Inaccurate?

Bloodletting Strike

(Tome of Battle: The Book of Nine Swords, p. 75)

Shadow Hand (Strike)
Level: Swordsage 5 (Two Shadow Hand maneuvers),
Components:
Casting Time: 1 standard action
Range: Melee attack
Target: One creature
Saving Throw: Fortitude partial

Spinning your blade in a butterflylike pattern, you administer a dozen precise cuts in an eyeblink. Blood flows from your foe’s opened veins.

As part of this maneuver, you make a single melee attack. If this attack hits, your opponent takes 4 points of Constitution damage in addition to your attack’s normal damage. A successful Fortitude save (DC 15 + your Wis modifier) reduces this Constitution damage to 2 points, although the foe still takes full normal melee damage.

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