Rod of Sanguine Mastery

Rod of Sanguine Mastery is a magic item (rod) of very rare rarity.

Rod of Sanguine Mastery — fantasy item illustration. Rod of Sanguine Mastery is a magic item (rod) of very rare rarity.
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This rod is topped with a red ram's skull with two backswept horns. As an action, you can spend one or more Hit Dice, up to half of your maximum Hit Dice. For each Hit Die spent in this way, you roll the die and add your Constitution modifier to it. You lose hit points equal to the total, and a target within 60 feet of you must make a DC 17 Dexterity saving throw, taking necrotic damage equal to the total on a failed save, or half as much damage on a successful one. You can't use this feature if you don't have blood. Hit Dice spent on this feature can't be used to regain hit points during a short rest. You regain spent Hit Dice as normal.

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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, rod, very rare