Middenworm
CREATURE 5Creepers of sewers and crawlers within urban dump sites, middenworms are dangerous scavengers. Eager to abandon their bottom-feeding ways, they're known to attack living foes, for fresh blood is their favorite repast. A middenworm is unpleasant to look at, listen to, or smell: a greasy maggot-like worm with hooked jaws at one end that peel back the folds of its body when it bites, and a nest of long, red, blood-drinking tendrils at the other.
Giant Middenworms
Normally, a middenworm doesn’t grow much larger than a dog, as this smaller size affords them more mobility in the sewers they frequent. Yet rarely, when middenworms have more room to grow in an area that’s particularly infused with toxic magic or fiendish influences, these creatures can grow to enormous size.
30 feet. DC 19 Fortitude
As stench, but the aura affects a creature that sees, hears, or smells the middenworm.
A creature entering the aura or starting its turn in the area must succeed at a Fortitude save or become Sickened 1 (plus Slowed 1 as long as it's sickened on a critical failure). A creature that succeeds at its save or recovers from being sickened is temporarily immune to all stench auras for 1 minute.
The monster can instead use Grab and choose one creature it's grabbing or restraining with an appendage that has Grab to automatically extend that condition to the end of the monster's next turn.