Otyugh: Uh… Gesundheit?

How the hell do you pronounce that? Did someone at Wizards of the Coast trip over their own tongue in a meeting and they all just decided to keep it?

Oh yeah, by the way, the monster is a waking nightmare.

Lore: Gluttons in Garbage

Buried beneath mounds of offal and carrion, the otyugh only leaves its stalk exposed. Should an unsuspecting creature come across it, its vines will leap up from the garbage to attack. Often times, they’ll use their limited abilities of telepathy to draw their prey in to devour them.

Otyughs only tolerate light when there’s enough garbage nearby to hide within. Be it stagnant swamps, damp forests, sewers, graveyards, or manure-filled animal pens, they are drawn to filth. As they don’t care for anything other than food, they often settle down there, accumulating many treasures from their prey to blend into the trash.

Certain subterranean creatures coexist with otyughs, using them to dispose of garbage. When fed well-enough, the creatures grow fat and unmoving, refraining from attacking other creatures. However, many have underestimated the hunger of these monsters; many would-be masters have been devoured by their ‘trained’ otyugh when they failed to provide.

You can craft some interesting encounters or side quests out of this. Perhaps the players simply end up caught in its trap. Or maybe the BBEG of the quest tries to sick an otyugh on the party, only to be devoured by it and the group needs to put it down. It isn’t especially incredible, but you’ve got plenty of interesting options if you get creative.

Design: Disproportinate Disaster

This disproportionate creepy bastard looks like some psychotic thing I’d have doodled in my notebook back in high school. Only the artist behind this one is vastly more talented; mine just looked like a gray blob.

What exactly am I looking at? Whatever it is, it ain’t nice on the eyes.

This guy is among the more grotesque and unique monster designs we’ve seen up to this point. It’s a three-legged monstrosity with tentacles and a gaping maw. Where have you ever seen a monster like this?

But it doesn’t do a whole lot in tandem with the creature’s lore. This doesn’t look like the kind of monster that might hide under trash and set a trap. It looks more like something you’d see rampaging in the Underdark or something like that. The design is so vague that it could fit any giant monster.

Still, it’s a good design overall. It’s wonderfully bizarre and gross. I can only imagine how much fun it would be to describe this thing as a DM to a group of horrified players.

Stats: Tentacles of Terror

I solemnly swear I won’t make a hentai joke. Nope. Not going to happen.

Otyughs are fairly durable monster. Its AC isn’t particularly high, but its HP more than makes up for it. You’ll have to buckle down for a while if you want to kill it.

With its Limited Telepathy ability, it can send simple messages or images to any creature within 120 feet of it, provided it can understand a language. The recipient isn’t able to respond. This is its primary method of luring in its prey.

It has three primary attacks. Its Bite attack does decent damage, but more dangerous is the potential poison effect. Fail to succeed the saving throw and you will be given a horrific disease. Every 24 hours, the victim’s maximum HP will drop until the disease is cured or their maximum hits 0.

Its Tentacle strike combines bludgeoning with piercing damage. Should the victim fail to make a saving throw, they will be grappled. This opens them up to its final action, Tentacle Slam, in which it slams its grappled victim into a solid surface for further damage and stunning them, should they fail another saving throw.

While not especially complex, this all still makes for a pretty intense fight. How do the party members deal with someone catching the disease? How do they handle the tentacles? Do they get lured in by its telepathy and ambushed or do they manage to get the jump on it? It’s simple, but it’s still a cool enough battle.


All around, this is an alright monster. None of its aspects are especially incredible, but none of them are bad. It’s a perfectly fine monster. Neither exceptionally good nor particularly bad.

With all that in mind, the Otyugh is going to #70 on the Best of the Bestiary!

  1. Beholder
  2. Death Tyrant
  3. Mind Flayer
  4. Dragon Turtle
  5. Mummy/Mummy Lord
  6. Nagas (all three of ’em)
  7. Green Dragons
  8. Red Dragons
  9. Blue Dragons
  10. Black Dragons
  11. White Dragons
  12. Silver Dragons
  13. Couatl
  14. Behir
  15. Aboleth
  16. Sea Hag
  17. Lamia
  18. Bronze Dragons
  19. Brass Dragons
  20. Copper Dragons
  21. Gold Dragons
  22. Chuul
  23. Kuo-Toa
  24. Gibbering Mouther
  25. Kraken
  26. Intellect Devourer
  27. Chimera
  28. Death Knight
  29. Fomorian
  30. Bone Devil
  31. Dracolich
  32. Faerie Dragon
  33. Gelatinous Cube
  34. Lich
  35. Orcs (all four of ’em)
  36. Magmin
  37. Kobold
  38. Kenku
  39. Hobgoblins
  40. Night Hag
  41. Green Hag
  42. Black Pudding
  43. Ankheg
  44. Hook Horror
  45. Oni
  46. Storm Giant
  47. Hill Giant
  48. Empyrean
  49. Efreeti
  50. Grimlock
  51. Minotaur
  52. Dao
  53. Cloud Giant
  54. Manticore
  55. Drow (all four of ’em)
  56. Shadow Demon
  57. Modrons (all five of ’em)
  58. Marilith
  59. Drider
  60. Aarackockra
  61. Azer
  62. Demilich
  63. Spectator
  64. Gray Ooze
  65. Ochre Jelly
  66. Hydra
  67. Marid
  68. Harpy
  69. Werejackal
  70. Otyugh <———-
  71. Half-Dragon
  72. Cambion
  73. Fire Giant
  74. Nothic
  75. Animated Armor
  76. Banshee
  77. Basilisk
  78. Yochlol
  79. Bulette
  80. Cloaker
  81. Darkmantle
  82. Doppelganger
  83. Ghoul and Ghast
  84. Ettin
  85. Medusa
  86. Pit Fiend
  87. Erinyes
  88. Chain Devil
  89. Bearded Devil
  90. Barbed Devil
  91. Spined Devil
  92. Ice Devil
  93. Mimic
  94. Djinni
  95. Merrow
  96. Nalfeshnee
  97. Glabrezu
  98. Chasme
  99. Grell
  100. Barlgura
  101. Horned Devil
  102. Balor
  103. Shadow Dragon
  104. Myconids (all four of ’em)
  105. Werebear
  106. Lizardfolk
  107. Vrock
  108. Dretch
  109. Gnolls (all three)
  110. Goristro
  111. Hezrou
  112. Manes
  113. Frost Giant
  114. Weretiger
  115. Werewolf
  116. Duergar
  117. Quasit
  118. Dryad
  119. Flumph
  120. Goblin
  121. Nightmare
  122. Wereboar
  123. Wererat
  124. Githyanki
  125. Planetar
  126. Imp
  127. Ogres/Half-ogres
  128. Clay Golem
  129. Flameskull
  130. Displacer Beast
  131. Carrion Crawler
  132. Githzerai
  133. Grick
  134. Invisible Stalker
  135. Rug of Smothering
  136. Bugbear Chief
  137. Bugbear
  138. Flesh Golem
  139. Vine Blight
  140. Twig Blight
  141. Needle Blight
  142. Mephits (all six of ’em)
  143. Bullywug
  144. Hellhound
  145. Ettercap
  146. Gas Spore
  147. Cockatrice
  148. Lemure
  149. Homonculus
  150. Merfolk
  151. Solar
  152. Deva
  153. Gorgon
  154. Hippogriff
  155. Griffon
  156. Cyclops
  157. Centaur
  158. Ghost
  159. Fire Elemental
  160. Water Elemental
  161. Air Elemental
  162. Stone Giant
  163. Deep Gnome
  164. Dinosaurs (All six of them)
  165. Iron Golem
  166. Stone Golem
  167. Earth Elemental
  168. Galeb Duhr
  169. Helmed Horror
  170. Flying Sword
  171. Crawling Claw
  172. Violet Fungus
  173. Shrieker
  174. Gargoyle

2 responses to “Otyugh: Uh… Gesundheit?”

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