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Plague-Ward Quilt

Large Construct, Neutral Evil


Armor Class 13 (natural armor)

Hit Points 51 (6d10+18)

Speed 20 ft. climb 20 ft.

STR 16 (+3)
DEX 12 (+1)
CON 16 (+3)
INT 8 (-1)
WIS 12 (+1)
CHA 10 (+0)

Skills Stealth +3, Perception +3

Damage Immunities poison

Condition Immunities poisoned

Senses darkvision 60 ft., passive Perception 13

Languages Common

Challenge 2 (450 XP) Proficiency Bonus +2


The Party Is Listed. At the start of each of its turns, the quilt chooses one creature it can see within 60 feet and whispers that creature's name. The chosen creature is listed until the quilt chooses another creature or dies. The quilt knows the direction of a listed creature while it is within 60 feet, and the first time each turn that the quilt hits the listed creature, the attack deals an extra 2 (1d4) necrotic damage.
Ward-Warm Hunger. At the start of the quilt's turn, each creature grappled by it takes 3 (1d6) necrotic damage as the quilt's inner batting grows feverishly hot.
Stitched Form. The quilt can squeeze through an opening as narrow as 2 feet wide without squeezing, though it can't willingly move through an opening smaller than 1 foot wide.

Actions

Multiattack. The quilt makes two Quilt Lash attacks, or it makes one Quilt Lash attack and one Smother attack.
Quilt Lash. Melee weapon Attack: +5 to hit, reach 10 ft., one target. Hit: 7 (1d8+3) bludgeoning damage. The lash leaves behind a faint, damp warmth and the smell of boiled linens.
Smother. Melee weapon Attack: +5 to hit, reach 5 ft., one Large or smaller creature. Hit: 7 (1d8+3) bludgeoning damage. If the attack hits, the target is grappled (escape DC 13). Until this grapple ends, the target is restrained, blinded, and unable to breathe. The quilt can grapple only one creature at a time.
Shake Out (Recharge 5-6). The quilt snaps violently open. Each creature within 10 feet of it must succeed on a DC 13 Dexterity saving throw or take 7 (2d6) bludgeoning damage and be pushed up to 10 feet away. On a successful save, a creature takes half as much damage and isn't pushed.

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"Lie still, darling. The fever passes quicker when the blanket is tucked in." โ€” Sister Halvek's final note

Lore & Description

Appearance

This enormous quilt is assembled from mismatched hospital blankets: yellowed wool, faded blue cotton, rough gray burlap, and squares stained brown with age. Its seams writhe like veins, and its corners fold into grasping hands without fingers. Names are embroidered across its surface in red, black, and sickly green thread, some crossed out and others still wet with blood. Heat radiates from its layers, carrying the scents of fever, camphor, and damp linen.

Behavior & Origins

The quilt was sewn by exhausted attendants in Saint Orra's plague ward, each square cut from the bedclothes of a patient who died there. When the ward was abandoned, the quilt remained warm and hungry, animated by the final breath of everyone who had been wrapped in it. It keeps a list of the living who entered the ward, stole from its sealed reliquary, or failed to mourn the dead. The party's names have recently appeared in fresh crimson thread because Sister Halvek, the last surviving nurse, believes they possess the reliquary's missing silver bell. The quilt stalks the ruined ward at night, seeking to wrap every name on its list.

Running Plague-Ward Quilt

Tactics

The quilt opens by naming the most dangerous-looking character and immediately trying to Smother them, using its reach to keep other characters at a distance. It uses Shake Out when surrounded or when several targets are clustered, then focuses its listed target while feeding on any creature it has grappled. If reduced below 15 hit points, it retreats through narrow passages toward the plague ward's abandoned nursery, but it fights to the death if someone carries the silver reliquary bell.

DM Tips

  • Telegraph its presence with warm footprints, beds tucked neatly despite being abandoned, and fresh names appearing in red thread on old blankets.
  • Have the quilt whisper patient names in a soft bedside voice; when it chooses a character, it should pronounce that character's full name before attacking.
  • Let clever characters distract it by adding or erasing a name from its embroidered list, potentially causing it to change targets for a round.
  • For a weaker party, reduce its hit points to 36 and lower Smother's escape DC to 12; for a stronger party, give it two additional Quilt Lash attacks during its first turn.

Loot

  • The Ward List — A strip of embroidered blanket bearing the names of the dead, the missing, and several living people connected to the plague ward. One name has been sewn in recently and may reveal the party's next enemy.
  • Saint Orra's Brass Bed-Tag — A tarnished brass tag stamped with a ward number. It opens a locked cabinet in the ruined hospital and bears a faint warmth when held near the quilt.
  • Fever-Warm Batting — A fist-sized bundle of clean inner stuffing that remains pleasantly warm for a year. A healer can use it as a component for a poultice that grants advantage on one saving throw against disease.

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Generation Info

Original prompt:
"CR 2: A quilt sewn from the blankets of a plague ward, warm and hungry. It keeps a list, and the party is on it."

Created: Oct 2, 2026
Modified: Oct 26, 2026

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