Four-Tooth

Requirements Four-Tooth has a creature Grabbed or Restrained

Effect Four-Tooth makes a jaws unarmed Strike against the grabbed or restrained target with an attack modifier of +19 that deals 1d8+5 piercing damage, deals 3d6 poison damage, and exposes the target to the sewer haze disease.

Sewer Haze

Many healers and alchemists suspect that sewer haze has a supernatural origin, given its association with particularly strong otyughs.

Saving Throw DC 23 fortitude

Onset 2 days

Stage 1

Four-Tooth can Step and then make a spiked chain Strike. If it hits and deals damage, he can attempt an Athletics check to Grapple the target. Both attacks count toward his multiple attack penalty, but the penalty doesn't increase until after he's made both attacks.

Four-Tooth can use a spiked chain to Grapple with the Athletics skill even if he doesn't have a free hand, and he adds the weapon's item bonus to attack rolls to the Athletics check.