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A nosomatic chirurgeon is a halfling student of sickness, and a master of the ebb and flow of the energies of life and death.

Requirements

Class Features

Spellcasting: At each level except 5th, you gain new spells per day and an increase in caster level (and spells known, if applicable) as if you had also gained a level in a spellcasting class to which you belonged before adding the prestige class level. You do not, however, gain any other benefit a character of that class would have gained. If you had more than one spellcasting class before becoming a nosomatic chirurgeon, you must decide to which class to add each level for the purpose of determining spells per day, caster level, and spells known.

If you have no levels in any spellcasting class, this class grants you the spellcasting ability of the adept (DMG 107) from 1st to 4th level. You do not gain levels in the adept class nor any of the other features of that class, but simply adopt that class's spellcasting progression and spell list as the spellcasting ability of this class.

Heir's Mark: Levels in the nosomatic chirurgeon prestige class count as levels in the dragonmark heir prestige class when determining the caster level for the spell-like abilities of your dragonmark. You can have a maximum of five effective levels in dragonmark heir for the purpose of determining the caster level of your dragonmark.

Nosomatic Chirurgy (Ex): As a nosomatic chirurgeon, your understanding of sickness and disease grants you a bonus equal to your class level on saves against magical or mundane diseases (including the contagion spell). You gain this same bonus on saves against any magical or mundane effects that would change your condition to nauseated or sickened. If such effects also deal damage, you take that damage as normal.

In addition, you receive a bonus equal to your class level on all Heal checks.

Pestilential Touch (Su): A chirurgeon develops the supernatural ability to channel spell energy into debilitating harm. This ability allows you to spontaneously "lose" a single usage of any spell or spell-like ability to cast any inflict spell of the same spell level or lower. (An inflict spell is any spell with "inflict" in its name, such as inflict light wounds).

Unlike with a normal casting of an inflict spell, the damage dealt by this ability is not negative energy, and so cannot be used to heal undead.

Plague Bearer (Sp): Upon reaching 2nd level, a nosomatic chirurgeon can cultivate disease in living creatures with a touch. Once per day, you can invoke an effect similar to a contagion spell (PH 213). As with the spell, you must succeed on a melee touch attack to affect your target. You can gain additional uses of this ability by expending daily uses of any spell-like ability from your Mark of Healing.

Upon acquiring this ability, you become immune to the contagion spell.

Isolate Pathogen (Ex): From 3rd level on, your expertise allows you to expand your plague bearer ability to use any disease (including magical diseases) that you have personally diagnosed and successfully treated with the Heal skill. This allows you to use your plague bearer ability to infect subjects with a disease such as devil chills or mummy rot if you have successfully helped a character overcome the effect of that disease with a Heal check.

In addition, you can always take 10 on Heal checks made to diagnose a patient or treat disease.

Nosomatic Touch (Su): At 4th level, you can choose to combine your pestilential touch ability with your plague bearer ability, allowing you to deal damage and infect a subject with disease with a single melee touch attack. You lose a spell (for your pestilential touch) and expend any applicable usage of a dragonmark power (for plague bearer) as normal. Since this ability requires a touch attack, you cannot use your nosomatic touch with any mass inflict spell, regardless of level.

Ascendant Carrier (Ex): At 5th level, your studies make you immune to all diseases, even those of magical or supernatural origin such as lycanthropy and mummy rot. If you are already afflicted with any such disease, you are automatically cured of that condition. You also become immune to any spell or effect that would cause you to become nauseated or sickened.

In addition, you can extend your expertise to those in your care. This allows you to use remove disease as a spelllike ability once per day, at the same caster level as your other dragonmark powers.

Advancement