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Otyugh Soothsayer

Otyugh Soothsayer

CR 7

XP 3,200
Plaguebearer otyugh
N Large aberration
Init +0; Senses darkvision 60 ft., scent; Perception +11


AC 19, touch 9, flat-footed 19 (+10 natural, –1 size)
hp 90 each (12d8+36)
Fort +7, Ref +4, Will +6; DR 5/piercing or slashing; Immune disease


Speed 20 ft.
Melee bite +14 (1d8+6 plus disease), 2 tentacles +13 (1d6+3 plus grab)
Space 10 ft.; Reach 10 ft. (15 ft. with tentacle)
Special Attacks constrict (tentacle, 1d6+3 plus disease)


Before Combat The otyugh rarely hides itself, instead preferring to charge at any creature it perceives as a threat.

During Combat The otyugh reacts with single-minded violence to anyone interrupting it’s meal.

Morale An otyugh soothsayer reduced to fewer than 15 hit points flees.


Str 23, Dex 10, Con 17, Int 5, Wis 6, Cha 4
Base Atk +9; CMB +16 (+20 grapple); CMD 26 (28 vs. trip)
Feats Ability Focus (disease), Alertness, Multiattack, Power Attack, Vital Strike, Weapon Focus (tentacle)
Skills Perception +11, Sense Motive +0, Stealth +3 (+11 in lair); Racial Modifiers +8 Stealth in lair
Languages Common


Disease (Ex)

Sewer madness: Bite or constrict—injury; save Fortitude DC 21; onset 1 day; frequency 1/day; effect 1d4 Dex damage, 1d4 Con damage, and 1d4 Wis damage; cure 2 consecutive saves. The save DC is Constitution-based.


Environment any underground
Organization solitary, or with cluster (2-4) of otyughs caring for the plaguebearer
Treasure standard

Considering where they live, otyughs make for natural disease carriers. Otyughs are immune to filth fever, the most common ailment for those visiting the sewers or swamps, and every otyugh is a carrier of the disease. Sometimes, however, an otyugh can become infected with so many ailments that it becomes a plaguebearer otyugh. These disgusting creatures are covered in lesions, boils, and rashes, and anyone in combat with them risks contracting a truly terrible sickness. Among their own kind, plaguebearers are regarded as prophets, and make proclamations (of dubious wisdom or veracity) to others of their kind, who accept these statements as truth. While other otyughs are smart enough to keep their distance,they often help to feed their stricken cousins and use them to punish those who intrude upon their domain.

Plaguebearer otyughs are in constant pain, leading many to believe they are in a sort of rage. Because they lack the proper appendages to sooth their wounds, these wretched creatures spend most of their time mindlessly bashing at anything that moves, desperate to distract themselves from the pain.

Section 15: Copyright Notice

Pathfinder Adventure Path #141: Last Watch © 2019, Paizo Inc.; Authors: Larry Wilhelm, with Alexander Augunas, Mike Headley, Isabelle Lee, Meagan Maricle, Patchen Mortimer, Kendra Leigh Speedling, and Greg A. Vaughan.