Variable Level DiseaseDeathsong

You would hear the disease ravage your body in the crackling of your skin and popping of your bones if you could just stop screaming.

Stage 0: The target recovers from the disease.
Stage 1: While affected by stage 1, the target takes a -2 penalty to skills checks and ability checks based on Strength, Dexterity, and Constitution.
Stage 2: While affected by stage 2, the target takes a -2 penalty to attack rolls, skills checks, and ability checks based on Strength, Dexterity, and Constitution. In addition, the target is dazed.
Stage 3: The target dies.
Check: At the end of each extended rest, the target makes an Endurance check if it is at stage 1 or 2.
Lower than Easy DC: The stage of the disease increases by one.
Easy DC: No Change
Moderate DC: The stage of the disease decreases by one.

Published in The Book of Vile Darkness, page(s) 2-33.