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PFS LimitedMutilate [two-actions] or [three-actions] Spell 4

This Spell may contain spoilers from the Triumph of the Tusk Adventure Path

Uncommon Manipulate 
Source Pathfinder #209: Destroyer's Doom pg. 82
Traditions arcane, occult, primal
Range 40 feet; Targets 1 creature in line of sight
Defense basic Fortitude
You cut your own body in a ritualistic manner, causing similar damage to a creature in your line of sight. These cuts are superficial and cause 1d4 slashing damage to you; however, the wounds that open up on our target’s body are far deeper. The targeted creature takes 5d8 slashing damage; a creature that critically fails this saving throw also takes 1d8 persistent bleed damage. If you cast this as a three-action spell, the spell instead affects a 5-foot burst.

    Heightened (+1) Increase the damage dealt to the target by 1d8, and increase the persistent bleed damage by 1.