Rather, if one is ever encountered, they are driven out and exiled for fear of pestilence.

Plaguespreader Names[edit]

Plaguespreaders rarely hear an address other than the usual "Monster." However, names, wrought out of their own sentience, do exist. Often they are names connoting power over life and death.

Plaguespreader Names: Deathbringer, Cartaphilus, Erys

Plaguespreader Traits[edit]

Bringers of disease and pestilence
Ability Score Increase. Wisdom increases by 2, Dexterity increases by 2
Age. Plaguespreaders are immortal spectres that wander. They do not age or die of aging.
Alignment. Plaguespreaders tend toward Neutral alignments.
Size. The average size of a Plaguespreader is 5-7 feet tall. They are Medium sized creatures.
Speed. Your base walking speed is 25 feet.
Blindsight. A Plaguespreader can perceive its surroundings without relying on sight, within a 30 feet radius. Outside of this radius, they have Darkvision for 120 feet.
Image of the Afflicted. Your chalky exterior and sunken eyes give you advantage in Charisma (Persuasion) checks.
Of the Dead. You are considered Undead for all purposes. You do not need to eat, drink, breathe, or sleep. You are vulnerable to radiant damage, but resistant to necrotic damage.
Despair of the Lonely. Plaguespreaders are stigmatized, marginalized beings who are often misunderstood. They tend to suppress their emotion, which channels outward in the form of Poe flames. You know the Poe Reprise cantrip
Immune Carrier. Though you may be a carrier of disease and pestilence, you are not affected by them. You are immune to disease.
Ever Awakened. You are not one to ever sleep soundly, or die easy. Tis is the curse. When you reach 0 hit points, you may, instead of starting death saves, choose to wake up with 1 hit point. You may use this feature once before needing to complete a long rest.
Skin and Bones. Plaguespreaders are not much for hacking and slashing. You have resistance against nonmagical slashing damage.
Languages. Plaguespreaders read and write in Common.

Random Height and Weight[edit]

Table: Plaguespreader Random Height and Weight
Base Height Height Modifier Base Weight Weight Modifier
6′ 0″ +1d8 120 lb. × 5 lb.
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