Ultimate Spheres of Power

Medicine Man

At 1st level, a pharmakon gains the Life sphere and Affliction talent as bonus talents, as well as the Limited Restoration (restore) drawback. This drawback does not grant an additional talent. If the pharmakon already possesses the Life sphere, then the Affliction talent is gained as a bonus talent with no drawback.

When using the Affliction talent, the pharmakon may spend uses of channel energy in place of spell points.

This replaces master of life and death.


At 2nd level, and every 4 additional levels thereafter (6th, 10th, 14th, etc.), the pharmakon gains an iatrogen of her choice. An iatrogen is an effect similar to a usage of the Affliction talent, but is much more potent and powerful.

Each iatrogen can only be powered by spending uses of channel energy in place of spell points, including when combined with talents that allow the affecting of multiple creatures. Whenever a iatrogen calls for a saving throw, the DC is equal to 10 + 1/2 her pharmakon level + her casting ability modifier.

If the pharmakon uses any iatrogen on a creature who is already under the effect of 3 or more different iatrogenic effects, the target must succeed at a Fortitude save or drop to -1 hit points and begin dying.


The pharmakon can use the Affliction talent to inflict 1d6 bleed damage, plus an additional 1d6 bleed damage per (cure) talent she possesses.


The pharmakon inflicts a 1d6 ability penalty to a single ability score of her choice. If the pharmakon possesses at least two (cure) talents, she instead inflicts this ability penalty to all ability scores. This ability penalty lasts a number of rounds equal to her pharmakon level (Fortitude negates). Ability penalties from malignance do not stack with themselves.


The pharmakon inflicts the frightened (or panicked, if already frightened) condition for a number of rounds equal to her pharmakon level (Will negates). This is a mind affecting fear effect.


The pharmakon inflicts the staggered condition for a number of rounds equal to her pharmakon level (Fortitude negates). If the target is already under the effect of the staggered condition, it is instead paralyzed for a single round.


The pharmakon grants a target twice the temporary hit points she can normally grant via the invigorate Life sphere ability. These temporary hit points can bring a target’s current hit points above their total hit points. However, when the duration expires (the pharmakon may end the duration prematurely as a free action), the creature loses hit points equal to the number of temporary hit points granted in addition to the temporary hit points.


The pharmakon inflicts a disease onto the target, as per the Inflict Disease talent from the Death sphere.


The pharmakon inflicts temporary negative levels onto the target, as per the Drain talent from the Death sphere.

This replaces the blessing/blight class feature.

Author's Note: For the purpose of interacting with other Life sphere talents and abilities, any time that you may normally use the Affliction talent, you may instead use an Iatrogen as a special use of that talent.

New Feat

Extra Iatrogen

Prerequisite: Iatrogen class feature.

Benefit: Gain an additional iatrogen for which you meet the prerequisites. You may take this feat multiple times. The effects stack.

Spheres of Power by Drop Dead Studios
Using Spheres of Power
Armorist Elementalist Eliciter Fey Adept
Hedgewitch Incanter Mageknight Shifter
Soul Weaver Symbiat Thaumaturge Wraith
Prestige Classes
Bokor Forest Lord Magemage Realmwalker
Tempestarii Waking Sleeper
Alteration Blood Conjuration Creation
Dark Death Destruction Divination
Enhancement Fallen Fey Fate Illusion
Life Light Mana Mind
Nature Protection Telekinesis Time
War Warp Weather
Other Spheres
Bear Technomancy
About Advanced Magic Advanced Talents Alternate Racial Traits Casting Traditions
Incantations Magical Items Mythic Spheres Rituals
Spellcrafting Traits Wild Magic Sphere Bestiary
Weapons Armor Equipment Special Materials
Alchemical Items Apparatuses (Metamagic) Charms Compounds
Fabled Items Implements Marvelous Items Schematics
Scrolls Spell Engines Spellzones Talent Crystals
Admixture Anathema Aristeia Champion
Chance Channeling Combat Companion
Counterspell Damnation Drawback Extra
General Item Creation Metamagic Necrosis
Plague Protokinesis Proxy Purring
Racial Ritual Squadron Surreal
Teamwork Theurge Wild Magic
Get Ultimate Spheres of Power Get the Original RulebookU
Get Expanded OptionsU Get Expanded Options 2
Alteration HandbookU Conjuration HandbookU Creation HandbookU Dark HandbookU
Death HandbookU Destruction HandbookU Divination HandbookU Enhancement HandbookU
Fate HandbookU Illusion HandbookU Life HandbookU Light HandbookU
Mind HandbookU Nature HandbookU Protection HandbookU Telekinesis HandbookU
Time HandbookU War HandbookU Warp HandbookU Weather HandbookU
Spheres Apocrypha
Apex Shifter Casting Traditions Casting Traditions 2 Cognition Talents
Cohorts and Companions Dark ApocryphaU Debilitating Talents 2 Destruction ApocryphaU
Light ApocryphaU Nature (Air) PackageU Nature (Earth) ApocryphaU Nature (Fire) ApocryphaU
Nature (M/P/W) ApocryphaU Nature (Spirit) ApocryphaU Protokinesis ApocryphaU Sidhe Court
Other Spheres Products
Archetypes of PowerU Archetypes of Power 2 The Bear Sphere The Blood SphereU
Blood and Portents Compounds of Power The Conqueror's Handbook The Fallen Fey SphereU
Initiate's Handbook Items of PowerU The Jester's Handbook Mythic Spheres of Power
The Technomancy Sphere Treasures of the Spheres Treasures: Weapons and Tools The Wraith ClassU
Wild Magic Woodfaring Adventures Worlds of Power The Youxia's Handbook
Bestiary: Fey and Feyfolk The High Magic Handbook Realmwalker's Handbook Bestiary: Fiends of the Cosmos
Wreckage to Deliverance Wreckage to Deliverance Player's Guide

U: Part of Ultimate Spheres of Power and does not need to be bought separately from that book

This website uses cookies. See the Legal & OGL page for important information. Any material NOT covered by the Open Game License Version 1.0a is covered by the Creative Commons Attribution-ShareAlike 3.0 License.