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Pox, Wyrmling

Tiny dragon, chaotic neutral

Armor Class 13 (natural armor)
Hit Points 15 (6d4)
Speed 20 ft., burrow 10 ft., climb 20 ft., fly 30 ft.

4 (-3) 13 (+1) 10 (+0) 8 (-1) 11 (+0) 12 (+1)

Saving Throws Dex +3, Con +2, Wis +2, Cha +3
Skills Perception +4, Stealth +5
Senses darkvision 30 ft., passive Perception 14
Challenge ½ (100 XP)


  • Pack Tactics. The pox wyrmling has advantage on an attack roll against a creature if at least one of the dragon’s allies is within 5 feet of the creature and the ally isn’t incapacitated.


  • Multiattack. The pox wyrmling makes one bite attack and one claws attack.
  • Bite. Melee Weapon Attack: +3 to hit, reach 5 ft., one target. Hit: 3 (1d4+1) piercing damage.
  • Claws. Melee Weapon Attack: +3 to hit, reach 5 ft., one target. Hit: 3 (1d4+1) slashing damage.

Wyrm Pox

Believed to originally be a parasite on various draconic species, wyrm pox is a plague feared for both what it does to those it afflicts and what comes afterward. Small wyrmlings are born within the flesh of the infected, slowly eating and growing until they create boils on their host’s body that then burst, causing the wyrmlings to move on to the next phase of their life cycle.

When a creature breathes in a wyrmling egg (each is about the size of a speck of dust), it must make a DC 11 Constitution saving throw or become infected. Celestials, constructs, elementals, fiends, plants, and undead are immune to this disease.

This disease can be reversed up until a creature reaches infection level 4. After a creature has taken 35 poison damage within 24 hours, when it finishes a long rest it can make a DC 14 Constitution saving throw to reduce its infection level 1, curing itself if it is at infection level 1.

Table: Wyrm Pox
d6 Effect
1 Initial There are a number of sand-sized eggs in the infected creature’s solid waste and after 1 week its infection level increases by 1.
2 Hatching The sand-sized eggs still in the infected creature’s body hatch and the wyrmlings begin to feed. The infected creature must consume twice as much food as normal and after 1 week its infection level increases by 1.
3 Pupation Painful and translucent boils spread across the infected creature’s body, minuscule worm-like shapes writhing inside. Whenever the infected creature regains hit points there is a 50% chance that it regains half as many hit points as normal, and when it takes 10 or more piercing or slashing damage one of the boils is popped, forcing the infected creature to make a DC 15 Constitution saving throw. On a failure, it is poisoned for 1 hour. After a number of boils equal to the creature’s Hit Dice have been popped, its infection level is decreased by 1. Otherwise after 1 week its infection level increases by 1.
4 Emergence The boils across the infected creature’s body become fist-sized with wriggling creatures as big as a finger occasionally swimming up to peer out at the wider world. Whenever the infected creature takes damage, it must make a DC 15 Constitution saving throw or 1d6 pox wyrmlings emerge from boils in its body. The Tiny creatures attack the nearest target in a flurry of activity before retreating when damaged. After 15 or more pox wyrmlings have emerged from the infected creature, it is cured of this disease.
Section 15: Copyright Notice

ENWorld EN5IDER: Sickness and Health: Diseases for Your 5E Game Copyright 2022, EN Publishing

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