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Plaguequilt

Medium Construct, Neutral


Armor Class 12 (patchwork hide)

Hit Points 16 (3d8+3)

Speed 20 ft. climb 20 ft.

STR 14 (+2)
DEX 12 (+1)
CON 12 (+1)
INT 3 (-4)
WIS 10 (+0)
CHA 5 (-3)

Damage Vulnerabilities fire

Damage Resistances cold

Damage Immunities poison

Condition Immunities poisoned, diseased

Senses darkvision 60 ft., passive Perception 10

Languages โ€”

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


Fever-Warm Filling. The plaguequilt is unnaturally warm. It has resistance to cold damage and vulnerability to fire damage.
Keepsake Hunger. When a creature within 5 feet of the plaguequilt is reduced to 0 hit points, the quilt can stitch one odd token from that creature into itself, such as a tooth, button, lock of hair, broken weapon fragment, or scrap of written confession. Until the plaguequilt is destroyed, it remembers the creature's face and can reproduce one sound that creature made, though it cannot speak or understand language.

Actions

Blanket Bite. Melee weapon Attack: +4 to hit, reach 5 ft., one target. Hit: 5 (1d6+2) bludgeoning damage. The quilt bunches into a toothed fold and snaps shut.
Cocooning Fold. One Medium or smaller creature within 5 feet must succeed on a DC 12 Dexterity saving throw or be wrapped in the plaguequilt until the end of its next turn. While wrapped, the creature is restrained and unable to breathe. A creature can use its action to make a DC 12 Strength check, escaping on a success. The quilt cannot use Cocooning Fold again while it has a creature wrapped inside it.
Scavenge the Fallen. The plaguequilt moves up to 5 feet and stitches a small, peculiar keepsake from an unconscious or dead creature within 5 feet into its patchwork. If the creature has no obvious keepsake, the quilt takes something symbolic instead, such as a fingernail, a name written on paper, or a single thread from its clothing.

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Hush now. You are cold, and I have room for one more. โ€” scratched into the door of Saint Orra's Infirmary

Lore & Description

Appearance

This animated quilt hangs in a lopsided, vaguely human shape, its corners dragging like crooked feet. It is sewn from yellowed blankets marked with faded ward numbers, brown medicine stains, and patches of funeral-black wool. Beneath the overlapping layers, something shifts and swallows with wet, muffled gulps. Its seams glow with the dull orange warmth of a fevered body, and mismatched buttons, teeth, locks of hair, and tiny personal objects have been stitched into its surface like grotesque embroidery.

Behavior & Origins

Plaguequilts form when an entire ward dies beneath blankets saturated with fear, fever, and unspoken last wishes. They are not malicious in the way a murderer is malicious; they are hungry, confused things that believe every fallen creature must be tucked in and preserved. A plaguequilt prowling the abandoned Saint Orra's Infirmary has collected the keepsakes of twenty-three victims and now seeks the silver locket belonging to Sister Maelin, the nurse whose final memory gave it motion. It follows warm bodies, imitates familiar voices, and becomes agitated when anyone tries to remove its trophies.

Running Plaguequilt

Tactics

The plaguequilt begins by drifting toward the warmest creature and uses Cocooning Fold to restrain it, then bites the trapped victim on its next turn. It uses Scavenge the Fallen whenever a creature drops nearby, often ignoring a living threat to claim a keepsake. Fire causes it to recoil and flee if reduced below half its hit points, but it fights desperately if someone threatens its collection.

DM Tips

  • Telegraph the creature with a trail of mismatched buttons, teeth, and scraps of clothing leading toward a warm, abandoned room.
  • Roleplay it with rustling fabric, muffled imitations of victims, and sudden affectionate gestures toward characters who resemble former patients.
  • If the party is weak, reduce Cocooning Fold's escape DC to 10; for a stronger party, let the quilt stitch a collected keepsake into itself as a bonus action and regain 2 hit points.
  • Let recovered keepsakes identify missing patients, expose a plague cover-up, or point toward the person who originally animated the ward.

Loot

  • Stitched Keepsake Cluster — A fist-sized knot of buttons, teeth, ribbons, and tiny personal objects that can identify several former plague victims.
  • Ward-Key Button — A brass button stamped with the seal of Saint Orra's Infirmary; it opens a locked records room beneath the abandoned ward.

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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 collects something odd from every creature it defeats."

Created: Sep 24, 2026
Modified: Oct 26, 2026

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