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Blood Hag

Medium · Fey · CR 11 · Chaotic Evil

Source. Tome of Beasts 1 (2023 Edition)

16 (natural armor)

204 (24d8 + 96)

Ability Scores

Core attributes and their modifiers.

STR

DEX

CON

INT

WIS

CHA

Overview

Category Monsters

Size Medium

Type Fey

Alignment Chaotic Evil

XP 7200

Initiative Bonus +3

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 19

Saving Throws

Dexterity +7 Constitution +8 Charisma +7

Skills

Deception +7 Intimidation +7 Perception +9 Stealth +7

Languages

Common, Giant, Sylvan

Resistances & Immunities

Condition Immunities

charmed, poisoned

Traits

Blood Sense

The blood hag can pinpoint the location of creatures that aren’t Constructs or Undead within 60 feet of her and can sense the general direction of such creatures within 1 mile of her.

Actions

Blood Bolt

+9 to hit, range 60 ft (18.3 m). Hit: 3d8+5 necrotic damage.

Ranged Spell Attack: +9 to hit, range 60 ft., one target. Hit: 18 (3d8 + 5) necrotic damage. If the target is a creature with blood, it must succeed on a DC 17 Constitution saving throw or be poisoned until the end of its next turn.

Blood-Drinking Hair

The hag drains blood from one creature grappled by her. The target must make a DC 17 Constitution saving throw, taking 18 (4d8) necrotic damage on a failed save, or half as much damage on a successful one. The blood hag regains hp equal to half the necrotic damage taken.

Claws

+9 to hit, reach 5 ft (1.5 m). Hit: 4d6+5 slashing damage.

Melee Weapon Attack: +9 to hit, reach 5 ft., one target. Hit: 19 (4d6 + 5) slashing damage, and the target is grappled (escape DC 17) if it is a Medium or smaller creature. The blood hag has two claws, each of which can grapple only one target.

Face Peel

The blood hag peels the face off one creature grappled by her. The target must succeed on a DC 17 Dexterity saving throw or take 14 (4d6) slashing damage and be stunned until the end of its next turn. The target's hp maximum is reduced by an amount equal to the damage taken. This reduction lasts until the target finishes a long rest. While its hp maximum is reduced in this way, the target has disadvantage on all Charisma checks. The target dies if this effect reduces its hp maximum to 0.

Multiattack

The blood hag makes three Claw or Blood Bolt attacks and can use Blood-Drinking Hair or Face Peel. She can replace one attack with a use of Sanguine Curse.

Sanguine Curse

The blood hag curses one creature she can see or sense within 60 feet of her. The target must succeed on a DC 17 Wisdom saving throw or be cursed for 1 minute. A creature automatically succeeds on this saving throw if it doesn't have blood. While cursed, the target is incapacitated and takes 9 (2d8) necrotic damage at the start of each of its turns as its internal blood vessels rupture. The cursed target can repeat the saving throw at the end of each of its turns, ending the curse on itself on a success.

Spellcasting

The blood hag casts one of the following spells, requiring no material components and using Wisdom as the spellcasting ability (spell save DC 17):

At Will: disguise self, knock, tongues
3/Day Each: modify memory, pass without trace

About Blood Hag

Blood Hag is a medium fey with a Challenge Rating of 11. It has a chaotic evil alignment.

In combat, this creature maintains an Armor Class of 16 and possesses 204 hit points (derived from 24d8 + 96).

Blood Hag has communication capabilities including Common, Giant, Sylvan. This allows it to interact verbally with various creatures and characters.

GM Tips: Using Blood Hag

2 tips available

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

Boss Encounter: Suitable for climactic moments
Multi-phase Battle: Plan dramatic tension with multiple phases

Player Guide: Facing Blood Hag

2 strategies available

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

Major Threat: Prepare for epic battle
Resource Management: Conserve powerful abilities

Encounter Building Calculator

Standard Party Encounter (4-5 characters):

This creature is a medium encounter for a party of 4 characters of level 11.

Solo Encounter:

A single character of level 15 (up to level 20) can face this creature in a medium to hard encounter.

Experience Point Thresholds:

Medium: 13,200 XP
Hard: 19,800 XP
Deadly: 26,400 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 Hag?: Blood Hag has a Challenge Rating of 11, making it appropriate for parties of level 11.0.
What type of creature is Blood Hag?: Blood Hag is a Medium Fey, which affects how certain spells and abilities interact with it.
What languages does Blood Hag speak?: Blood Hag can communicate in Common, Giant, Sylvan.