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Sufferer's Pact

Casting Time
One willing creature
a piece of bloody string
1 minute

You burn away weakness to reveal inner strength. The target takes 4d8 force damage. Then, at the start of each of its turns, it gains 2d8 temporary hit points. When this spell ends, the target removes its choice of one level of fatigue or strife . Any temporary hit points remaining are lost when the spell ends.

Rare Versions

Rynian’s Potent Sufferer’s Pact. When cast at higher levels, the creature takes an additional 1d8 force damage and removes an additional level of fatigue or strife for every 3 slot levels above 3rd.