necrotic bloat

3-level Necromancy

You cause the cyst of a subject already harboring a necrotic cyst to pulse and swell.   This agitation of the necrotic cyst tears living tissue and expands the size of the cyst, dealing massive internal damage to the subject.   The subject takes 3d6 points of damage, and half the damage is considered vile damage because the cyst expands to envelop the newly necrotized tissue.   The cyst is reduced to its original size when the vile damage is healed.   Vile damage can only be healed by magic cast within the area of a consecrate or hallow spell (or an area naturally consecrated or hallowed).   Points of vile damage represent such an evil violation to a character's body or soul that only in a holy place, with holy magic, can the damage be repaired.
At higher levels: When you cast this spell using a spell slot of 4th level or higher, the spell deals 2d6 more damage for each slot above 3rd.