Torturous Trauma

With this spell born of Kemnebi's sadistic love of torture, you batter a creature's internal organs, leaving no external signs of the immense pain you delivered. The target takes bludgeoning damage equal to 1d4 + your spellcasting modifier with a basic Fortitude save. If it critically fails, the target is also Fatigued until the start of your next turn. Creatures that lack internal organs are unaffected by this spell. Heightened (+1) The bludgeoning damage increases by 1d4.