The Mask of the Wasted Breath in Dungeons & Dragons 5e

The Mask of the Wasted Breath

Wondrous Item

Rare Requires Attunement

This plague doctor's mask protects the wearer from any harmful fumes or vapors and grants immunity to mundane diseases In addition, any spell that requires a verbal component can be cast without needing the verbal component, as if cast by subtle spell. Mark down each time you utilize this ability. CURSE: The mask fits tightly and can't be removed. The curse is progressive, with each phase taking 24 hours. Progression also happens every two times the subtle spell is used. It is not possible to eat or drink through the mask, but speech is possible.

The mask fits uncomfortably tight and smothering
The mask is difficult to breathe in. You feel as if you have to gasp and struggle to get decent air. You have two levels of exhaustion.
It is very difficult to speak or focus on anything but attempting to catch your breath. You have 4 levels of exhaustion and whenever you attempt to speak, you must roll a charisma saving throw (DC 15) in order to be understood.
You can no longer breathe and are suffocating as if under the 'Curse of the Breathless'.

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