The Host – Infested Creatures for 5th edition

Inhuman creatures from other dimensions are classic horror tropes. As are temptations of power that encourage the protagonists to walk the line between good and evil. The Host are inspired by the creatures in the classic horror film, “From Beyond“, while their Host Spawn disease is built to tempt the infected creature to give in to its power.


The Host

The eel-like creatures known as the Host originated from a twisted plane of inhuman hunger and madness. How they crossed the boundary between their home plane and the Ethereal remains a mystery, but luckily their numbers remain small.

The Hosts themselves are ethereal beings, floating through the Material Plane unaware of its inhabitants until one of them makes their presence known. Often the hosts’ victims are arcane researchers, alchemists, or theologists experimenting with forbidden forces, but no living creature is immune. Magic surging along ley lines may allow the Host a glimpse into the Material world, making any living creature a potential victim.

Creatures that fall prey to the host are called the infested. The host sees through the creature’s senses and fills its mind with knowledge few can fathom. It then begins to multiply. Those who can see invisible objects or into the Ethereal plane will notice an armored, hive-like growth, typically on the creatures back or chest. This growth becomes the host’s home as it breeds.

The innate spellcasting gained by the infested is in actuality the host’s spawn being sent to affect a target. The hosts’ link with the infested, as well as its spawn, allows the infested to ignore the need for concentration on its innate spells. When an infested’s spell expires, the ethereal spawn dies.

Any creature that fails their saving throw against an infested’s dominate beast or dominate person spell must make a Charisma save against the infested’s Intelligence-based save DC, 24 hours after the spell’s duration ends. A failed save means the target gains Host Spawn disease. A creature affected by more than one of these spells in a 24 hour period makes only one save 24 hours after the first spell’s duration ends.

Host Spawn Disease

The personality of those infected by Host Spawn are slowly overridden by the creature growing inside their body. Unlike typical parasites, the spawn does not have a physical form and cannot be affected by non-magical disease treatments. While infected, the target can hear the ancient memories of the spawn echoing through its mind, tearing at the target’s personality.

After the original failed save, an infected creature with less than 14 Intelligence increases their Intelligence by 2. They also gain advantage on Intelligence checks as the host’s ancestral memories flood into their mind. After each full rest, the target may make another Charisma save against the disease’s current DC + 1. A creature may voluntarily fail the saving throw after each full rest. Each failed save increases the creature’s Intelligence as above and provides the following benefits:

2nd failed save: Advantage on Intelligence saves
3rd failed save: Advantage on Charisma checks
4th failed save: Advantage on Charisma saves against all effects except this disease and the innate spellcasting of a creature with the infested template
5th failed save: Advantage on Wisdom checks and saves

Saving throws against the disease continue until six saves are failed, at which time the disease ends, the creature gains the Infested template, and its consciousness is subsumed.

While under the effects of Host Spawn, the infected creature is susceptible to the voices in its head. The infected creature blacks out and performs some act at the behest of the spawn as determined by your DM (recommended no more than once per day, but that’s up to your story needs). Examples include having the infected creature act as if under the effects of a confusion spell in combat for 1 round per save they’ve failed. Or if out of combat the DM determines what, if anything, the infected creature does for up to 1 hour per failed save.

A successful save removes the most recently gained benefits (including increased Intelligence), though the increased DC to resist remains the same. Once the infected creature returns to its normal state, it gains 1 level of exhaustion and the disease ends.

Magical spells and effects that remove disease remove all benefits granted by this disease and ends the disease. The break enchantment effect of dispel evil and good will also remove all benefits and the disease.

Host Spawn at your Table

The infested template and Host Spawn disease are ideal for one-shot Halloween-themed horror games, though folding them into a long term “Invasion from Beyond” campaign can be incredibly satisfying. Unlike most other diseases, the more saves the infected creature fails, the more power they gain. This is designed to create moments of “if I fail one more save, I may have enough knowledge and power to defeat the evil!”

DMs are encouraged to make the PC’s initial saving throw against Host Spawn in secret. Keeping the infestation a secret and hinting at the disease’s effects slowly over time can build the tension. Allow the affected PC to gain advantage on a few key Intelligence checks, exhibiting knowledge about things they’ve never known before. If the knowledge is helpful to their immediate task, the PCs may not question this “divine intervention”. After a few failed saves, the PCs will realize the PC is gaining access to knowledge they couldn’t possible know as well as a new-found and unnerving presence; whether that presence is intimidating or charming is up to your DM or group.

If the PCs weren’t able to see the host or the host’s spawn during the fight in which the PC was infected, it may take them awhile to cast detect poison and disease or similar spells. It’s recommended to allow Medicine checks to understand that what is happening is similar to a parasitic disease, but the DC should be very high (25 or more).

DMs are also encouraged to fold the disease’s “black outs” into their storyline in classic ways, allowing the players’ out-of-character horror-movie knowledge to plague them. Revealing the PC’s “blackouts” only after the disease has progressed for several days or more can build inter-party tension. Is there a serial killer at work in the city that the PCs now suspect is one of their own? How were they ambushed at a key moment in a heist when they thought no one else knew their plan? Is the spawn secretly working with the big bad in your campaign, undermining the actions of the heroes while they sleep? Is the spawn twisting the PC’s bonds, flaws, and desires into brutal reality?

Parties with easy access to spells and effects that automatically remove diseases (including paladins) may decide to ride the disease to its limit. Make sure to increase the duration and consequences of the PC’s blackouts to encourage hard choices. Should the party decide to remove the disease immediately, you may want to put obstacles in their way that require the knowledge the disease offers. Each time a PC is infected with the disease after the first, increase the number of spells or effects required to remove it by one.


Infested Template

Any living creature of Small to Huge size can become infested, including beasts and aberrations. Once infested, the creature’s skin, fur, or scales appear sickly for its type and its eyes flicker a dim red in the darkness.

When a creature becomes infested, it retains all of its abilities except as described below. Creatures with legendary or lair actions may retain them, or gain new ones at the DM’s discretion.

Ability Scores. The infested creature’s Intelligence score increases to 14 if it is less than 14.

Otherworldly Senses. The infested creature gains blindsight to a range of 30 feet and may see creatures in the Ethereal plane up to 30 feet.

Languages. The infested creature gains the ability to speak and understand the language of aberrations if it did not already.

Resistances. The infested creature gains resistance to psychic damage.

We are Legion. The infested creature gains advantage on Intelligence, Wisdom, and Charisma saving throws and ability checks.

Innate Spellcasting. The infested creature gains the ability to cast the following spells without the need for components. The infested creature may also ignore the concentration requirement on one of these spells at a time, allowing it to have two concentration spells active simultaneously. Its spellcasting ability is Intelligence.

At-will. detect thoughts, dissonant whispers
3/day. charm person, crown of madness, hex, hold person
1/day. dominate beast, dominate person



Infested Lizardfolk Shaman

Medium humanoid, neutral evil

Armor Class 13 (16 with barkskin)
Hit Points 32 (5d8+10)
Speed 30 ft., Swim 30 ft.
14 (+2) 10 (+0) 15 (+2) 14 (+2) 15 (+2) 12 (+1)
Skills Arcana +4, Nature +4, Perception +4, Stealth +4, Survival +6
Senses blindsight 30ft., see ethereal 30 ft., passive Perception 14
Resistance psychic damage
Languages Draconic, Undercommon (or other aberrant language)
Challenge 4 (1100 XP)
  • Hold Breath. The infested lizardfolk shaman can hold its breath for a number of minutes equal to its Constitution score (15)
  • Host Spawn Disease. Creatures that fail their save against at least one of the shaman’s dominate beast, dominate person, or hold monster innate spells must succeed on a DC 12 Charisma save 24 hours after the spell’s duration ends or contract Host Spawn disease.
  • We are Legion. The infested creature gains advantage on Intelligence, Wisdom, and Charisma saving throws and ability checks.
  • Innate Spellcasting. The infested creature gains the ability to cast the following spells without the need for components. The shaman may ignore the concentration requirement on one of its innate spells at time. Its spellcasting ability is Intelligence. Spell save DC 12, spell attack bonus +4

    At-will. detect thoughts, dissonant whispers
    3/day. charm person, crown of madness, hex, hold person
    1/day. dominate beast, dominate person

  • Spellcasting (Lizardfolk form). The infested lizardfolk shaman has access to the spells of a 5th level druid. Its spellcasting ability is Wisdom. Spell save DC 12, spell attack bonus +4.

Cantrips. druidcraft, produce flame, aberrant whip (as thorn whip, except damage is psychic)
1st level (4 slots). entangle, fog cloud, healing word
2nd level (3 slots). barkskin, heat metal, spike growth
3rd level (2 slots). call lightning, plant growth


Multiattack (Lizardfolk form). If the infested lizardfolk shaman casts a cantrip, it may also make a bite attack.

  • Bite. Melee Attack: +4 to hit, Hit: 1d6+2 (5) piercing damage. If in its crocodile form, the damage increases to 2d6+2 (9) piercing and the target is grabbed if it is Large or smaller (DC 14 to escape). A grappled creature gains the restrained condition. The grapple ends automatically if the shaman reverts to its normal form, or if it uses its bite attack against a different target.
  • Change Form. The infested lizardfolk shaman takes on the form of a Large crocodile for up to 1 hour. Other than the change in size, the shaman’s traits remain the same. It may not cast druid spells in this form, though it may maintain concentration on spells it cast before changing. The shaman may still use its innate spellcasting ability while in crocodile form.

Artwork provided by the fantastic, Dean Spencer!

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Rich Howard's obsession with gaming started 35 years ago when his older brother finally let him invade his AD&D game. Since his first sleep spell, Rich has wandered the world of roleplaying, board and computer games as fascinated with their potential to teach and inspire as to entertain.