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Blood Elemental

Large · Elemental · CR 5 · Neutral

Source. Creature Codex

14 (natural armor)

95 (10d10+40)

Ability Scores

Core attributes and their modifiers.

STR

DEX

CON

INT

-3

WIS

CHA

-3

Overview

Category Monsters

Size Large

Type Elemental

Alignment Neutral

XP 1800

Initiative Bonus +1

Movement

Walk 30 ft (9.1 m)

Swim 15 ft (4.6 m)

Climb 15 ft (4.6 m)

Crawl 15 ft (4.6 m)

Senses

Darkvision 60 ft (18.3 m)

Passive Perception 10

Languages

Primordial

Resistances & Immunities

Damage Immunities

necrotic, psychic

Damage Resistances

acid, fire; bludgeoning, piercing, and slashing from nonmagical attacks

Damage Vulnerabilities

poison

Condition Immunities

exhaustion, grappled, paralyzed, petrified, poisoned, prone, restrained, unconscious

Traits

Coagulate

Each time the elemental takes cold damage, its speed is reduced by 10 feet until the end of its next turn.

Destroyed by Water

If the blood elemental becomes entirely submerged in water, it dissipates and dies instantly.

Liquid Form

The elemental can enter a hostile creature's space and stop there. It can move through a space as narrow as 1 inch wide without squeezing.

Actions

Blood Drain

Recharge 4–6

Each creature in the elemental's space must make a DC 15 Constitution saving throw. On a failure, a creature takes 10 (3d6) necrotic damage and, if it is Large or smaller, it is grappled (escape DC 13). A grappled creature is restrained and unable to breathe. If the saving throw is successful, the creature is pushed out of the elemental's space. The elemental can grapple one Large creature or up to two Medium or smaller creatures at one time.

At the start of the elemental's turn, each target grappled by it takes 10 (3d6) necrotic damage. A creature within 5 feet of the elemental can use its action to make a DC 15 Strength check, freeing a grappled creature on a success. When Blood Drain deals 30 or more necrotic damage, the elemental grows in size as though affected by an enlarge/reduce spell. This increase in size lasts until the blood elemental finishes a long rest.

Multiattack

The elemental makes two slam attacks.

Slam

+6 to hit, reach 5 ft (1.5 m). Hit: 2d8+3 bludgeoning damage.

Melee Weapon Attack: +6 to hit, reach 5 ft., one target. Hit: 12 (2d8 + 3) bludgeoning damage.

About Blood Elemental

Blood Elemental is a large elemental with a Challenge Rating of 5. It has a neutral alignment.

In combat, this creature maintains an Armor Class of 14 and possesses 95 hit points (derived from 10d10+40).

Blood Elemental has communication capabilities including Primordial. This allows it to interact verbally with various creatures and characters.

GM Tips: Using Blood Elemental

2 tips available

When using Blood Elemental in your D&D 5e campaign, consider these tactical approaches:

Significant Threat: Challenging for parties of levels 5-10
Epic Potential: Consider legendary actions for memorable battles

Player Guide: Facing Blood Elemental

2 strategies available

When your party encounters this creature, keep these strategies in mind:

Significant Threat: Prepare spells and resources
Team Coordination: Coordinate attacks and defenses

Encounter Building Calculator

Standard Party Encounter (4-5 characters):

This creature is a medium encounter for a party of 4 characters of level 5.

Solo Encounter:

A single character of level 7 (up to level 20) can face this creature in a medium to hard encounter.

Experience Point Thresholds:

Medium: 3,000 XP
Hard: 4,500 XP
Deadly: 6,000 XP

Based on D&D 5e Dungeon Master's Guide encounter building guidelines. CR roughly equals party level for medium encounters.

Frequently Asked Questions

What is the challenge rating of Blood Elemental?: Blood Elemental has a Challenge Rating of 5, making it appropriate for parties of level 5.0.
What type of creature is Blood Elemental?: Blood Elemental is a Large Elemental, which affects how certain spells and abilities interact with it.
What languages does Blood Elemental speak?: Blood Elemental can communicate in Primordial.