Medium fiend, neutral evil

Armor Class 15 (natural armor)
Hit Points 156 (24d8+48)
Speed 30 ft.

20 (+5) 15 (+2) 14 (+2) 10 (+0) 14 (+2) 18 (+4)

Skills Perception +5
Damage Resistances poison; bludgeoning, piercing, and slashing from nonmagical attacks
Senses darkvision 60 ft., passive Perception 15
Languages Abyssal, Common
Challenge 5 (1,800 XP)


  • Brutal Grip. When the sihuanaba has a target grappled at the beginning of its turn, it can use a bonus action to inflict 10 (1d10 + 5) bludgeoning damage on the target.
  • Mimicry. The sihuanaba can mimic animal sounds and humanoid voices. A creature can discern the mimicry with a successful DC 15 Wisdom (Insight) check.


  • Fist. Melee Weapon Attack: +8 to hit, reach 5 ft., one target. Hit: 7 (1d4 + 5) bludgeoning damage, and the target is grappled (escape DC 18).
  • Beguile. The sihuanaba magically clouds creatures’ perceptions. Creatures of the sihuanaba’s choice within 60 feet must make make a DC 15 Wisdom saving throw. Any creature that can’t be charmed succeeds on this saving throw automatically, and if the sihuanaba or its companions are fighting a creature, the target has advantage on the save. On a failed save, the target has disadvantage on Wisdom (Perception) checks made to perceive anything other than the sihuanaba for 1 minute.
  • Fiendish Gaze. The sihuanaba glares at all creatures within 60 feet that can see it. Creatures in the area must make a DC 15 Wisdom saving throw or become frightened for 1 minute. A creature that becomes frightened must make a DC 15 Constitution saving throw; on a failure, the creature drops to 0 hit points and begins dying. A creature that has made a saving throw against the fiendish gaze is immune to the gaze for 24 hours.


From a distance and behind, a sihuanaba looks like a beautiful woman. A sihuanaba often takes advantage of this by bathing in the nude or wearing light clothing in the hopes of attracting a victim. Once close, the sihuanaba will turn around and reveal its horrifying visage: a decomposing horse’s head with blazing red eyes. Sometimes the sihuanaba will imitate a familiar voice, hoping to lure a victim deep into the woods or off a cliff.

Voracious. Sihuanaba’s seem to crave fear itself, manipulating and terrifying victims before subjecting them to their terrible gaze and murderous habits. Sihuanabas don’t seem to have a particular pattern, ambushing and killing travelers, lonely laborers, and lost children with equal interest.

Opportunists. Although typically encountered alone, sihuanabas will sometimes follow more powerful fiends or bandits to gain access to prey.

Section 15: Copyright Notice

Latin American Monsters (5E) © 2021, Legendary Games; Authors Miguel Colon, Ismael Alvarez, Robert J. Grady, Jason Nelson.

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