**Wretch (recharge 5-6)**
The swine regurgitates the contents of its stomach at a creature within x feet. The target makes a DC x Dexterity Saving Throw or take x poison damage. Additionally, on a failure, the target must make a DC x Constitution Saving Throw or become affected with a random disease. If the target fails this Constitution Saving Throw, it must make a Wisdom Saving Throw or gain one level of madness.