This creature’s appearance is accompanied by the sound of retching and wet, flapping flesh. A thing of corpulent terror, it drags its swollen bulk spastically—a body composed of a sack-like mass of stitched flesh swollen almost to bursting. The iron staples that hold it together strain as if ready to burst asunder. The giant creature’s maw is vast, with a huge, lolling tongue writhing between rows of broken teeth. Its head and torso are a travesty of a humanoid atop a twisted leonine body that is little more than a pulpy mass of shattered limbs and sinew under its monstrously obese upper body. It drags itself along the ground with two clawing forepaws — straining limbs that seemingly struggle to free themselves from beneath the thing’s horrid girth.

Hungerer CR 15

XP 51,200
CE Huge monstrous humanoid
Init +5; Senses darkvision 90 ft., low-light vision; Perception +28; Aura stench (30 ft., DC 25)


AC 31, touch 10, flat-footed 29 (+1 Dex, +1 dodge, +21 natural, –2 size)
hp 220 (21d10+105)
Fort +12, Ref +15, Will +18
DR 10/cold iron and piercing; Immune acid, poison; Resist electricity 10, fire 10; SR 26


Speed 10 ft., fly 60 ft. (good)
Melee bite +29 (2d8+10/19–20/×4 plus 2d6 acid damage and 2 Wisdom drain), 2 claws +29 (1d8+10 plus 2 Wisdom drain)
Space 15 ft.; Reach 15 ft.
Special Attacks devastating bite, vile spew
Spell-Like Abilities (CL 15th; concentration +19)

At willgrease (DC 15), major image (DC 17), ventriloquism (DC 15)
3/daycharm monster (DC 18), gust of wind (DC 16), quickened stinking cloud (DC 17), suggestion (DC 17)
1/daydeep slumber (DC 17), mass charm monster (DC 22), mirror image


Str 30, Dex 13, Con 20, Int 13, Wis 18, Cha 19
Base Atk +21; CMB +33; CMD 45 (can’t be tripped)
Feats Critical Focus, Dodge, Improved Critical (bite), Improved Initiative, Iron Will, Lightning Reflexes, Mobility, Power Attack, Quicken Spell-Like Ability (stinking cloud), Staggering Critical, Vital Strike
Skills Fly +32, Intimidate +28, Perception +28, Sense Motive +25, Stealth +17
Languages Abyssal, Common, Giant, +1 additional


Devastating Bite (Ex)

A hungerer’s bite deals ×4 damage on a successful critical hit. If this damage is enough to reduce a victim to negative hit points, the victim must succeed at a DC 30 Fortitude save to avoid being decapitated, bitten in half, or otherwise instantly killed by the horrific wound. The save DC is Strength-based.

Vile Spew (Su)

Whenever a hungerer takes damage, the resulting wound spews a great gout of vile blood and acid. Any creature adjacent to a hungerer when it is wounded takes 2d6 points of acid damage (Reflex DC 25 negates). The save DC is Constitution-based.

Wisdom Drain (Su)

A hungerer drains 2 points of Wisdom each time it strikes a foe with its bite or claw attacks. Unlike with other kinds of ability drain attacks, a hungerer does not heal any damage when it uses its Wisdom drain.


Environment cold mountains
Organization solitary or feast (2–5)
Treasure standard

Once regular lamias, these hideously deformed creatures are the result of terrible fleshwarping experiments that have rarely been repeated. The heads and torsos of these creatures are nearly 10 feet in diameter, and a typical hungerer weighs about 20,000 pounds.

Hungerers live in constant pain and serve as living embodiments of hunger, insatiable in their constant quests for sustenance. Although they prefer to tear and rend living flesh, hungerers can consume almost any organic material, and might even gnaw on stone or metal without ill effect when nothing else is available.

Section 15: Copyright Notice

Pathfinder Adventure Path: Rise of the Runelords Anniversary Edition © 2012, Paizo Publishing, LLC; Authors: Wolfgang Baur, Stephen S. Greer, James Jacobs, Nicolas Logue, Richard Pett, and Greg A. Vaughan

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