Physician

Quick Build

You can make a physician quickly by following these suggestions. First, make Intelligence you highest ability score, followed by Constitution or Dexterity. Second, choose the sage background.

Class Features

As a physician, you gain the following class features.

Medical Training

At 1st level, you gain proficiency in the Medicine skill. If you are already proficient in it, your proficiency bonus is doubled for any ability check that uses Medicine.

Additionally, you can use your Intelligence modifier instead of your Wisdom modifier when you make a Medicine skill check.

First Aid

Beginning at 2nd level, you can use your medical training to expertly tend to the wounded during a short rest. If you or any friendly creatures who allow you to aid them regain hit points at the end of a short rest, each of those creatures regain an extra 1d6 hit points.

The extra hit points increase when you reach certain levels in this class: to 1d8 at 9th level, to 1d10 at 13th level, and 1d12 at 17th level.

General Practices

Starting at 2nd level, your study allows you to perform a range of medical treatments and techniques that affect yourself and those around you. Your professional health is represented by a number of practice points. Your physician level determines the number of points you have, as shown in the Practice Points column of the Physician table.

You can spend these points to fuel various practice features. You start knowing Alleviate Injury and two general practice features of your choice, which are detailed under "General Practices", at the end of the class description.

When you gain certain physician levels, you learn additional practices of your choice, as shown in the Practices Known column of the Physician table. Additionally, when you gain a level in this class, you can choose one of the practices you know replace it with another practice that you could learn at that level.

When you spend a practice point, it is unavailable until you finish a short or long rest, at the end of which you regain all of your expended practice points. You must spend at least 30 minutes of the rest revising over your medical notes to regain your practice points. Some of your practice features require your target to make a saving throw to resist the feature’s effects. The saving throw DC is calculated as follows:

                    Practice save DC = 8 + your proficiency
                                    bonus + your Intelligence modifier

Expertise

At 3rd level, choose two of your skill proficiencies. Your proficiency bonus is doubled for any ability check you make using either of the chosen proficiencies. At 10th level, you can choose another two skill proficiencies to gain this benefit.

Medical Specialist

At 3rd level, you choose to specialize your medical profession. Choose Field Surgeon, Veterinarian, Psychiatrist, or Plague Doctor, all detailed at the end of the class description. The specialty you choose grants you features at 3rd level and again at 6th, 11th, and 15th level.

Ability Score Improvement

When you reach 4th level, and again at 8th, 12th, 16th, and 19th level, you can increase one ability score of your choice by 2, or you can increase two ability scores of your choice by 1. As normal, you can’t increase an ability score above 20 using this feature.

Identify Poison and Disease

At 4th level, as an action, you can spend 1 practice point and immediately identify any poison, poisonous creature, or disease you can see within 30 feet of you.

Fast Movement

Starting at 5th level, your speed increases by 10 feet while you aren't wearing heavy armour.

Remove Contaminant

From 5th level onwards While a herbalism kit is on your person, as an action, you can spend 2 practice points to flush the contaminants from a creature you can touch. You can cure one disease or neutralize one poison affecting the creature.

Deliverance

At 6th level, whenever you restore hit points to another creature, your movement doesn't provoke opportunity attacks for the rest of the turn.

Clinical Diagnosis

Starting at 7th level, if you spend at leat 1 minute observing or interacting with another creature outside combat, you can learn certain information about its apparent health. The DM tells you two of the following characteristics about the creature:

• Constitution score
• Maximum hit points
• Current hit points
• Whether or not the creature is suffering from any diseases

Resuscitation

At 7th level, as an action, you can spend 3 practice points and 300 gp worth of medical supplies to perform a medical maneuver on a creature you can touch that has died in the last minute. That creature returns to life with 1 hit point. This feature can’t return to life a creature that has died of old age, nor can it restore any missing body parts.

Defensive Evaluation

At 14th level, you can add your Intelligence modifier to any saving throw you make that doesn't include your proficiency bonus against effects that you can see. To gain this benefit, you can't be blinded, deafened, or incapacitated.

Inexorable

Beginning at 18th level, when you roll for initiative and have 17 or less practice points left, you regain 1 practice point.

Master of Medicine

At 20th level, you gain the following features:

• When you would normally roll one or more dice to restore hit points, you instead use the highest number possible for each die. For example, instead of restoring 2d8 hit points to a creature, you restore 16.
• You suffer none of the frailty of old age, and can't be aged magically. You can still die of old age, however. For every 2 years that pass, you body only ages 1 year.

Medical Specialist

Different physicians focus in different areas of medicine. The specialist you choose to emulate reflects your focus.

Field Surgeon

The field surgeon chooses to focus on the physical aspects of medicine, mending broken bones, reattaching tissues, or expertly carving through flesh using their tools of the trade.

Bonus Proficiencies

At 3rd level, you gain proficiency in medium armour. In addition, when you hit with a melee attack using a finesse weapon, you gain a +1 bonus to the damage roll. You also gain a +2 bonus to AC while holding a healer's kit and you aren't incapacitated.

Deep Incision

At 3rd level, when you hit a creature with a melee weapon attack, you can use a bonus action and spend 1 practice point to deal an extra 3d4 damage.

Compression Bandages

Starting at 6th level, whenever you spend practice points to restore hit points to a creature, they also gain temporary hit points equal to 2 + the number of practice points spent.

Disabling Strike

From 11th level onwards, the damage dealt by your Deep Incision feature increases to 3d6, and whenever you deal damage to a creature with it, you can impose one of the following effects on that target:

• It must succeed on a Constitution saving throw or be blinded until the start of its next turn.
• It must succeed on a Dexterity saving throw or have its speed reduced by 15 until the end of its next turn.
• It can't take reactions until the end of your next turn.

Forensics

Starting at 15th level, you are so familiar with the structure and functions of a creature's anatomy that you know what harm has befallen it in the past. You spend at least 1 minute inspecting a creature or corpse, then draw conclusions on what it has suffered in recent events. You can inspect this way a number of minutes equal to your Intelligence score and must maintain concentration during that time, as if you were casting a spell.

Once you use this feature, you can't use it again until you finish a short or long rest.

Creature Inspection. Staying within 5 feet of the creature as you inspect it, you can correctly theorise the situations of which it has been injured. After inspecting it for 1 minute, you learn what harmed the creature, as well as the most significant event involving the creature and its injury. If the creature was harmed another way in the recent past (within a number of days equal to your Intelligence score), you can spend 1 additional minute to learn the same information about that injury.

Corpse Inspection. As you inspect a corpse, you formulate conclusions of its demise, going back a number of years equal to 5 times your Intelligence score. For each minute you inspect the corpse, you learn about one injury its sustained, beginning with the most recent.

Veterinarian

You studied on how to care for animals, as well as people, helping those in need with your faithful companion.

Animal Caretaker

At 3rd level, when you choose this feature, you create a powerful bond with a creature of the natural world.

With 8 hours of care and the expenditure of 10 gp worth of rare herbs and fine food, you bond with a beast to serve as your faithful companion. Your physician level determines the beasts you can bond with, as shown in the Beast Companions table. At 3rd level, for example, you can acquire the aid of any beast that has a challenge rating of 1/4 or lower that is Large or smaller and doesn't have a flying or swimming speed.

BEAST COMPANIONS

Level	Max CR	Max Size	Limitations	Example
3	1/4	Large	No flying or swimming speed	Elk
6	1/4	Large	No flying speed	Giant Lizard
11	1/4	Large	-	Giant Owl

At the end of the 8 hours, the bonding ritual is complete. You can have only one beast companion at a time.

Companion's Bond

Also at 3rd level, your beast companion gains a variety of benefits while it is linked to you.

The beast companion loses its Multiattack action, if it has one.

Your beast companion is friendly to you and your companions, and it obeys your commands. In combat, the beast companion shares your initiative count, but it takes its turn immediately after yours. It can move and use its reaction on its own, but the only action it takes on its turn is the Dodge action, unless you take a bonus action on your turn to command it to take another action. That action can be one in its stat block or some other action. If you are incapacitated, the beast can take any action of its choice, not just Dodge.

The beast companion has abilities and game statistics determined in part by your level. The beast companion uses your proficiency bonus rather than its own, and it uses your Intelligence modifier, instead of its Strength or Dexterity, for attack rolls with weapons it is proficient with. In addition to where it normally uses its proficiency bonus, it also adds it to its AC.

The beast companion is proficient in two skills of your choice. It also becomes proficient with all saving throws.

For each physician level after 3rd, the beast companion gains an additional hit die and increases its hit points accordingly.

Your DM has the creature's statistics.

Savage Strikes

Starting at 6th level, your beast companion's attacks count as magical for the purpose of overcoming resistance and immunity to nonmagical attacks and damage.

Little Helper

Beginning at 11th level, your beast companion can use the Help action as a bonus action on its turn.

Unwavering Loyalty

From 15th level onwards, your beast companion is immune to being charmed or frightened.

Psychiatrist

As a phychiatrist you have studied the trappings of the mind, and are a comforting presence to others around you. You know just the right thing to say to help others through turmoil, or tip them over the edge.

Psychiatric Education

At 3rd level, you gain proficiency in the Insight and Persuasion skills.

Additionally, you can use your Intelligence modifier instead of your Wisdom modifier when you make an Insight or Persuasion skill check.

Moving Words

At 3rd level, your words can inspire fear or friendship. As a bonus action, you can spend 1 practice point to have one creature within 60 feet of you that can hear you make a Wisdom saving throw against your Practice Save DC. On a failed save, you can choose one of the following options:

Fear. The creature is frightened of you until the end of your next turn.

Friendship. If the creature is not hostile to you, it is charmed by you for 10 minutes, or until you or your allies do anything harmful to it. When this feature ends, the creature doesn't know it was charmed by you.

Reassurance

At 6th level, when you or a creature within 30 feet of you would be forced to make an Intelligence or Wisdom saving throw, you can use your reaction to grant them advantage on the saving throw.

Cognitive Psychology

At 11th level, whenever you would use your Clinical Diagnosis feature to observe a creature, you can choose to learn one additional characteristic from the following options:

• Wisdom score
• Intelligence score
• Charisma score
• The creature's alignment

Counselling

At 15th level, you can spend an extended time with a creature to change its morals. You can spend six months in downtime to change a creature's alignment by one step.

At the end of the 6 months, you must succeed on a Persuasion check with a DC of 8 + the creature's maximum number of hit dice to change the creature's alignment. For example, after a successful check you can change a chaotic neutral creature to the true neutral alignment. The target of this feature must have an Intelligence 6 or more and you both must share a language. At the end of the 6 months, if the check is successful, the creature also gains the benefits of the greater restoration spell (you can choose the debilitating effect to end, cannot choose petrification). This feature has no effect on a creature immune to being charmed.

Plague Doctor

Those who specialize in becoming a Plague Doctor study the multitude of diseases and ailments that befall society. A plague doctor can either use the knowledge to cure those in need or harness it to inflict suffering on others.

Plague Grenade

At 3rd level, you are able to prepare and throw noxious globes containing various contagions. While a herbalism kit is on your person, as a bonus action, you can fashion and throw one of these globes.

It counts as a simple ranged weapon with which you are proficient. It deals 1d6 poison damage on hit and has a range of 20/60. If you drop or throw the globe, it shatters at the end of the turn as its increasingly unstable contents burst from their container and disperse.

Respirator

At 3rd level, you have advantage on saving throws against diseases.

Developed Resistance

From 6th level onwards, you have resistance to poison damage and advantage on saving throws against being poisoned.

Miasma Theory

At 11th level, you are immune to disease and poison.

Vaccination

At 15th level, If you have access to a creature with a nonmagical disease, you can isolate the ailment and create a single vaccine from it. You must spend six months of work, 25,000 gp worth of medical supplies, and must succeed on an Intelligence (Medicine) check with a DC equal to 8 + the infection DC of the disease to develop this vaccine.

The vaccine can be used once on a creature, immediately curing the disease and granting the creature immunity to it after seven days. Creating additional vaccines for the same disease only requires one hour of work and 50 gp for each vaccine you create.

General Practices

The general practices are represented in alphabetical order.

If the creature attempts to cast a spell with a casting time of 1 action, roll a d20. On an 11 or higher, the spell doesn’t take effect until the creature’s next turn, and the creature must use its action on that turn to complete the spell. If it can’t, the spell is wasted.

Rabies - The creature suffers from uncontrolled movement and starts frothing at the mouth. The creature has disadvantage on Wisdom Checks and Wisdom Saving Throws, and the creature behaves as if under the effects of the Confusion spell during Combat.

Smallpox - Fluid filled bumps cover the creature, eventually hemorrhaging. The creature has disadvatage on Charisma Checks and Charisma Saving Throws. whenever the creature takes damage, the creature takes an extra 1d8 necrotic damage, this damage ignores resistance and immunity.

Postmortem Care

Prerequisite: 5th level

As an action, you can spend 2 practice points and one use of a healer's kit on a corpse you can touch to protect it from suffering further stages of postmortem. For 8 hours the target is protected from decay. The feature also extends the time limit on raising the target from the dead from spells and features such as Resuscitation.

Quick Fix

You can use a healer's kit as a bonus action.

Reattachment Surgery

Prerequisite: 15th level, Surgeon Specialist

While a healer's kit is on your person, you can spend 1 hour and 7 practice points to knit a body member (finger, leg, tail and so on) that has been severed in the past 24 hours back to its stump. For the duration of the feature, the creature whos body part has been severed regains 1 hit point at the end of every minute.

Recommendation

Prerequisite: 5th level, Psychiatrist Specialist

As an action, you can suggest a course of activity (limited to a sentence or two) and influence a creature you can see within range that can hear and understand you. Creatures that can’t be charmed are immune to this effect. The suggestion must be worded in such a manner as to make the course of action sound reasonable. Asking the creature to stab itself, throw itself onto a spear, immolate itself, or do some other obviously harmful act ends this feature.

The target must make a Wisdom saving throw versus your Influence save DC. On a failed save, it purses the course of action you described to the best of its ability. The suggested course of action can continue for up to 8 hours. If the suggested activity can be completed in a shorter time, this feature ends when the subject finishes what it was asked to do.

You can also specify conditions that will trigger a special activity during the duration. For example, you might suggest that a knight give her warhorse to the first beggar she meets. If the condition isn’t met before this feature expires, the activity isn’t performed.

If you or any of your companions damage a creature affected by this feature, this feature ends for that creature. You cannot use this feature again until you finish a short or long rest.

Reconstructive Surgery

Prerequisite: 15th level, Surgeon Specialist

You can permanently change the appearance of a creature. You decide what they look like, including height, weight, facial features, the sound of their voice, hair length, colouration, and distinguishing characteristics, if any. You cannot make the creature appear as a member of another race. You cannot make the creature appear as a creature of a different size, and their basic shape stays the same, if they are bipedal, you cannot use this feature to make them quadrapedal, for instance. You must spend seven days and 5,000 gp worth of medical supplies to apply the changes to the creature.

Rehabilitation

Prerequisite: 12th level, Surgeon Specialist

You can spend 1 hour and 5 practice points on a creature you can touch to undo a debilitating effect. You can reduce the target's exhaustion level by one or end one of the following effects on the target.

• One condition. The condition can be blinded, deafened, incapacitated, paralyzed, stunned, or unconscious
• Any reduction to one of the target's ability scores
• One effect reducing the target's hit point maximum.

Routine Care

Prerequisite: 12th level

Whenever you make a Medicine, Insight, Animal Handling, or Nature check that lets you add your proficiency bonus, you can treat a d20 roll of 9 or lower as a 10.

Shared Solace

Prerequisite: 15th level, Veterinarian Specialist

Whenever you regain hit points, your beast companion regains the same amount of hit points if the beast is within 30 feet of you and can see or hear you.

Skill Refinement

Prerequisite: 12th level, Psychiatrist Specialist

As an action, you can advise one willing creature within 5 feet of you that can hear you to give it expertise in one skill or tool of your choice; for the next hour, the creature doubles its proficiency bonus for ability checks it makes that use the chosen skill or tool.

You must choose a skill or tool in which the target is proficient and that isn't already benefiting from an effect, such as Expertise, that doubles its proficiency bonus.

Once you use this feature, you cannot do so again until you finish a long rest.

Smelling Salts

While a healer's kit is in on your person, as a bonus action you can spend 1 practice point to restore 1d4 + your Intelligence modifier hit points to a creature you touch, plus an extra 1d4 hit points for each additional practice point you spend.