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The Great Old Ones are a group of unique, malignant beings of immense power. They reside in various locations (buried beneath mountains, sleeping under the sea, etc.), and once presided over the planet as gods and rulers. Looking upon such a being can twist and distort the fragile minds of the mortals. Use this table to generate what exactly happens when you look upon a Great Old One.

https://www.dndspeak.com/2022/02/100-effects-from-looking-upon-a-great-old-one/

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100 Effects From Looking Upon A Great Old One - Dndspeak

1 You see death everywhere. All around you, everything is decaying and rotting. 2 You believe the people around you are slowly being replaced by dangerous imposters. 3 When you have failed your death saving throws, you can decide to explode in a 100-meter radius, damaging anyone in its radius that you want it to.

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