A rubbery black heart
Attunement
A rubbery black facsimile of a human heart that pulses as if alive and exudes a dark miasma in a 5-foot radius aura around itself. Whispering voices can sometimes be heard within the area, subtly urging creatures towards evil acts.
The heart must be held against your chest for 8 hours of uninterrupted meditation during which time you are shown incomprehensible cosmic horrors. Good aligned characters cannot attune to this item. At the end of the duration you must make a DC 20 Intelligence saving throw.
On a failed save the heart releases a burst of thick black ichor causing you to take 4d6 necrotic damage and 2 levels of exhaustion. If you fail to attune you cannot attempt to do so again until you have finished a long rest. On a successful save you attune to the heart. While attuned to the heart you gain the following features.
Last updated Jun 1 2025