Your touch curses a creature that isn’t a Construct or Undead with the symptoms of a disease of your choice, which can include cackle fever, sewer plague, or any of the diseases caused by the contagion spell or found in the Random Disease table. The target must succeed on a Wisdom saving throw or become convinced it is suffering from a disease, including manifesting physical symptoms. However, it suffers no actual damage, conditions, or penalties from this disease. All symptoms are superficial and vanish when the spell ends. This is a curse, not a disease, and as such, spells and effects that cure or detect diseases have no effect.    While cursed and manifesting symptoms, the target emits an aura of hysterical fear. A creature that isn’t a Construct or Undead and that comes within 60 feet of the target must succeed on a Wisdom saving throw or become frightened of the target.    While frightened, that creature must take the Dash action and move away from the target by the safest available route on each of its turns, unless there is nowhere to move. If the creature ends its turn in a location where it doesn’t have line of sight to the cursed target, the creature can make a Wisdom saving throw against your spell save DC, ending the frightened condition on itself on a success. If a creature’s saving throw is successful or the frightened effect ends for it, the creature can’t be frightened by this spell again for the next 24 hours.

d10	Disease	Description
1	Blinding Sickness	Pain grips the creature's mind, and its eyes turn milky white.
2	Cackle Fever	This disease targets humanoids, though gnomes are strangely immune. While in the grips of this disease, victims frequently succumb to fits of mad laughter, giving the disease its common name and its morbid nickname the shrieks.
3	Filth Fever	A raging fever sweeps through the creature's body, making it feel weak.
4	Flesh Rot	The creature's flesh visibly decays.
5	Mindfire	The creature's mind becomes feverish.
6	Rotten Pox	The creature feels exhausted, as if suffering from one level of exhaustion and develops oozing black sores all over its body.
7	Seizure	The creature is overcome with shaking.
8	Sewer Plague	The creature feels exhausted, as if suffering from one level of exhaustion, struggling with fatigue and painful cramps.
9	Sight Rot	The creature suffers with bleeding from the eyes and seems to gradually lose its sight, with its vision becoming blurry toward the end of the first 24 hours.
10	Slimy Doom	The creature begins to bleed uncontrollably.