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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 to select followers, informally referred to as skinstitchers.

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, may 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 especially spiders. There are rumors of skinstitchers who can build skinstitches using exotic materials such as steel, daemon flesh, or even magical shadows.

The rotting materials used to build skinstitches tend to attract vermin, which may in turn make a hive or nest within the skinstitches' bodies. Skinstitchers consider such occurrences as a sure sign of Norgorber's approval.

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

SkinstitchCreature 5

Source Pathfinder #158: Sixty Feet Under pg. 84
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 bleed, 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, 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 - Advice and Rules 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 when their host is destroyed.