D&d blood mage

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Even more significant than any cosmetic changes, the stresses on a bloatmage’s body can prove dangerous to both them and those around them, for if the cephalic pressure on a bloatmage’s brain becomes too great, she flies into a murderous rage before falling unconscious and quickly bleeding out.

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Hemotheurges-more commonly and derogatorily referred to as bloatmages-are arcanists who believe there’s literal truth to the old aphorism that “magic runs in the blood.” By magically overriding their bodies’ fail-safes and producing more blood than they need, bloatmages are able to greatly increase their magical abilities, but at the cost of becoming grotesque, bloated masses of engorged flesh.