School transmutation; Level 3
Casting Time 2 days (2 phases of 24 hours)
Components V, S, M (rare herbs, spices, and oils worth 8,000 gp)
Skill Checks Craft (alchemy) DC 18, 1 success; Heal DC 18, 1 success
Target willing or helpless humanoid touched
Saving Throw none; Spell Resistance no
This Tcho-Tcho ritual causes an extra mouth to grow somewhere on the recipient’s body. Commonly, this mouth grows on the palm of one hand, but its location is up to the creator. The secret mouth can speak, breathe, and eat. It is fanged, and thus able to inflict significant damage. The recipient gains a bite attack using the appropriate limb (1d4 base damage for a Medium recipient). The bite is not in itself venomous, but a Tcho-Tcho Okkator is able to hollow out the fangs of the secret mouth and place poison within them.
Sandy Petersen’s Cthulhu Mythos, © 2017, Petersen Games; Authors: Sandy Petersen, Arthur Petersen, Ian Starcher.