Pipes of Madness

Pipes of Madness is a magic item (wondrous item) of rare rarity.

Pipes of Madness — fantasy item illustration. Pipes of Madness is a magic item (wondrous item) of rare rarity.
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You must be proficient with wind instruments to use these strange, pale ivory pipes. They have 5 charges. You can use an action to play them and expend 1 charge to emit a weird strain of alien music that is audible up to 600 feet away. Choose up to three creatures within 60 feet of you that can hear you play. Each target must succeed on a DC 15 Wisdom saving throw or be affected as if you had cast the confusion spell on it. The pipes regain 1d4 + 1 expended charges daily at dawn.

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Further reading

Jetpack7 Game Master Series
The Game Master's Book of Random Encounters
Jeff Ashworth · 2020
The Game Master's Book of Traps, Puzzles and Dungeons
Jeff Ashworth · 2022
Last updated 6/19/2026·Tags: item, wondrous item, rare