Dungeons & Dragons SCP 049 "The Plague Doctor" Miniature

In a Dungeons & Dragons adaptation, SCP-049, known as the "Plague Doctor," could be envisioned as a mysterious and eerie entity with a blend of necromancer and healer traits, wrapped in an unsettling appearance. SCP-049, originating from the SCP Foundation universe, is characterized by its plague doctor mask and robes, exuding an aura of dread and fascination. In a D&D setting, this entity would be a formidable, high-level NPC or even an antagonist, with a backstory deeply entwined with the study and eradication of a mystical plague that once ravaged the land.

SCP-049 would possess powerful abilities related to both necromancy and medicine. Its primary objective would be to "cure" individuals it deems infected with a supernatural disease, often leading to their transformation into undead creatures under its control. This duality of being both a healer and a bringer of undeath would make SCP-049 a complex and morally ambiguous character.

Mechanically, SCP-049 could have spells and abilities that reflect its lore. It might cast necromancy spells such as "Animate Dead" and "Inflict Wounds," alongside healing spells like "Cure Wounds" and "Lesser Restoration." Its touch could be lethal, mimicking the SCP's canonical lethal touch, represented by a special ability that forces a Constitution saving throw to avoid instant death or severe necrotic damage.

The campaign involving SCP-049 could revolve around the party investigating mysterious deaths and disappearances, eventually uncovering the doctor's lair filled with notes and experiments. They might need to stop SCP-049 from releasing a new, more potent plague, adding a layer of urgency and moral complexity as they confront whether the entity's actions stem from genuine, albeit twisted, benevolence or sheer madness. This incorporation of SCP-049 into D&D would create a haunting and ethically challenging narrative, blending horror and fantasy in a compelling way.