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The Spillgut

It Feels Everything

“I thought it was crawling the wrong way. Like... like its belly was leading. Then the guts came out. Gods help me, the guts were looking for me.”

Among the horrors birthed in the festering tide of the Blight, few evoke as much unease as theA Spillgut.

Unlike the more common Shambler or Drowned, the Spillgut is not simply a rotting corpse driven to motion—it is a sentinel.Blightborn Thesewhose creaturesabdomen patroland Blightedlower groundstorso withhave opened into a grotesque, crawling grace,mass movingof notexposed ontissue, feet,mouths, butfluid, and grasping viscera. It is dangerous less because it pursues quickly than because everything near it becomes harder to understand, cross, and survive.

spilgut2.png

Appearance

A Spillgut rarely keeps a recognizable human posture. It drags, rolls, and heaves itself forward on inverted limbs and bloatedmasses muscle,of benttissue. backwardsThe liketorso brokenmay toys. Their torsos areappear torn wideopen open,from theirribs entrailsto repurposedpelvis, intowith aorgans livingand networkintestinal ofloops prehensile,moving twitching tendrils that slitherindependently across the groundground.

like worms searching for sound. These viscera

Faces are not idle—theyalways feel,confined listen,to the head. Survivors describe teeth, lips, eyes, and seek.half-formed mouths appearing in exposed tissue where no such structures should exist.

Its passage leaves a wet, fouled trail that can spread across several yards of ground.

The Gibbering

Spillguts make almost constant noise. The sound is not a single voice but an overlapping babble of fragments: cries, laughter, choking, repeated words, wet clicks, and sounds that resemble speech without resolving into language.

People close to the creature report losing track of what they were doing, moving in the wrong direction, freezing in place, or striking at movement beside them without understanding why.

This makes the Spillgut a battlefield hazard even before it reaches anyone directly.

Distorted Ground

The exposed tissues around a Spillgut snag boots, shift under weight, and make clean movement difficult. Fighting close to one can feel less like standing beside a creature and more like standing inside the outer edge of its body.

The creature can also expel a sudden burst of pale, caustic fluid. Those struck describe intense pain and temporary blindness.

A victim brought down beside a Spillgut doesmay notbe relydragged on sight or sound to detect intruders. Instead, it senses vibrations, shifts in pressure, orinto the faintestopen splash of water disturbed by a careless foot. Step too close,torso and thedisappear tendrils will stiffen and rise like cobras beforeinto the Spillgutmass, letsleaving outequipment its piercing shriek—a wet, ragged cry that echoes through the fog and calls the dead to feast.behind.

spilgut2.png

Behavior

Spillguts are rarelycommonly foundreported alone.in Theyheavily stalkBlighted ruinedinteriors, workyards, flooded structures, tunnels, or collapsed settlements in the Pale and ruins where movement is already constrained.

Their noise can draw attention from other high-infestationBlighted zones.even Theirwhen primaryit roledoes appearsnot appear to be warning and enhancing nearby Blightborn, makingdirect them battlefielddeliberately. priorityFor targetsthat whenreason, allowing a fight breaks out.

In combat, a Spillgut’s tendrils lash out with shocking reach, striking enemies from upSpillgut to 15remain feet away. These attacks aren’t just physical—they grapple, trip, and drag prey closer. But the true threat lies in their Screech, a pulse of Blighted resonance that empowers nearby undead with increased ferocity. Allies hit by the call lurch faster, bite harder, and resist damage longer—suggesting some kind of hive influence through resonance or shared rot memory.

If the creature is eliminated, its unnatural effect dissipates. Spillguts are relatively fragile—but allowing one to cry out even once can shift the balance of a small encounter into a nightmare.

Spillguts are susceptible to stealth-based ambushes and ranged attacks, especially when unaware. While their detection radius is wide, they often focus attention on the first intruder they detect—allowing for tactical distractions and flanks.

If caught unaware, a coordinated group may be able to kill one before it screeches, avoiding a full-blown escalation.

Stat Block

Medium undead, unaligned

Armor Class: 14 (natural armor) Hit Points: 30 (3d8 + 2) Speed: 30 ft.
STR DEX CON INT WIS CHA 10 (+0) 14 (+2) 12 (+1) 3 (-4) 10 (+0) 5 (-3)

Damage Immunities: Poison
Condition Immunities: Poisoned, Exhaustion
Senses: Darkvision 60 ft., Passive Perception 10
Languages: —
Challenge: 1 (200 XP)

Special Traits
    Intestinal Feelers:
    The Spillgut exudes bloated intestinal tendrils from a gaping tear in its stomach, crawling blindly along the groundactive in a 15-footcrowded radius.infestation Thiscan areacause isa considered difficult terrain for non-Blightborn creatures. The tendrils reactsituation to movement,deteriorate airquickly. currents,
    and

    See sound,Also

    making
    stealthRotmire extremely difficult around them.

    Blight     InhumanThe ScreechShambler (1/day):
    As a bonus action, the Spillgut unleashes a wet, piercing scream from its distended torso. All Blightborn within 120 feet gain the effects of Bless for 1 minute (add 1d4 to attack rolls and saving throws). This effect cannot stack.

    All non-Blightborn creatures in the same radius must succeed on a DC 13 Wisdom saving throw or suffer the effects of Bane (subtract 1d4 from attack rolls and saving throws) for the same duration. This effect cannot stack.

    If the Spillgut is killed, these effects end immediately.
    Faulmoor
    Actions
      Tendril Slam: 
      Melee Weapon Attack: +4 to hit, reach 15 ft., one target.
      Hit: 8 (1d10 + 2) bludgeoning damage.