From Pathfinder #155: Lord of the Black Sands, which isn't enabled.

Vitalia

CREATURE 18

Foul occult magic, rare alchemical reagents, and copious amounts of spilled blood are the keys to creating a vitalia-also known as a heart horror-though thankfully the exact means of their creation has been long forgotten.

Now, most vitalias now come into being by sheer accident. This unusual life-form cannot live without regular contact with blood, much like how fish cannot live long outside of water. Because of this, vitalias are rarely found outside the lairs of mad alchemists or wizards, living in pools of the life-giving substance. Physically, a vitalia somewhat resembles a blood-red giant jellyfish, though it also bears some semblance to a giant human heart.

Perception +30; bloodsense 30 feet, tremorsense (imprecise) 60 feet

Skills Athletics +33

Str +7, Dex +5, Con +9, Int -5, Wis +0, Cha +0

Tremorsense (Imprecise) 60 feet

Tremorsense allows a monster to feel the vibrations through a solid surface caused by movement. It is an imprecise sense with a limited range (listed in the ability). Tremorsense functions only if the monster is on the same surface as the subject, and only if the subject is moving along (or burrowing through) the surface.

Bloodsense (Precise) 30 feet

The vitalia can detect any creatures that have a heartbeat.

No Vision

AC 39; Fort +35, Ref +25, Will +24

HP 425, fast healing 20; Immunities unconscious, bleed, sleep, visual; Weaknesses piercing 15

Fast Healing 20

A monster with this ability regains the given number of Hit Points each round at the beginning of its turn.

Blood Eruption

Trigger A creature lands a critical hit with a melee Strike against the vitalia

Effect The vitalia sprays blood at the triggering creature. The creature must succeed at a DC 39 Reflex save or become Dazzled for 1 round (or Blinded for 1 round on a critical failure).

Speed 15 feet, swim 30 feet

Melee Vein +33 (magical, reach 15), Damage 4d8+15 bludgeoning plus Grab

Ranged Blood Squirt +33 (acid, magical, range increment 40 feet), Damage 3d10 bludgeoning plus 3d10 acid

Occult Innate Spells DC 36, attack +28; 8th Vampiric Exsanguination; 6th Vampiric Touch, Status (At Will)

Constrict

4d8+10 bludgeoning damage, DC 37 basic Fortitude

The monster deals the listed amount of damage to any number of creatures Grabbed or Restrained by it. Each of those creatures can attempt a basic Fortitude save with the listed DC.

Forced Transfusion

Requirements The vitalia is Grabbing a creature

Effect The vitalia inserts some of its veins into the grabbed creature and pumps violently, rapidly exchanging the victim's blood with its own. Any diseases or poisons affecting the vitalia can be transmitted to the target creature, which must make a saving throw as though it had just been targeted with the original affliction. The inverse is true as well; the vitalia must successfully save against any diseases or poisons affecting the target or contract the affliction.

Sanguine Rain (occult)

Frequency once per day

Effect The vitalia pumps copious amounts of blood into the air, creating a cascading rain of vital fluids in a 15-foot emanation.

All creatures in the area are Concealed from one another. A creature that benefits from consuming blood (such as bloodseekers or vampires) gains fast healing 10 while in the area. While in the area, a creature taking persistent bleed damage cannot end that condition, even if it spends actions to attempt a flat check to do so.

The rain lasts for 1 minute.

Effect: Sanguine Rain

Grab

Requirements The monster's last action was a successful Strike that lists Grab in its damage entry, or the monster has a creature Grabbed or Restrained

Effect If used after a Strike, the monster attempts to Grapple the creature using the body part it attacked with. This attempt neither applies nor counts toward the creature's multiple attack penalty.

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.

Pathfinder #155: Lord of the Black SandsOGL