You have an altered sense of taste. Choose or roll on the following table.

Amplification. Your sense of taste is more sensitive than most. This gives you a +(IE) on Wisdom (Perception) checks involving taste but a −(IE) penalty on Constitution saving throws against taste and smell-related effects.

Disruption. Your sense of taste is less sensitive than most. This gives you a −(IE) penalty on Wisdom (Perception) checks involving taste but a +(IE) benefit on Constitution saving throws against taste and smell-related effects.

Discrimination Modification. You taste things differently than other people. Sour foods may taste sweet — mild, spicy. This gives you a −(IE) penalty on Wisdom (Perception) checks involving taste but a +(IE) benefit on Constitution saving throws against taste and smell-related effects. The player and GM should discuss the exact effect on you and any resulting changes to rolls.

Sensitivity. You are extremely sensitive to (IE) types of tastes. Roll on the following table for each type:

If you eat a food that even mildly fits into the corresponding taste category, you must succeed on a DC 5 + (IE) Constitution saving throw or become obsessed with finding another food or drink to cleanse and can do nothing else until then or until (IE) d20 minutes has passed, at which point your mouth has naturally washed out the flavor.

Real-world Examples

GI Disease, Parkinson’s Disease, Diabetes, Dementia

Assistive Options

Some people find it helpful to lick a food first to determine the taste. This will normally not trigger a strong reaction but give a sense of how it might affect you. Note that many cultures would find this behavior rude or strange.

Magical Assistance

The Prestidigitation spell can alter the flavor of food.

You hear an echo of your voice, breathing, and external sounds that seem to resonate in your sinuses. This gives you a −(IE) penalty on all saving throws against sound-based attacks and Wisdom (Perception) checks based on hearing. Because it causes you to hear differently, it also gives +(IE) to saving throws against Charm Person and other charm attacks with a verbal component.

Real-world Examples

Eustachian Tube Dysfunction

Assistive Options

Valsalva Maneuver: Attempting to blow while holding the nose and mouth shut puts pressure on the sinus cavity and inner ear and can reduce nasal echo by 1 IE for 2d4 minutes.

Your sense of smell is more sensitive than usual, giving you a +(IE) on Wisdom (Perception) checks related to smell but a −(IE) penalty on all saving throws against gasses and other smell-based attacks.

Real-world Examples

Hyperosmia

Assistive Options

Wearing a thick mask that filters the air and is infused with pleasant smells (e.g., plant oils or potpourri) can reduce this sensitivity by 1 IE for 10 minutes, but it must then be thoroughly washed and replenished before gaining the benefits. Wearing such a mask beyond that time after exposure to a gas-based attack gives an additional −1 penalty on all saving throws against gasses or other smell-based attacks.

You have a beak-like nose and upper lip with a rhinoceros-like horn. This allows you to use your horn as an unarmed attack, causing piercing damage instead of bludgeoning. It also gives you advantage on Charisma (Intimidation) checks but disadvantage on Charisma (Persuasion) checks.

Real-world Examples

This is a fantasy trait with no real-world analog.

Assistive Options

This has no mundane assistive technology.

Magical Assistance

The Seeming spell can alter a person’s appearance to mask this and other cosmetic differences.

You have a nose that’s outside of the expected range of shapes for your ancestry. This gives you +(IE) to Dexterity (Sleight of Hand) checks but −(IE) to Charisma (Persuasion) checks with people who don’t know you due to many people’s discomfort around those with unexpected appearances.

Real-world Examples

Rhinophyma, Deviated Septum, Rosacea, Wegener’s Granulomatosis, Sarcoidosis, Relapsing Polychondritis

Assistive Options

The character can wear a helmet or other face covering to conceal the difference, but note that people in some cultures may tend to be less trusting of those with covered faces, giving disadvantage on Charisma (Persuasion) checks.

Magical Assistance

The Seeming spell can alter a person’s appearance to mask this and other cosmetic differences.

A substance leaks out of your nose. Roll on the table below for the nature and effects of the substance.

Blood. Blood drains out of your nose at a rate of (IE)² ounces per day. Because of this blood loss, you need to eat more to compensate, consuming an additional (IE) days’ worth of food per week to avoid exhaustion.

Honey. A honey-like substance flows from your nose at a rate of (IE)² ounces per day. While this substance is edible and tastes similar to honey, most people are reluctant to consume it, considering its source. Because of its sweet smell, it attracts insects and other animals, and if not properly cleaned, it will leave contacted substances sticky.

Mucus. Mucus fills and flows from your nose at a rate of (IE)² ounces per day. Because of constantly wiping your nose, your nose and mouth are raw, and you must blow your nose to smell properly. You have a −(IE) penalty on all saving throws and surprise rolls involving smell, and you have a −(IE) penalty on other smell-related ability checks and saving throws.

Pus. A foul-smelling ochre pus flows from your nose at a rate of (IE)² ounces per day. The smell gives you a −(IE) penalty on Dexterity (Stealth) and Charisma (Persuasion) checks. If collected, 32 ounces of the pus can be thrown at a target and cause the same effects to that target as a Stinking Cloud spell.

Smoke. Sulfurous-smelling black smoke streams out of your nose. The smell gives you a −(IE) penalty on Dexterity (Stealth) and Charisma (Persuasion) checks but advantage on Charisma (Intimidation) checks due to suspicion of fiendish origin. If left 1 ÷ (IE) hours in a room without ventilation, everyone in the room except you must succeed on a Constitution saving throw or be affected as if by a Stinking Cloud spell.

Tears. Tears drain out of your nose at a rate of (IE)² × 8 ounces per day. Because of this fluid loss, you need to drink additional water to assist with the loss to avoid Dehydration and exhaustion.

Real-world Examples

Sinusitis, Rhinitis, Nasal Polyps

Assistive Options

Rinsing out the nose with a spray or neti pot can reduce the IE by 1 for an hour on a successful DC 10 Constitution check. Failure to use sterilized water requires a DC 8 Constitution saving throw to avoid Infection.

Magical Assistance

Juanita’s Wonderful Wind Plugs can be fitted to the nostrils. When so used, because of the air current it creates in the sinus cavity, it’s impossible to speak intelligibly, and no spells with verbal components can be used while wearing these in the nose. The Prestidigitation spell can clean the affected area but does not stop the discharge.

You have a decreased or no sense of smell. You experience a penalty of −(IE) on all Wisdom (Perception) checks related to smell but gain a +(IE) on all saving throws against smell-based attacks.

Real-world Examples

Covid−19, Nasal Polyps, Sinusitis, Hyposmia, Parkinson’s Disease, Alzheimer’s Disease, Fibromyalgia, Diabetes, Acquired Brain Injury

Assistive Options

No available technology can assist with anosmia.

You can only see in the infrared portion of the spectrum, so you see heat as color but have Colorblindness and otherwise can’t see light and dark, writing, or any other details except shapes as infrared light reflects off surfaces. In cold environments, this becomes especially challenging, as warm-blooded creatures shine like beacons but undead are nearly invisible. GMs should use their discretion how this affects vision, cover, and other visual factors. Your spellbook requires heat-sensitive ink that is difficult to find and costs triple the normal cost. To prepare a spell, you must expose your spellbook to a nearby heat source, at which point the ink gets warmer than the paper, allowing you to read it. You may find other writing alternatives like tactile methods if this ink is unavailable.

Real-world Examples

This is a fantasy trait with no real-life analog.

Assistive Options

While this disability has some advantages, it has no assistive technology options.