Blood Maiden

Medium monstrosity (aquatic), chaotic evil

10 (+0) 14 (+2) 12 (+1) 10 (+0) 14 (+2) 14 (+2)

Armor Class 12
Hit Points 27 (5d8 + 5)
Speed 30 ft., swim 50 ft.
Saving Throws Dexterity +4, Wisdom +4
Skills Deception +4, Perception +4
Senses blindsight 90 ft., passive Perception 14
Languages Ledean, Primordial (Aquan)
Challenge 1/2 (100 XP)

Special Traits

  • Blood Scent. The blood maiden has advantage on Perception rolls when tracking a bleeding creature.
  • Siren’s Call. The blood maiden sings a magical song. Anyone who hears the song must succeed on a DC 14 Wisdom saving throw or be charmed by the blood maiden until the song ends or the target sees the blood maiden’s face. The blood maiden must take a bonus action on its subsequent turns to continue singing. It can stop singing at any time. The song ends if the blood maiden is incapacitated. While charmed by the blood maiden the target feels an uncontrollable urge to move towards it by any means necessary, including jumping out of a ship and swimming. It doesn’t avoid opportunity attacks, but before moving into damaging terrain, the target can repeat the saving throw. A charmed target can also repeat the saving throw at the end of each of its turns. If the saving throw is successful, the effect ends on it and the target is immune to this blood maiden’s song for the next 24 hours.


  • Bite. Melee Weapon Attack: +4 to hit, reach 5 ft., one target. Hit: 5 (1d6 + 2) piercing damage and the blood maiden attaches to the target. While attached, the blood maiden doesn’t attack. Instead, at the start of each of the blood maiden’s turns, the target loses 5 (1d6 + 2) hit points due to blood loss.


The blood maidens’ preferred tactic when preying on mortals is to draw them closer by pretending to be ordinary women. They hide their monstrous faces with their hair while luring their victims closer with their eerie magical song. When the victim is close enough, the blood maiden springs, hoping to catch their prey by surprise. Once battle ensures, blood maidens abandon all semblance of logic. Their thirst for blood causes them to attack wantonly in eagerness to feast.


Blood maidens inhabit coastal areas. They look like comely humanoid females, clad only in long ribbons or strips of white cloth. They have long black hair and pale skin with a green or blue tint to it. When seeing the face of a blood maiden, the creature’s monstrous nature becomes clear. Instead of a normal face, the blood maiden has only a lamprey-like giant circular maw (how the blood maiden orients itself with no eyes or nose is unknown).

Because the blood maiden population is entirely female, it is uncertain how they reproduce. It is theorized that a child produced by a blood maiden and a humanoid will yield a pureblood blood maiden, though it is unclear why anyone would mate with these repulsive creatures.

Warped Fey. Blood maidens were once a race of benevolent aquatic beings related to the fey. Sadly, the waters where they dwell became polluted, warping and twisting them beyond recognition.

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