Flawed Reconstruction

1st-level transmutation   Casting time: 1 action   Range: Touch   Target: A willing creature within touch range   Components: V, S, M (a needle and threat)   Duration: Instantaneous   Classes:   Subclasses:  
You stitch together the wounds of a willing creature you touch, which regains 4d6 hit points. However, the mending is imperfect, and the target’s hit point maximum is reduced by the same amount until it finishes a long rest. A creature that regains hit points due to this spell will be left with some permanent scars.
  At Higher Levels. When you cast this spell using a spell slot of 2nd level or higher, the healing increases by 1d6 for each slot level above 1st.  

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