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### Sanguine Spasm School: [necromancy](https://www.d20pfsrd.com/magic#TOC-Necromancy) [[blood](https://www.d20pfsrd.com/Magic/#TOC-Descriptor-)]
Level: [sanguine sorcerer](https://www.gmbinder.com/share/-LWMZYORqW01dZkNhvm7) 2
Casting Time: 1 [standard](https://www.d20pfsrd.com/gamemastering/combat/#TOC-Standard-Actions) action
Components: V, S, F (a [dagger](https://www.d20pfsrd.com/equipment/weapons/weapon-descriptions/dagger))
Range: close (25 ft. + 5 ft./2 levels)
Target: one being
Duration: instantaneous
Saving Throw: [Fortitude](https://www.d20pfsrd.com/gamemastering/combat/#TOC-Fortitude) negates
Spell Resistance: yes
Description: You cause the target of Sanguine Spasm to begin to [bleed](https://www.d20pfsrd.com/gamemastering/conditions/#TOC-Bleed) for 2 points of damage each round. This effect persists until they [die](https://www.d20pfsrd.com/gamemastering/conditions/#TOC-Dead), unless it is ended prematurely via a [Heal](https://www.d20pfsrd.com/skills/heal) check with a DC of 17 or via the application of an effect that restores [hitpoints](https://www.d20pfsrd.com/gamemastering/combat/#TOC-Hit-Points).
Special: While the target of Sanguine Spasm is afflicted by multiple [bleed](https://www.d20pfsrd.com/gamemastering/conditions/#TOC-Bleed) effects, they are also subject to the following effect:
Whenever they make an attack with a melee [weapon](https://www.d20pfsrd.com/equipment/weapons/), they must roll a d12; if the result of their roll is less than [x], their attack misses as the flow of blood to their brain is disrupted and they lose control of their muscles.
[x] is equal to your [constitution](https://www.d20pfsrd.com/BASICS-ABILITY-SCORES/ability-scores/#constitution_con) modifier