Discovered in Randar’s Sanctum.
Created by mad fey scientist known as The Stitcher, to make gruesome arcane surgeries. This can only be used by someone Proficient in Healer’s Kit and/or Medicine.
You spend 48 hours over a period of no more than 6 days studying the tome, you can now have the knowledge to complete one magical modification on you or another creature of your choice. After this, you spend 8 hours completing gruesome surgery on an individual based on the Alter Self Spell, choosing one of the alterations:
- Aquatic Adaptation: You adapt your body to an aquatic Environment, sprouting gills, and growing webbing between your fingers. You can breathe Underwater and gain a Swimming speed equal to your walking speed.
- Change Appearance: You transform your Appearance. You decide what you look like, including your height, weight, facial features, sound of your voice, hair length, coloration, and distinguishing Characteristics, if any. You can make yourself appear as a member of another race, though none of your Statistics change. You also don’t appear as a creature of a different size than you, and your basic shape stays the same, if you’re bipedal, you can’t use this spell to become quadrupedal, for instance. At any time for the Duration of the spell, you can use your action to change your Appearance in this way again.
- Natural Weapons: You grow claws, fangs, spines, horns, or a different natural weapon of your choice. Your unarmed strikes deal 1d6 bludgeoning, piercing, or slashing damage, as appropriate to the natural weapon you chose, and you are proficient with your unarmed strikes. Finally, the natural weapon is magic and you have a +1 bonus to the Attack and Damage Rolls you make using it.
The alteration modification is permanent and is considered a biological part of the creature. No dispel magical effects can end it. Only a Wish spell or using the book’s procedure again can do reverse the effect. Once the procedure is done, the book loses its magic and regains in 1 year. You can recharge it early by expending a 7th level spell slo