Despair Dragon (Ancient, Spellcaster)

Level 18 / Grg / dragon

Level18
Armor Class41
Hit Points325
Perception+31
Speed60 feet, Fly 180 feet
STR+9modifier
DEX+5modifier
CON+4modifier
INT+5modifier
WIS+5modifier
CHA+8modifier
Saving Throws

Fortitude +28, Reflex +30, Will +32

Skills

Acrobatics +31, Athletics +33, Deception +32, Diplomacy +32, Intimidation +35, Occultism +29, Society +29, Stealth +33

Senses

Darkvision, Scent 60 feet Imprecise

Languages

Common, Draconic

Immunities

Fear Effects, Paralyzed, Sleep

Actions & Abilities

Jaws

Attack +33

Damage: 3d12+20 Piercing

Claws

Attack +33

Damage: 3d10+20 Slashing

Tail

Attack +31

Damage: 3d8+18 Bludgeoning

Telepathy 90 feet

Passive

Fearsense

Passive

The dragon senses all creatures with the frightened condition at the listed range.

+2 Status to All Saves vs. Occult

Passive

Consume Fear

Reaction

Trigger A creature within 60 feet loses the frightened condition
Effect The dragon feasts upon the fear that leaves the triggering creature's body, gaining 7d8 temporary Hit Points that last for 1 minute.

Frightful Presence

Passive

60 feet.

Unbidden Thoughts

Reaction

Trigger The dragon is critically hit with a weapon or unarmed attack
Effect The attacker's mind fills with visions of their worst fears that overwhelm their senses, and they must choose one of the following results: either the triggering attack becomes a normal success, or the critical hit is unaffected but the triggering creature becomes Frightened 2.

Look Behind You

Free action

Trigger The dragon successfully Hides from a creature within 90 feet
Effect The dragon teleports to a space directly behind the target creature. The dragon immediately becomes detected unless their chosen position has cover or another means to remain .

Shrieking Breath

2 actions

The dragon lets out a cacophonous sound made of every scream the dragon has drawn from a terrified enemy, dealing 17d6[sonic|options:area-damage] damage in a ( save). Creatures who fail their Will save must spend the first action of their next turn doing nothing but screaming. The dragon can't use Shrieking Breath again for {1d4 rounds}.

Tongue Decoy

Passive

The despair dragon inflates several bladders at the end of its tongue to create the basic form of a creature. This process takes 1 minute to complete, during which the dragon is . If the dragon stops or is interrupted in this process, the bladders deflate, and the dragon must start over. Once the process is complete, the dragon can maintain the inflated bladders indefinitely, and can Dismiss to deflate the bladders and retract its tongue instantly.

The inflated tongue takes the basic form of an animal or humanoid and can be inflated to be either Small or Medium. The form resembles the general silhouette of a creature, though closer inspection and success at a check can determine the true nature of the tongue. While inflated, the dragon can send its voice through the decoy, though keeping its tongue inflated makes it difficult to speak, causing the dragon to take a -4 circumstance penalty to any checks related to speaking, such as Deception checks to Lie.

The dragon's tongue can extend up to 90 feet from the dragon's body and it can fully extend its tongue as part of the process to inflate the bladders. The dragon can move the inflated part of its tongue up to 15 feet at a time with an action, which has the concentrate, manipulate, and move traits. While extended, the inflated end of the tongue occupies space as a creature of the appropriate size, but the rest of the tongue doesn't impede or block movement in any way. The dragon's scent functions through cilia at the end of the tongue, but otherwise the dragon has no means of knowing what's near its tongue.

Attacking the tongue is the same as attacking the dragon, except that the tongue is always . If the tongue takes any damage, it immediately deflates and remains out. The dragon remains off-guard as long as its tongue is out, but the dragon can retract its tongue with two consecutive Interact actions. If the tongue takes damage, the dragon can't use its tongue decoy again for 1 day.

Spellcasting

Occult Prepared

DC 40

Occult Innate

DC 40

Creature Abilities

Fearsense. The dragon senses all creatures with the frightened condition at the listed range.

Consume Fear. Trigger A creature within 60 feet loses the frightened condition
Effect The dragon feasts upon the fear that leaves the triggering creature's body, gaining 7d8 temporary Hit Points that last for 1 minute.

Frightful Presence. 60 feet.

Unbidden Thoughts. Trigger The dragon is critically hit with a weapon or unarmed attack
Effect The attacker's mind fills with visions of their worst fears that overwhelm their senses, and they must choose one of the following results: either the triggering attack becomes a normal success, or the critical hit is unaffected but the triggering creature becomes Frightened 2.

Look Behind You. Trigger The dragon successfully Hides from a creature within 90 feet
Effect The dragon teleports to a space directly behind the target creature. The dragon immediately becomes detected unless their chosen position has cover or another means to remain .

Shrieking Breath. The dragon lets out a cacophonous sound made of every scream the dragon has drawn from a terrified enemy, dealing 17d6[sonic|options:area-damage] damage in a ( save). Creatures who fail their Will save must spend the first action of their next turn doing nothing but screaming. The dragon can't use Shrieking Breath again for {1d4 rounds}.

Tongue Decoy. The despair dragon inflates several bladders at the end of its tongue to create the basic form of a creature. This process takes 1 minute to complete, during which the dragon is . If the dragon stops or is interrupted in this process, the bladders deflate, and the dragon must start over. Once the process is complete, the dragon can maintain the inflated bladders indefinitely, and can Dismiss to deflate the bladders and retract its tongue instantly.

The inflated tongue takes the basic form of an animal or humanoid and can be inflated to be either Small or Medium. The form resembles the general silhouette of a creature, though closer inspection and success at a check can determine the true nature of the tongue. While inflated, the dragon can send its voice through the decoy, though keeping its tongue inflated makes it difficult to speak, causing the dragon to take a -4 circumstance penalty to any checks related to speaking, such as Deception checks to Lie.

The dragon's tongue can extend up to 90 feet from the dragon's body and it can fully extend its tongue as part of the process to inflate the bladders. The dragon can move the inflated part of its tongue up to 15 feet at a time with an action, which has the concentrate, manipulate, and move traits. While extended, the inflated end of the tongue occupies space as a creature of the appropriate size, but the rest of the tongue doesn't impede or block movement in any way. The dragon's scent functions through cilia at the end of the tongue, but otherwise the dragon has no means of knowing what's near its tongue.

Attacking the tongue is the same as attacking the dragon, except that the tongue is always . If the tongue takes any damage, it immediately deflates and remains out. The dragon remains off-guard as long as its tongue is out, but the dragon can retract its tongue with two consecutive Interact actions. If the tongue takes damage, the dragon can't use its tongue decoy again for 1 day.

Source, license, and attribution

Source: Pathfinder Monster Core 2 (remaster-core-2026-08-10)

This product is licensed under the ORC License located at the Library of Congress at TX 9-307-067 and available online at various locations. All warranties are disclaimed as set forth therein. Attribution: Pathfinder Monster Core 2 (c) 2025, Paizo Inc.; Authors: Alexander Augunas, Jesse Benner, Joshua Birdsong, Logan Bonner, Jason Bulmahn, James Case, Jessica Catalan, John Compton, Paris Crenshaw, Adam Daigle, Katina Davis, Jesse Decker, Darrin Drader, Felix Dritz, Brian Duckwitz, Robert N. Emerson, Scott Fernandez, Eleanor Ferron, Hexe Fey, Benjamin Fields, Keith Garret, Scott Gladstein, Leo Glass, Matthew Goodall, Alice Grizzle, T.H. Gulliver, Sen H.H.S., Steve Hammond, Tim Hitchcock, Joan Hong, Vanessa Hoskins, James Jacobs, Brian R. James, Michelle Jones, TJ Kahn, Mikko Kallio, Jason Keeley, Joshua Kim, Avi Kool, John Laffan, Lyz Liddell, Luis Loza, Colm Lundberg, Ron Lundeen, Mahpiya, Philippe-Antoine Menard, Jacob W. Michaels, Patchen Mortimer, Dennis Muldoon, Andrew Mullen, Quinn Murphy, Dave Nelson, Jason Nelson, K. Tessa Newton, Tim Nightengale, Samantha Phelan, Randy Price, Stephen Radney-MacFarland, BJ Recio, Jessica Redekop, Mikhail Rekun, Patrick Renie, Alex Riggs, David N. Ross, Simone D. Sallé, Michael Sayre, David Schwartz, Mark Seifter, Chris Sims, Rodney Sloan, Shay Snow, Kendra Leigh Speedling, Amber Stewart, Jeffrey Swank, Tan Shao Han, Russ Taylor, William Thompson, Jason Tondro, Clark Valentine, Ruvaid Virk, Andrew White, Landon Winkler, and Linda Zayas-Palmer. Adaptation: Myth Meister PF2e Remaster Compendium, 2026. If you use this Adapted Licensed Material, please credit Myth Meister. The normalized rules records and rules-reference text in the Myth Meister PF2e Remaster Compendium are Adapted Licensed Material offered under the ORC License. Reserved Material in this product includes the Myth Meister name and logos, application source code, visual design and trade dress, and original campaign content. Pathfinder, Paizo, product logos, artwork, maps, trade dress, setting lore, characters, deities, locations, organizations, events, plots, and other Paizo Reserved Material are not included. Myth Meister is not affiliated with or endorsed by Paizo Inc. Expressly Designated Licensed Material: None.

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