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Skinstitches' hulking frames are made from flayed humanoid skin stuffed with straw and poisonous insects. The dark god Norgorber grants the secrets for creating these monstrosities in disturbing dreams he sends to select adherents, in which the dreamer imagines themself skinning a beloved pet, friend, or family member. Those that accept these teachings become skinstitchers. The creation of a skinstitch is a crude process compared to the making of a more advanced construct like a golem. Rough stitching, imprecise shapes, and shoddy materials give a skinstitch its patchwork appearance.

While most skinstitches have vaguely humanoid shapes, they often appear monstrous due to various modifications their creators have made to their bodies. Some skinstitches' arms, for instance, might bear jagged metal blades or blunt iron rods. The most talented skinstitchers rarely bother with the humanoid form at all and instead opt to craft skinstitches that resemble other creatures sacred to Norgorber, such as scorpions, centipedes, or spiders. Rumors lurk of skinstitchers who can use exotic materials like steel, daemon flesh, or even magical shadows for their creations.

The rotting materials used to build skinstitches tend to attract vermin, which can in turn form a hive or nest within the creations' bodies. Skinstitchers consider the presence of such tenants to be a sure sign of Norgorber's approval.

Recall Knowledge - Construct (Arcana, Crafting): DC 22

SkinstitchCreature 5

Source Bestiary 3 pg. 242
Perception +12; darkvision
Skills Athletics +15
Str +6, Dex +3, Con +5, Int -5, Wis +0, Cha +0
AC 22; Fort +16, Ref +14, Will +7
HP 95; Immunities death effects, disease, doomed, drained, fatigued, healing, mental, necromancy, nonlethal attacks, paralyzed, poison, sickened, unconscious; Weaknesses fire 5
Pest Haven The rotting hides and molding straw stuffing of skinstitches are ideal nesting grounds for vermin and insect swarms. Any animal swarm sharing a space with a skinstitch gains fast healing 3. Additionally, if a creature deals at least 10 piercing or slashing damage to the skinstitch at once, the swarm can use its swarming bites Strike (or similar attack) against the attacker as a reaction.
Speed 25 feet
Melee Single ActionSingle Action blade +15 [+11/+7] (agile, sweep), Damage 2d4+8 slashingMelee Single ActionSingle Action cudgel +15 [+10/+5] (forceful, reach 10 feet), Damage 2d8+8 bludgeoningFlay Two ActionsTwo Actions The skinstitch makes a blade Strike against an animal or humanoid. On a success, the skinstitch slices a long strip of flesh from the target; if the skinstitch dealt damage, it deals an additional 1d6 persistent bleed damage.Stitch Skin Single ActionSingle Action (manipulate) Requirements The skinstitch hasn't used this ability since the last time it successfully used its Flay ability; Effect The skinstitch sews flayed flesh to its body to seal tears and rents. The skinstitch regains 8 Hit Points.

Sidebar - Related Creatures Skitterstitch

Skitterstitches are eight-legged skinstitches crafted to resemble giant spiders. These elite skinstitch variants have different attacks from the standard skinstitch, including a deadly poison. Skitterstitches always house spider swarms within their bodies, which scuttle forth upon their host's destruction.