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.

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.
Placement
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!
- Beholder
- Death Tyrant
- Mind Flayer
- Dragon Turtle
- Mummy/Mummy Lord
- Nagas (all three of ’em)
- Green Dragons
- Red Dragons
- Blue Dragons
- Black Dragons
- White Dragons
- Silver Dragons
- Couatl
- Behir
- Aboleth
- Sea Hag
- Lamia
- Bronze Dragons
- Brass Dragons
- Copper Dragons
- Gold Dragons
- Chuul
- Kuo-Toa
- Gibbering Mouther
- Kraken
- Intellect Devourer
- Chimera
- Death Knight
- Fomorian
- Bone Devil
- Dracolich
- Faerie Dragon
- Gelatinous Cube
- Lich
- Orcs (all four of ’em)
- Magmin
- Kobold
- Kenku
- Hobgoblins
- Night Hag
- Green Hag
- Black Pudding
- Ankheg
- Hook Horror
- Oni
- Storm Giant
- Hill Giant
- Empyrean
- Efreeti
- Grimlock
- Minotaur
- Dao
- Cloud Giant
- Manticore
- Drow (all four of ’em)
- Shadow Demon
- Modrons (all five of ’em)
- Marilith
- Drider
- Aarackockra
- Azer
- Demilich
- Spectator
- Gray Ooze
- Ochre Jelly
- Hydra
- Marid
- Harpy
- Werejackal
- Otyugh <———-
- Half-Dragon
- Cambion
- Fire Giant
- Nothic
- Animated Armor
- Banshee
- Basilisk
- Yochlol
- Bulette
- Cloaker
- Darkmantle
- Doppelganger
- Ghoul and Ghast
- Ettin
- Medusa
- Pit Fiend
- Erinyes
- Chain Devil
- Bearded Devil
- Barbed Devil
- Spined Devil
- Ice Devil
- Mimic
- Djinni
- Merrow
- Nalfeshnee
- Glabrezu
- Chasme
- Grell
- Barlgura
- Horned Devil
- Balor
- Shadow Dragon
- Myconids (all four of ’em)
- Werebear
- Lizardfolk
- Vrock
- Dretch
- Gnolls (all three)
- Goristro
- Hezrou
- Manes
- Frost Giant
- Weretiger
- Werewolf
- Duergar
- Quasit
- Dryad
- Flumph
- Goblin
- Nightmare
- Wereboar
- Wererat
- Githyanki
- Planetar
- Imp
- Ogres/Half-ogres
- Clay Golem
- Flameskull
- Displacer Beast
- Carrion Crawler
- Githzerai
- Grick
- Invisible Stalker
- Rug of Smothering
- Bugbear Chief
- Bugbear
- Flesh Golem
- Vine Blight
- Twig Blight
- Needle Blight
- Mephits (all six of ’em)
- Bullywug
- Hellhound
- Ettercap
- Gas Spore
- Cockatrice
- Lemure
- Homonculus
- Merfolk
- Solar
- Deva
- Gorgon
- Hippogriff
- Griffon
- Cyclops
- Centaur
- Ghost
- Fire Elemental
- Water Elemental
- Air Elemental
- Stone Giant
- Deep Gnome
- Dinosaurs (All six of them)
- Iron Golem
- Stone Golem
- Earth Elemental
- Galeb Duhr
- Helmed Horror
- Flying Sword
- Crawling Claw
- Violet Fungus
- Shrieker
- Gargoyle
2 responses to “Otyugh: Uh… Gesundheit?”
TSR had these in their Monstrous Compendium.
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I literally love this hideous thing
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