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Plagueward Quilt

Medium Construct, Neutral


Armor Class 11 (patchwork hide)

Hit Points 11 (2d8+2)

Speed 20 ft. climb 20 ft.

STR 12 (+1)
DEX 12 (+1)
CON 12 (+1)
INT 3 (-4)
WIS 10 (+0)
CHA 5 (-3)

Skills Perception +2

Damage Resistances cold

Damage Immunities poison

Condition Immunities poisoned

Senses darkvision 60 ft., passive Perception 12

Languages understands Common but can't speak

Challenge 1/4 (50 XP) Proficiency Bonus +2


Blanket-Warm Body. A creature that starts its turn grappled by the quilt or restrained by it has disadvantage on saving throws against exhaustion caused by extreme cold, but it also has advantage on saving throws against cold damage. The quilt's warmth smells faintly of boiled linen and old medicine.
Guardian of the Empty Cot. The quilt has advantage on Wisdom (Perception) checks to notice creatures within 30 feet of an object, room, or space it believes to be a patient's bed. It refuses to willingly move more than 60 feet from the empty cot, pallet, or bed it is protecting.

Actions

Patchwork Slam. Melee weapon Attack: +3 to hit, reach 5 ft., one target. Hit: 4 (1d6+1) bludgeoning damage. The quilt lashes out with a heavy, damp corner stitched with black thread.
Smothering Fold. One Medium or smaller creature within 5 feet must succeed on a DC 11 Strength saving throw or be grappled by the quilt. Until this grapple ends, the target is restrained, unable to breathe, and takes 2 (1d4) bludgeoning damage at the start of each of its turns. The grapple ends if the quilt is incapacitated or if the target succeeds on a DC 11 Strength (Athletics) or Dexterity (Acrobatics) check made as an action.
Guard the Empty Bed. The quilt wraps itself around a nearby bed, cot, or patch of floor no larger than 10 feet across. Until the start of its next turn, the quilt gains a +2 bonus to Armor Class and cannot be pushed or knocked prone. If no such object or space is within 5 feet, the quilt instead moves up to half its speed toward the nearest one without provoking opportunity attacks.

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"Hush now. The fever will pass, and then the little one must sleep." โ€” Nurse Ilyra's final note, found beneath the Ashcross ward

Lore & Description

Appearance

This animate quilt is sewn from mismatched hospital blankets: yellowed wool, faded blue cotton, and strips of gray flannel marked with old quarantine symbols. Its seams twitch like tendons, and dozens of rusted buttons form a suggestion of staring eyes. Heat radiates from its folds, carrying the smell of fever, vinegar, and rain-soaked ash. It moves by dragging itself along the floor or clinging to walls like a sluggish, many-legged thing.

Behavior & Origins

The quilt was made from blankets discarded by the Ashcross Plague Ward after its final night, when every patient and healer died before dawn. A desperate protective ritual stitched into the ward's linens awakened it, but the ritual never told the quilt that the patient it guards is gone. It now protects an empty cot in the ruined ward, attacking anyone who approaches while periodically smoothing the blankets and whispering through its seams. The quilt's patient was called Mara Venn, and her missing brass identification tag is still hidden in the cot's straw mattress.

Running Plagueward Quilt

Tactics

The quilt begins by placing itself between intruders and the nearest bed, using Guard the Empty Bed to make itself difficult to dislodge. It then attempts Smothering Fold against the smallest or weakest-looking creature before battering anyone who tries to free the victim. If reduced to 3 hit points or fewer, it retreats toward the empty cot and fights desperately beside it; it flees only if the cot is destroyed or carried away.

DM Tips

  • Telegraph the creature with a warm patch of floor, freshly smoothed blankets, and tiny wet footprints leading toward an apparently empty cot.
  • Roleplay it through physical habits rather than speech: smoothing sheets, tucking in unconscious creatures, and recoiling violently when someone disturbs the bed.
  • For a weaker party, remove its cold resistance and lower Smothering Fold's save DC to 10; for a stronger party, give it two quilts as attendants or let the empty cot animate as difficult terrain.

Loot

  • Mara Venn's Brass Tag — A tarnished identification tag hidden in the quilt's protected cot. It bears the name of a plague victim whose family still believes she escaped.
  • Ashcross Ward Blanket — A square of clean, unnaturally warm fabric cut from the quilt. Wrapped around a sleeping creature, it grants advantage on the next saving throw against disease, then becomes cold and ordinary.

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Generation Info

Original prompt:
"CR 1/4: A quilt sewn from the blankets of a plague ward, warm and hungry. It is protecting something that no longer exists."

Created: Sep 3, 2026
Modified: Sep 11, 2026

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