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There are 2 items with this spell effect.

[31] Scourge
Classes: SHM/31 NEC/35
Skill: Conjuration
Mana: 199
Target: Single
Range: 200'
Resist: Disease
Reflectable: Yes
Trigger Spell DS: Yes
Stacking: Breath of Ultor 3
Focusable: Yes
Casting: 3s, Recast: 1.5s, Rest: 1.5s
Duration: 72s+ (12 ticks), Dispelable: No
1: Increase Disease Counter by 4
2: Decrease Current HP by 98 per tick
3: Decrease Current HP by 58
Text: You feel feverish.
Sickens your target with a fever, causing #3 damage initially and between #2 and @2 damage every six seconds for %z.

Spell list updated Oct 20, 2020