Pain Doll

Medium undead, unaligned

12 (+1) 6 (-2) 20 (+5) 3 (-4) 8 (-1) 20 (+5)

Armor Class 12 (natural armor)
Hit Points 57 (6d8 + 30)
Speed 30 ft.
Saving Throws Wisdom +1
Damage Immunities poison
Condition Immunities poisoned
Senses darkvision 60 ft., passive Perception 9
Languages understands the languages it spoke in life but does not speak
Challenge 2 (450 XP)

Special Traits

  • Aggressive. As a bonus action, the pain doll can move up to its speed towards a hostile creature that it can see.
  • Body Spikes. If the pain doll has a creature grappled, it can use its bonus action to impale it on the spikes extruding from its body. The creature takes 7 (1d12 + 1) piercing damage.
  • Pain Aura. A creature that starts its turn within 30 feet of the pain doll must make a DC 13 Constitution saving throw. On a failed save, the creature takes 8 (1d6 + 5) psychic damage and can either move or take an action but not both and cannot use bonus actions or reactions until the start of its next turn. On a successful saving throw, the creature takes half damage and can act as normal. The feature does not affect constructs or other creatures immune to psychic damage.
  • Pain Leech. If the pain doll has caused any creature to take damage (either by attacked it or by its pain aura) since its last turn, it gains 10 (1d10 + 5) temporary hit points.


  • Claws. Melee Weapon Attack: +3 to hit, reach 5 ft., one target. Hit: 3 (1d4 + 1) slashing damage and the creature is grappled (escape DC 11).


Pain dolls are mindless and do not have specific tactics. However, they are sometimes mistaken for less threatening creatures such as zombies, only to have their speed and pain aura surprise their victims.


The undead creature lurches forward, its flesh rent by needles, hooks, spikes and other instruments of torture.

Unliving with Pain. These creatures are constantly tormented by pain, which only relents when they attack others. They are unthinking and uncaring and will attack even if hopelessly overmatched and will never flee or surrender.

Bullies of the Small. Pain dolls choose to attack smaller creatures like halflings, gnomes and children first, before attacking enemies of their own size or larger. They hate constructs and anything else that cannot feel pain and avoid them in favor of other enemies.

Section 15: Copyright Notice

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