Alright, alright, how does just one measely be of Con damage per round sound?
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My two coppers? Make this an [Evil] spell. I can see no self aware good spellcaster casting this unless their making a short trip to evil. I mean...this is like Corrupt spells evil. Rip a creatures skin off and on a successful save leave them alive with no skin on?
I don't really think there should be an evil descriptor because the act of pulling off skin is really horrible, but their is nothing inherently evil about actually pulling off skin.
Thing is, I can imagine good-aligned uses for this believe it or not. There are some parasitic creatures and spells that directly affect the skin. Remove it, and instantly reheal and everything is gone. I'm even thinking you could use this to remove a Mark of Justice.
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The material component, nay, arcane focus, should be a razorblade, or better, a cheese grater.
That'd work.
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Perhaps making it one of those spells that drains your own ability scores (probably Constitution in this case) would make it more balanced.
I thought about about drain... but drain means there is something in addition keeping your body from ever recovering. If you are healed and the skin regrown you should be able to heal back the damage from bloodloss.
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But how about undead? Trying to rip the skin of a skeleton would be rather pointless, I'd imagine, and a zombie's skin is allready half-decayed.
I'd also think that 'pain and shock' wouldn't be much of a factor on undead.
"Area: One living creature touched"