The hulking form has a long, vulturelike neck ending in a head with a disgusting, one-eyed visage.

Ghole CR 12

XP 19,200
NE Medium monstrous humanoid
Init +8; Senses darkvision 60 ft., scent sickness; Perception +22


AC 26, touch 14, flat-footed 22 (+4 Dex, +12 natural)
hp 168 (16d10+80)
Fort +12, Ref +14, Will +13
Immune disease


Speed 40 ft., burrow 10 ft.
Melee bite +23 (2d6+10/17–20 plus disease), 2 claws +23 (1d8+7/19–20 plus disease)
Space 5 ft.; Reach 5 ft. (10 ft. with bite)
Special Attacks bolster disease, powerful bite, savage the sick, sneak attack +2d6
Spell-Like Abilities (CL 10th; concentration +13)

At willgentle repose, restore corpse
3/dayghoul touch (DC 15), hide from undead


Str 25, Dex 18, Con 21, Int 10, Wis 17, Cha 16
Base Atk +16; CMB +23; CMD 37
Feats Cleave, Combat Reflexes, Great Cleave, Great Fortitude, Improved Critical (bite, claw), Improved Initiative, Power Attack
Skills Perception +22, Sense Motive +19, Stealth +23, Survival +22
Languages Common
SQ change shape (Medium humanoid; alter self)


Bolster Disease (Su)

A creature bitten by a ghole must succeed at a DC 23 Fortitude save or any disease it currently suffers from is bolstered. A disease bolstered in this way has its frequency doubled (so a disease that normally has a frequency of 1/day has its effects applied once every 12 hours) and can be cured only by magic. The bubonic plague carried by a ghole automatically gains these advantages. The save DC is Constitution-based.

Disease (Ex)

Bubonic Plague: Bite or claw—injury; save Fort DC 23; frequency 2/day; effect 1d4 Con damage and 1 Cha damage and target is fatigued; cure —.

Powerful Bite (Ex)

A ghole’s bite attack always applies 1-1/2 times its Strength modifier to damage rolls and threatens a critical hit on a roll of 19–20. When a ghole bites an object, its bite treats the object as having a hardness of 5 less than the object’s actual hardness rating.

Savage the Sick (Ex)

Gholes are vicious when attacking a diseased foe. Against diseased targets, a ghole gains a +2 morale bonus on attack rolls and automatically adds its sneak attack damage to any damage it deals.

Scent Sickness (Ex)

A ghole has the scent ability against diseased creatures.


Environment any land
Organization solitary, pair, or gang (3–6)
Treasure standard

Gholes are foul denizens of the wilderness that feed upon rotten meat. Their ability to restore flesh to even the most ancient of skeletal remains allows them to harvest flesh from ruins long forgotten by the living. Many gholes keep their favorite skeletons handy to repeat beloved meals, while others hoard ancient skeletons and savor the flavor of restored flesh in a grisly mockery of a gourmand’s appreciation of well-aged wine or cheese. Many attempt to capture sick victims alive only to imprison them—sepulchers or crypts make for favorite prisons—so they perish of their sickness and thus provide the most delicious meal possible for the foul creature.

A typical ghole is 6 feet tall and weighs 250 pounds.

Section 15: Copyright Notice

Pathfinder Roleplaying Game Bestiary 6 © 2017, Paizo Inc.; Authors: Robert Brookes, Benjamin Bruck, John Compton, Paris Crenshaw, Adam Daigle, Crystal Frasier, James Jacobs, Thurston Hillman, Tim Hitchcock, Brandon Hodge, Jason Keeley, Isabelle Lee, Jason Nelson, Tim Nightengale, F. Wesley Schneider, David Schwartz, Mark Seifter, Todd Stewart, Josh Vogt, and Linda Zayas-Palmer.

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