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LINGERING INJURIES 1

ACID LINGERING INJURY
d4 Injury
1 Blisters. You gain one level of exhaustion. You must
finish five long rests or receive magical healing to
reduce this level of exhaustion. Alternatively,
someone can tend to the wounds and make a DC
15 Wisdom (Medicine) check once every 24 hours.
After two successes, the injury is healed.
2 Blackened Skin, Numbness, and Irritation. You can't
take reactions until the end of your next turn.
Disadvantage on Initiative rolls. The burns don't
have other adverse effects. The injury heals if you
receive magical healing or if you spend five days
doing nothing but resting.
3 Major Burn (Face). You can't take reactions until the
end of your next turn. You are disfigured to the
extent that the acid burn can't be easily concealed.
You have disadvantage on Charisma (Persuasion)
checks and advantage on Charisma (Intimidation)
checks. You must receive magical healing to remove
the burn scars.
4 Blinded. You can't take reactions until the end of
your next turn. Your eyes have been damaged. You
gain the Blinded condition. Magical healing of 6th
level or higher, such as heal and regenerate, restores
your eyesight.
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BLUDGEONING LINGERING INJURIES
d4 Injury
1 Limp. Your speed on foot is reduced by 5 feet. You
must make a DC 10 Dexterity saving throw after
using the Dash action. If you fail the save, you fall
prone. The injury heals after 5 days or if you receive
magical healing.
2 Broken leg. Your speed on foot is halved and you
must use a cane or crutch to move. You fall prone
after using the Dash action. You have disadvantage
on Dexterity checks and saving throws. The injury
heals after ten weeks or if you receive magical
healing.
3 Broken Ribs. Whenever you attempt an action in
combat, you must make a DC 10 Constitution saving
throw. On a failed save, you lose your action and
can't use reactions until the start of your next turn.
The injury heals if you receive magical healing or if
you spend ten days doing nothing but resting.
4 Concussion. You must make a DC 10 Constitution
saving throw. On a failed save, you are reduced to 0
hit points and you fall unconscious. You make a
Constitution saving throw at the end of each of your
turn (this replaces the death saving throws). On a
successful save, the unconscious condition ends
and you become stable. For the next ten days, you
suffer from splitting headaches. You have
disadvantage on Intelligence ability checks and
Constitution saving throws to maintain your
concentration. Magical healing of 6th level or higher,
such as heal and regenerate, heals this injury.
COLD LINGERING INJURY
d4 Injury
1 Frostnip. You can't take reactions until the end of
your next turn. Your skin pales or turns red and
feels extremely cold. As your skin warms, you feel
pain and tingling. This injury doesn't have other
adverse effect. It heals if you receive magical healing
or if you spend one day doing nothing but resting.
2 Hypothermia. Your body temperature falls
dramatically. You are drowsy, confused, and can
speak only falteringly. You gain the Stunned
condition. The condition is removed if you receive
magical healing or if you are moved to a warm area
and spend 2d4 hours doing nothing but resting.
3 Severe Frostbite (Arms and Hands). You experience
numbness, losing all sensation of cold, pain, or
discomfort in the affected area. You can no longer
hold anything with two hands, and you can hold
only a single object at a time. You gain one level of
exhaustion. After 24 hours of rewarming, the skin
LINGERING INJURIES 2
 turns black and hard. Only magical healing of 6th
level or higher, such as heal and regenerate, can heal
this injury and reduce this level of exhaustion.
4 Severe Frostbite (Legs and Feet) . You experience
numbness, losing all sensation of cold, pain, or
discomfort in the affected area. Joints and muscles
become stiff. You gain two levels of exhaustion.
Your speed on foot is halved, and you must use a
cane or crutch to move. After 24 hours of
rewarming, the skin turns black and hard and tissue
starts dying. Only magical healing of 6th level or
higher, such as heal and regenerate, can heal this
injury and reduce both levels of exhaustion.
FIRE LINGERING INJURY
d4 Injury
1 Sores and Blisters. Whenever you attempt an action
in combat, you must make a DC 10 Constitution
saving throw. On a failed save, you can't use
reactions until the start of your next turn. You also
have difficulty focusing because of the pain. You
have disadvantage on Intelligence checks and
Constitution saving throws to maintain your
concentration. The injury heals if you receive
magical healing or if you spend ten days doing
nothing but resting. Alternatively, someone can tend
to the wounds and make a DC 15 Wisdom
(Medicine) check once every 24 hours. After five
successes, the injury is healed.
2 Severe Burns (Face). You can't take reactions until
the end of your next turn. You are disfigured to the
extent that the burn can't be easily concealed. You
have disadvantage on Charisma (Persuasion) checks
and advantage on Charisma (Intimidation) checks.
You must receive magical healing to remove the
burn scars.
3 Severe Burns (Arms and Hands). You experience
numbness, losing all sensation of warmth, pain, or
discomfort in the affected area. Your skin looks
charred, or waxy and white. You can no longer hold
anything with two hands, and you can hold only a
single object at a time. You gain one level of
exhaustion. Only magical healing of 6th level or
higher, such as heal and regenerate, can heal this
injury and reduce this level of exhaustion.
4 Severe Burns (Legs and Feet). You experience
numbness, losing all sensation of warmth, pain, or
discomfort in the affected area. Your skin looks
charred, or waxy and white. You gain two levels of
exhaustion. Your speed on foot is halved, and you
must use a cane or crutch to move. Only magical
healing of 6th level or higher, such as heal and
regenerate, can heal this injury and reduce both
levels of exhaustion.
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FORCE LINGERING INJURY
d4 Injury
1 Bruise. You can't take reactions until the end of your
next turn. Fresh bruise appears reddish, then turns
blue and dark purple in a few hours. This injury
doesn't have other adverse effect. The injury heals
after 5 days or if you receive magical healing.
2 Concussion. You must make a DC 10 Constitution
saving throw. On a failed save, you are reduced to 0
hit points and you fall unconscious. You make a
Constitution saving throw at the end of each of your
turn (this replaces the death saving throws). On a
successful save, the unconscious condition ends
and you become stable. For the next ten days, you
suffer from splitting headaches. You have
disadvantage on Intelligence ability checks and
Constitution saving throws to maintain your
concentration. Magical healing of 6th level or higher,
such as heal and regenerate, heals this injury.
3 Broken Ribs. Whenever you attempt an action in
combat, you must make a DC 10 Constitution saving
throw. On a failed save, you lose your action and
can't use reactions until the start of your next turn.
The injury heals if you receive magical healing or if
you spend ten days doing nothing but resting.
4 Shortness of Breath. The force damage pushes you
10 feet away from where you are standing. You
suffer severe shortness of breath, along with chest
pain and wheezing or coughing. You are stunned
until the end of your next turn. You also gain one
level of exhaustion. You must finish five long rests
or receive magical healing before this level of
exhaustion is reduced.
LIGHTNING LINGERING INJURY
d4 Injury
1 Flash burns. You can't take reactions until the end
of your next turn. A large surface area of your body
is covered with flash burns of partial thickness. This
injury doesn't have other adverse effect. The injury
heals after 5 days or if you receive magical healing.
2 Fire burns. You can't take reactions until the end of
your next turn. The lightning ignites your clothing,
which causes burns from the flames. You gain one
level of exhaustion. You must finish five long rests or
receive magical healing to reduce this level of
exhaustion. Alternatively, someone can tend to the
wounds and make a DC 15 Wisdom (Medicine)
check once every 24 hours. After two successes, the
level of exhaustion is reduced.
3 Paralysis. The lightning damage pushes you 10 feet
away from where you are standing. You gain the
Paralyzed condition for 2d20 minutes or until your
receive magical healing.
LINGERING INJURIES 3
 4 System Shock. You must make a DC 10 Constitution
saving throw. On a failed save, you are reduced to 0
hit points and you fall unconscious. You make a
Constitution saving throw at the end of each of your
turn (this replaces the death saving throws). On a
successful save, the unconscious condition ends
and you become stable. For the next ten days, you
suffer from dizziness, nausea, and confusion. You
gain one level of exhaustion and have disadvantage
on Constitution saving throws to maintain your
concentration. You must receive magical healing of
6th level or higher, such as heal and regenerate, to
heal this injury and reduce this level of exhaustion.
NECROTIC LINGERING INJURY
d4 Injury
1 Apathy. You are affected with despair. You have
disadvantage on Charisma checks and Initiative
rolls. You gain one of the following flaws: "I don't
believe I can make a difference to anyone or
anything", or "Life doesn't make sense anymore."
After finishing a long rest, a character can attempt
to overcome the despair with a DC 15 Wisdom
saving throw.
2 Festering Wound. Your hit point maximum is
reduced by 1 every 24 hours the wound persists. If
your hit point maximum drops to 0, you die. The
wound heals if you receive magical healing.
Alternatively, someone can tend to the wound and
make a DC 15 Wisdom (Medicine) check once every
24 hours. After ten successes, the wound heals.
3 Rot. You are cursed with rot. Your hit points
maximum decreases by 1d4 for every 24 hours that
elapse. If the curse reduces your hit points
maximum to 0, you die. You must receive a remove
curse spell or similar magic to end this rot.
4A Life Drain. You must make a DC 15 Constitution
saving throw. On a failed save, your hit points
maximum is reduced by one-third for the next ten
days. You must receive magical healing of 6th level
or higher, such as heal and regenerate, to heal this
injury.
4B Avatar of Death (variant 4). You find yourself in an
extradimensional dimension outside space and
time. An avatar of death (statistics reproduced at
the end of this document)a ghostly humanoid
skeleton clad in tattered black robe and carrying a
scythe appears within 10 feet of you and attacks
you until you drop to 0 hit points (and start dying) or
until it is destroyed, whereupon you gain one level
of exhaustion and resume your turn where you left
off with your current hit points.
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If you are already down to 0 hit points when the
avatar appears, you fight it with the equivalent of
half your hit points maximum. If you survive the
avatar, you become stable and you gain one level of
exhaustion.
You must receive magical healing of 6th level or
higher, such as heal and regenerate, to heal this
injury and reduce this level of exhaustion.
PIERCING LINGERING INJURY
d4 Injury
1 Minor Scar. The scar doesn't have any adverse
effect. Magical healing of 6th level or higher, such as
heal and regenerate, removes the scar.
2 Internal Injury. Whenever you attempt an action in
combat, you must make a DC 15 Constitution saving
throw. On a failed save, you lose your action and
can't use reactions until the start of your next turn.
The injury heals if you receive magical healing or if
you spend ten days doing nothing but resting.
3 Shaking Chills. Fever and disorientation symptoms
manifest 1d4 hours after injury. You gain one level
of exhaustion that can't be removed until the
disease is cured by a lesser restoration spell or
similar magic. Alternatively, someone can tend to
your fever and make a DC 15 Wisdom (Medicine)
check once every 24 hours. After ten successes, the
fever is gone.
4 Hemorrhage. Bleeding does not stop with direct
pressure. Your hit point maximum is reduced by
1d4 every 24 hours the wound persists. If your hit
point maximum drops to 0, you die. You must
receive magical healing of 6th level or higher, such
as heal and regenerate, to heal this injury.
Alternatively, someone can tend to the wound and
make a DC 15 Wisdom (Medicine) check once every
24 hours. After five successes, the wound heals.
POISON LINGERING INJURY
d4 Injury
1 Torpor. The poisonous effect lingers. You must
make a DC 15 Constitution saving throw or become
Poisoned and Incapacitated for an hour. A protection
from poison spell neutralizes the conditions, and a
lesser restoration spell or similar magic (e.g. a
paladin's lay on hands or a potion of vitality) heals
the injury.
2 Cyanide. You make a DC 10 Constitution saving
throw. On a failed save, you are reduced to 0 hit
points and you start dying. On a successful save,
you gain the Incapacitated condition for 1d4
rounds, flailing and drooling in an attempt to stave
off death (and the death saving throws). If you
LINGERING INJURIES 4
 become stable, you gain the Poisoned Condition.
You must finish five long rests or benefit from a
lesser restoration spell or similar magic to heal this
injury.
3 Painless Time Bomb. The toxin seeps through your
skin and into your bloodstream, soaking through the
tissue and destroying the underlying bone. 24 hours
later, you gain two levels of exhaustion. You must finish
five long rests or receive magical healing of 6th level or
higher, such as heal and regenerate, to heal this injury
and reduce these levels of exhaustion.
4 Paralysis. The toxin attacks your nerves and causes
debilitating pain. You gain the Paralyzed condition. You
must finish five long rests or receive magical healing of
6th level or higher, such as heal and regenerate, to heal
this injury.
PSYCHIC LINGERING INJURY
d4 Injury
1 Dazed. You gain the Stunned condition for 1d4
minutes or until you benefit from a lesser restoration
spell or similar magic.
2 Short-Term Madness. You make a DC 10 Wisdom
saving throw. On a failed save, you become afflicted
with a short-term madness for 1d10 minutes (DMG
p. 259). A calm emotions spell can suppress the
effects of this madness, while a lesser restoration spell
can heal the psychic injury.
3 Long-Term Madness. You make a DC 15 Wisdom
saving throw. On a failed save, you become afflicted
with a long-term madness for 1d10 x 10 hours (DMG
p. 260). A calm emotions spell can suppress the
effects of this madness, while a lesser restoration spell
can heal the psychic injury.
4 Mind Blast. You must make a DC 15 Constitution
saving throw. On a failed save, you are reduced to 0
hit points and you fall unconscious. You make a
Constitution saving throw at the end of each of your
turn (this replaces the death saving throws). On a
successful save, the unconscious condition ends and
you become stable. You also become afflicted with
an indefinite madness (DMG p. 260). A greater
restoration spell or more powerful magic is required
to rid yourself of this indefinite madness.
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RADIANT LINGERING INJURY
Variant radiant injury (25%) : roll on the Fire Lingering Injury table.
d4 Injury
1 Blinding Power. You gain the Blinded condition for
1d4 hours. During that time, whenever you make an
attack roll or a saving throw, you can roll a d4 and add
the number rolled to the attack roll or saving throw.
2 Exaltation. You are affected with religious delirium.
You have disadvantage on Charisma checks and
Wisdom checks. You also gain one of the following
flaws: "I am the Chosen One", or "I must judge and
punish the sinners." After finishing a long rest, a
character can attempt to overcome this exaltation with
a DC 10 Wisdom saving throw. Otherwise, a greater
restoration spell or more powerful magic is required to
heal this radiant injury.
3 Contrition. You make a DC 15 Wisdom saving throw.
On a failed save, you become Stunned for 1 minute. A
lesser restoration spell or similar magic can remove the
condition. Your alignment then shifts to good (if neutral
or evil), or lawful (if chaotic or good) for the next ten
days. You gain the following flaw: "I must make
amends." After finishing a long rest, a character can
attempt to overcome this spiritual conversion with a
DC 15 Wisdom saving throw. Otherwise, a greater
restoration spell or more powerful magic is required to
negate this effect.
4A Angel of Death. You must make a DC 20 Constitution
saving throw. On a failed save, you are reduced to 0 hit
points and you fall unconscious. You make a
Constitution saving throw at the end of each of your
turn (this replaces the death saving throws). On a
successful save, the unconscious condition ends and
you become stable. Whether you succeed your saving
throw or not, you gain one level of exhaustion from
your brush with death. You must receive magical
healing of 6th level or higher, such as heal and
regenerate, to heal this radiant injury and reduce this
level of exhaustion.
4B Angel of Death (variant 4). You find yourself in an
extradimensional dimension outside space and time.
An angel of death (statistics at the end of this
document)a ghostly angel carrying a scimitar
appears within 10 feet of you and attacks you until you
drop to 0 hit points (and start dying) or until it is
destroyed, whereupon you gain one level of exhaustion
and resume your turn where you left off with your
current hit points.
If you are already down to 0 hit points when the
angel appears, you fight it with the equivalent of half
your hit points maximum. If you survive the angel, you
become stable and you gain one level of exhaustion.
You must receive magical healing of 6th level or
higher, such as heal and regenerate, to heal this injury
and reduce this level of exhaustion.
LINGERING INJURIES 5
SLASHING LINGERING INJURY
d4 Injury
1 Minor Scar. The scar doesn't have any adverse
effect. Magical healing of 6th level or higher, such
as heal and regenerate, removes the scar.
2 Horrible Scar. You can't take reactions until the end
of your next turn. You are disfigured to the extent
that the burn can't be easily concealed. You have
disadvantage on Charisma (Persuasion) checks and
advantage on Charisma (Intimidation) checks. You
must receive magical healing of 6th level or higher,
such as heal or regenerate, to remove the scar.
3 Internal Injury. Whenever you attempt an action in
combat, you must make a DC 15 Constitution
saving throw. On a failed save, you lose your action
and can't use reactions until the start of your next
turn. The injury heals if you receive magical healing
or if you spend ten days doing nothing but resting.
4 Lose an Arm or Hand (1-2). You are stunned until
(d6) the end of your next turn. You can no longer hold
anything with two hands, and you can hold only a
single object at a time.
Lose a Foot or Leg (3-4). You are stunned until the
end of your next turn. Your speed on foot is halved,
and you must use a cane or crutch to move unless
you have a peg leg or other prosthesis. You fall
prone after using the Dash action. You have
disadvantage on Dexterity checks made to balance.
Lose an Eye (5-6). You cant take reactions and you
have disadvantage on attack rolls and ability checks
until the end of your next turn. You have
disadvantage of Wisdom (Perception) checks that
rely on sight and on ranged attack rolls. If you have
no eyes left after sustaining this injury, you're
blinded.
A regenerate spell can restore lost appendages or
a lost eye.
3 Deafened. You cant take reactions and you have
disadvantage on attack rolls and ability checks until
the end of your next turn. You make a DC 10
Constitution saving throw. On a failed save, you gain
the Deafened condition. A lesser restoration spell or
similar magic (e.g. a paladin's lay on hands or a
potion of vitality) heals the injury.
4 Phonophobia. The thunderous damage leaves you
with feelings of dizziness, nausea, and loss of
balance. Furthermore, you become startled by low
sound levels, including shutting doors, the ringing of
sword against sword, running water, cooking, and
normal conversation. You gain the following flaw: "I
avoid stressful and social situations that might
involve noise." You have disadvantage on Initiative
rolls and ability checks in a noisy environment.
Whenever you attempt an action in combat, you
must make a DC 10 Constitution saving throw. On a
failed save, you gain the Incapacitated condition
until the start of your next turn. A greater restoration
spell or more powerful magic can heal this injury, or
you can spend two weeks doing nothing but resting.
Level Effect
1 Disadvantage on ability checks
2 Speed halved
3 Disadvantage on attack rolls and saving throws
4 Hit point maximum halved
5 Speed reduced to 0
6 Death

THUNDER LINGERING INJURY

d4 Injury
1 Tinnitus. You have a loud ringing sound in your ears.
You gain the Stunned condition for 1 minute or until
you benefit from a lesser restoration spell or similar
magic.
2 Hearing Loss. You have trouble hearing above
background noise and following a conversation is
difficult. You have disadvantage on any ability
checks that requires hearing. You gain the following
flaw: "I misunderstand what people say and respond
inappropriately". A lesser restoration spell or similar
magic (e.g. a paladin's lay on hands or a potion of
vitality) heals the injury.

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Not for resale. Permission granted to print or photocopy this document for personal use only . LINGERING INJURIES 7