Emrakul's Madness

D&D 2024 rule: Emrakul's Madness. Source: Plane Shift: Innistrad. rule type Variant Optional If you do want to add elements of Emrakul's madness to your campaign, use the New Ability Scores: Honor and Sanity score rules in chapter 9 of the Dungeon Master's Guide. Allow characters to make Sanity checks to interpret the effects of Emrakul's corruption, and Sanity saving throws to resist the effects of the spreading madness. A creature or character whose New Ability Scores: Honor and Sanity is below 10 can begin to manifest signs of physical corruption, which progresses in stages. Distorted (Sanity 8-9) Even before Emrakul's arrival, some cultists and those who pried too deep into dark secrets begin to change. In this early stage, physical proportions shift, with one or more of the creature's limbs or some part of the face growing larger, almost always asymmetrically. Noticeable skin blemishes can also appear, most often as boils or clumps of cauliflower-like growths (though these do not yet resemble the lattice of Emrakul's flesh). Creature statistics are unchanged. Deformed (Sanity 6-7) In the second stage, a creature can develop a dead or bulging eye, huge tumorous growths, curled hands or feet, violent palsy, oozing secretions from the skin or eyes, raw red patches on the skin, and similar deformities. Patches of lattice-like growths often appear on the skin. In some cases, particularly in Nephalia, cultists begin to manifest distinctly fishlike features-goggling eyes, scaled or slimy skin, webbing between the fingers or toes, or gill-like flaps on the face or neck. Creature statistics remain unchanged. Disfigured (Sanity 4-5) In the third stage, the lips shrink away from the teeth, which can rot and fall out. Fingers and toes sometimes fuse together or start transforming into tentacles. Bleeding sores erupt on the skin, or bulbous growths can appear under the skin. Cultists in Nephalia often grow fin-like protrusions or pincer-like hands. At this stage, creatur...