Source: 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.
Iatrogen
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.
Exsanguination
The pharmakon can use the Affliction talent to inflict 1d6 bleed damage, plus an additional 1d6 bleed damage per (cure) talent she possesses.
Malignance
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.
Neurasthenia
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.
Opisthotonus
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.
Polysynapsis
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.
Sepsis
The pharmakon inflicts a disease onto the target, as per the Inflict Disease talent from the Death sphere.
Syncope
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.
Archived: Original version (from before Ultimate Spheres of Power)