Level 12 DiseaseTwisted Domination

The symptoms of cackle fever include high fever, disorientation, and frequent bouts of hideous laughter.

Stage 0: The target recovers from the disease.
Stage 1: Initial Effect: The target treats its allies as enemies for the purpose of making opportunity attacks. While within 1 mile of the tomb that is the source of the twisted domination, the target must make opportunity attacks against any creature except those also afflicted with twisted domination, or other guardians of the tomb.
Stage 2: In addition to the initial effect, the creature must move immediately to within 1 mile of the tomb. The creature must stay within 1 mile of the tomb as long as the curse affects it.
Stage 3: Final State: In addition to prior effects, the creature is dominated and considers all creatures that are not guardians of the tomb its enemies. The creature takes hostile action against any such creatures that are within 1 mile of the tomb.
Check: At the end of each extended rest, the target makes a Wisdom check if it is at stage 1 or 2.
9 or lower: The stage of the disease increases by one.
10-15: No Change
16 or higher: The stage of the disease decreases by one.

Published in Dungeon Magazine 157.