Alchemist Alternate class: The Physician (Version 3.0)


Homebrew and House Rules


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Author's notes
Alchemist Alternate class: The Physician (formerly The Doctor) Version 3.0
I changed the Alternate class's name because of the obvious Doctor Who reference so as not to confuse people as this is not a Dr. Who in pathfinder build.

First some thank yous are in order:

  • Special Thanks to Cheapy and Vero for the feedback. It has certainly help with the development of this class.
  • Thanks to anyone that showed interest or left encouraging comments. Its nice to know that this idea was at least interesting to someone other than myself.

    So here is The Physician version 3.0
    A few notable changes from last time:

  • The replacement of Sneak Attack with Surgical Strike. I had gotten a lot of positive feed back with regards to the feel of sneak attack for this class. I wanted to keep that feel but still create something unique to the Physician and that wasn't just stealing the Rogue's sneak attack ability (although I will admit that surgical strike is kind of a steal)
  • Discoveries have been expanded.
  • Minor tweaks and changes to Medicinal Alchemy incorporating the feed back that I had gotten.
  • Increase of Skill Points per level after it was pointed out that the alchemist had an artificially low skill point per level increase due to Intelligence being its primary ability score stat. That being said with the switch of Medicinal Alchemy changing the primary ability score to wisdom, increasing the base skill points gained per level seemed appropriate.

    The Acknowledgments: As stated earlier the Physician came about due to my attempt to fuse several different archetypes together into one whole. Parts of this class are of my own design but other parts were clearly taken from other Paizo/third party sources.
    Ultimate Magic: The Chirurgeon
    Ultimate Magic: The Vivisectionist
    Paizo Fans United: The Herbalist
    And Finally a big thanks to Paizo Publishing in general for creating the Alchemist. I really like all of their work but I feel as though with the Alchemist they really hit a home run. It was a class everyone wanted to see done, but no one had built. The fact that it can be re-skinned in so many different ways shows that at its core its a base class, much like the fighter, rogue, or cleric.

    As stated last time the primary goal here was to create an alternate class to the Alchemist. One that focused more on Healing, Support, Buffing, and Debuffing. I feel as though the Physician is clearly an awesome healer and support character. Her buffing skills are comparable to that of the Alchemist if not being slightly better. Where as the Alchemist is the better mass debuffer the physician can excel at one on one debuffs through the use of her surgical strike ability.

    At this point I feel as though I'm almost done with this class. Still feel free to review it. If you see any glaring issues, please comment and point them out. If you have any criticisms please try to offer them in a constructive manner. I'm interested in the communities feedback with regards to this project.

    Once again thanks for your time and continued support: Anthony.

    Alignment: Any
    Base Attack Bonus: (unchanged) Medium.
    Hit die: D8
    Saving throws: Fortitude (good), Reflex (good), Will Power (Poor)
    Skills: 6+Int Modifier per level Same Skill set as standard Alchemist.
    The physician’s class skills are Appraise (Int), Craft (any)
    (Int), Disable Device (Dex), Fly (Dex), Heal (Wis), Knowledge
    (arcana) (Int), Knowledge (nature) (Int), Perception (Wis),
    Profession (Wis), Sleight of Hand (Dex), Spellcraft (Int),
    Survival (Wis), Use Magic Device (Cha).

    Medicinal Medicinal Extract Level: 6th Same as Alchemist
    Medicinal Extracts per day: Same as Alchemist
    Physician/Alchemist Formula: Same as Alchemist

    The following are class features of the Physician.

    Weapon and Armor Proficiency: Physicians are proficient with all simple weapons. They are also proficient with light armor, but not with shields.

    Brew Potion (Ex): The Physician receives Brew Potion as a bonus feat at first level just like an Alchemist at first level. A physician can brew potions of any formula she knows (up to 3rd level), using her physician level as her caster level. The spell must be one that can made into a potion. The physician does not need to meet the prerequisites for this feat.

    Infusion replaces Throw Anything (Ex)
    As the physician does not throw bombs like the standard alchemist the Throw Anything bonus feat has been replaced by the infusion discovery at 1st level. This allows the physician to administer her medicinal extracts to the rest of the party.

    Medicinal Alchemy (Su) Replaces Alchemy
    Physician's are skilled doctors who have not only studied the body's anatomy but also how different natural herbs and ingredients can be distilled and concentrated into powerful magical potion-like medicinal extracts in which they can store spell effects. In effect the physician prepares her spells by mixing ingredients into a number of medicinal extracts, and then either “casts” her spells on herself by drinking the medicinal extract, or “casts” her spell on someone else by having them drink the medicinal extract. When the physician creates a medicinal extract, she infuses the medicine with a tiny fraction of her own magical power making the mixture far more potent than it would otherwise be.

    When using the Heal skill the Physician gains a competence bonus equal to her class level on the Heal check. She may also craft the following nonmagical special substances and items: Antiplague, Antitoxin, Bloodblock, Smelling Salts and Soothe Syrup using her Heal check in place of the standard Craft (Alchemy) check. In addition the Physician can use the Heal skill to identify potions from the Conjuration (Healing) sub-school as if using detect magic. She must hold the potion for 1 round to make the check.

    The Physician can create two special types of magical items-Medicinal Extracts and Tonics. Tonics are special performance enhancing elixirs that the physician or her companions can drink to enhance their own physical abilities, while Medicinal Extracts are more varied and behave like spells in potion form. Both of these are detailed in their own sections below.

    Medicinal Extracts have the greatest variation in terms of their effects. In many ways, they behave like spells in potion form, and as such their effects can be dispelled by effects like dispel magic using the Physician's level as the caster level. Unlike potions though, medicinal extracts can have powerful effects and duplicate spells that a potion could not.

    A Physician uses the same table as an Alchemist to determine the number of Medicinal Extracts of each level that she can create per day. In addition, she receives bonus medicinal extracts per day if she has a high wisdom score, in the same way that a cleric receives bonus spells per day.

    When the physician creates a medicinal extract, she infuses the herbs and chemicals in the extract with magic siphoned from her own magical aura. Unlike the Alchemist's Extracts, the Physician's Medicinal Extracts do not become inert if they leave her possession. This difference is due to the fact that at 1st Level the Physician receives the Infusion discovery which replaces the feat Throw Anything normally gained by Alchemist's at 1st Level. Also this means that Medicinal extracts may also be consumed by non-physician's to gain their effects. Mixing a Medicinal Extract takes the same amount of time as mixing a standard Extract, 1 minute per extract created. The Extracts remain potent and continues to occupy one of the Physician's daily medicinal extract slots until it is either used or she prepares another one to take its place in which case the previous medicinal extract becomes a plain inert liquid. Most Physicians prepare many medicinal extracts at the start of the day or just before going on a long adventure, but it is not uncommon for an physician to keep some (or even all) of her daily medicinal extract slots open so that she can prepare extracts in the field as needed.

    Although the Physician doesn't actually cast spells, she does have a formula list that determines what medicinal extracts she can create. A physician can utilize spell trigger items if the spell appears on the formula list, but not spell-completion items (unless she uses Use Magical Device to do so). A medicinal extract is “cast” by drinking it, as if imbibing a potion – the effects of the medicinal extract exactly duplicate the spell upon which its formula is based, save that the spell always affects only the subject that drinks the medicinal extract. A physician can draw and drink a medicinal extract, or administer a medicinal extract to an adjacent ally, as a standard action. The physician uses her class level as the caster level to determine any effect based on caster level. .

    Creating medicinal extracts consumes raw materials, but the cost of these materials is insignificant – comparable to the valueless material components of most spells. If a spell normally has a costly material component, that component is expended during the of that particular medicinal extract. Medicinal Extracts cannot be made from spells that have focus requirements (physician medicinal extracts that duplicate divine spells never have a focus requirement).

    A physician can prepare an extract of any formula she knows. To learn to use a medicinal extract the physician must have a Wisdom score equal to at least 10 + the medicinal extract level. The difficulty class for a saving throw against a physician's medicinal extract is 10 + the medicinal extract level + the physician's wisdom modifier.

    A physician may know any number of formulas. She stores her formulas in a special tome called a Medicinal Textbook. The Medicinal Text book functions in all ways, including cost, as a wizards spell book or alchemist's formula book. She must refer to the medical text book whenever she prepares and extract but not when she consumes it. A Physician begins play with two 1st level formulas of her choice as well as the cure light wounds formula. She also receives a number of additional formulas equal to her wisdom modifier (if any). At each new physician level she gains one new formula of any level she can create. Whenever she gains access to a new formula level, if that level has any formulas of the conjuration [healing] school, such as a cure formula, she automatically learns that formula and adds it to her Medicinal Text book. A physician can also add formulas to her medicinal text book just like a wizard adds spells to her spell book, using the same cost, pages, and time requirements. A medicinal text book costs as must as a spell book. A physician can study a wizards spell book to learn any formula that is equivalent to a spell the spell book contains. A wizard, however, cannot learn spells from a medicinal text book. A physician does not need to decipher arcane writings before copying them.

    Surgical Strike (Ex): Replaces Bombs
    The many years spent studying cadavers and researching the workings of physical anatomy have not only taught the physician how to surgically treat wounds but also how to inflict grievous bodily harm with a simple flick of her knife. This means that at any time the physician is in melee combat with an adjacent opponent she has the potential of turning her melee attack into a surgical strike.

    To execute a surgical strike a physician must be in melee combat and her target must be adjacent to her. A surgical strike cannot be performed with a ranged or thrown weapon, or even a thrown melee weapon. Executing a surgical strike this way requires a standard action that does not provoke an attack of opportunity. The physician then declares that she is going to execute a surgical strike before the attack roll is made, meaning that a failed roll to hit still expends a use of her surgical strike ability (see below). If the attack hits the physician applies 1D6 points of extra damage to her melee attack. This damage is precision based and is not multiplied on a critical hit. This extra damage increases by 1D6 for every two physician levels thereafter. A physician can only attempt a surgical strike a number of times per day equal to her physician class level + her wisdom modifier.

    With a weapon that deals nonlethal damage (like a sap, blackjack, whip, or unarmed strike) a physician can attempt to execute a surgical strike that deals nonlethal damage instead of lethal damage. She cannot use a weapon that deals lethal damage to deal nonlethal damage with her surgical strike, not even with the usual -4 penalty.

    A physician can only execute a surgical strike against living creatures with discernible anatomies. Undead, constructs, oozes, plants and incorporeal creatures lack vital areas to attack. Creatures that are also immune to critical hits are also immune to the physician's surgical strike. The physician must also be able to see the target well enough be able to pick out a vital spot and must be able to reach such a spot. A physician cannot execute a surgical strike against a creature that has any type of concealment.

    Alternatively the physician can use her surgical skills to heal. Rather than using her surgical strike to cause additional damage a physician can work amazing feats of surgery on the battlefield to restore hit points to her allies. Using surgical strike to heal still requires a standard action, but it does provoke an attack of opportunity when used this way. The target of the physician's surgical strike is healed for 1D6 points of damage plus and additional 1D6 for every other physician class level. This also consumes a use of the physician's surgical strike ability. Note that this healing is not positive energy based, and that a surgical strike used in this fashion cannot be used to harm undead creatures. A physician cannot target herself when using surgical strike in this fashion.

    Finally, as a physician gains levels she learns new discoveries that can change or alter the effects of her surgical strike. These Discoveries will be marked with an asterisk* and are detailed in the discovery section of the class.

    Tonics (Su): Replaces Mutagen
    At 1st level, a physician knows how to create performance enhancing mixtures that can be ingested by either herself or her companions to heighten their physical prowess, called Tonics. It takes 1 hour to brew a Tonic, and once brewed, it remains potent until used. A physician can only maintain one Tonic mixture at a time, if she brews a second dose, any existing Tonic mixture becomes inert. Unlike the Alchemist's mutagen though a Tonic can be used by anyone, not just the physician.

    When a physician's creates a tonic, she selects two physical ability scores – either Strength, Dexterity, or Constitution to be enhanced. Its a standard action to drink a Tonic (just like a mutagen). Upon drinking the Tonic the physician or drinker immediately feels the tonic's effects as they feel the rush of adrenaline, the sky rocketing of their blood pressure, and the tightening of their muscles. This grants the physician or the drinker a +4 alchemical bonus to the 1st selected physical ability score and a +2 alchemical bonus to the 2nd selected physical ability score for 10 minutes per physician level. Unlike a Mutagen a Tonic confers no natural armor bonus and carries no penalty to a mental ability score, but at the end of the Tonic's duration the physician or the drinker is fatigued until they rest or the condition is removed.

    The effects of a Tonic do not stack. Whenever anyone drinks a tonic, the effects of any previous tonics end immediately. When this happens the most recently imbued tonic takes affect immediately, and lasts for the tonic's normal duration but the users condition worsens by one step. If the user would be fatigued at the end of the tonic's duration ingesting a 2-nd Tonic would first negate the effects of the previous tonic and replace them with the most recent tonic's effects and once the 2-nd Tonics effects end the subject would now be exhausted.

    Detect Poison(Sp) replaces Poison use (Ex):
    -At 2nd level, a physician can use the spell detect poison at will as a spell like ability. Doing so only requires a move action, and for the physician to be able to touch the target.

    Discovery (Su):
    At 2nd level, and then again every 2 levels thereafter, a physician makes an incredible medicinal discovery. Unless otherwise noted an physician cannot select an individual discovery more than once. Some discoveries can only be made if the physician has met certain prerequisites first, such as uncovering other discoveries. Discoveries that modify the physician's surgical strike ability are marked with an asterisk* and do not stack. Only one such discovery can be applied to a surgical strike. The DC for any saving throw called for by a discovery is equal to 10 + ½ the physician level + the physician's wisdom modifier.

    A physician may not select from the alchemist's bomb discoveries as they do not have this as a class feature. They may select the alchemist's mutagen discoveries but only if they have selected the Mutagen discovery (see PF: Ultimate Magic). Any discoveries related to Poison Use are likewise closed to them unless they have selected the use poison discovery.

  • Infuse Tonic When the Physician creates a tonic, she can infuse it with an extra bit of her own magical power. This inflicts 2 points of Wisdom damage to the physician and costs 1,000gp in rare reagents, but the dosage of tonic created remains active on its own and is not rendered inert if the physician creates another dosage of tonic. This allows the physician to create different types of tonics and keep them handy for emergencies. This does not allow anyone that imbues the tonic to gain the effect of multiple tonics at once, only the most recently imbued tonic has any effect.

  • Tonic of Acceleration: Whenever anyone imbibes a tonic, they gain a +2 bonus to initiative and their base land speed is increases by +10ft. While the tonic is in effect, the user also gains a +2 competence bonus on acrobatic skill checks.

  • Greater Tonic: The Physician's tonic now grants a +6 Alchemical bonus to one physical ability score and a +4 alchemical bonus to a second physical ability score of the physician's choosing at the time the tonic is created. A physician must be at least 12-th Level before selecting this discovery.

  • Grand Tonic: The Physician's tonic now grants a +8 Alchemical bonus to one physical ability score, a +6 alchemical bonus to a second physical ability score, and a +4 Alchemical bonus to a third physical ability score of the physician's choosing at the time the tonic is created. A physician must be at least 16-th level and must possess the greater tonic discovery before selecting this discovery.

  • Bleed out: Because of their anatomical training the physician knows how to strike the body so that the bleeding from the wound is not so easily stopped. Whenever the physician causes anyone to take bleed damage, the subject continues to take the bleed damage until stopped by a successful Heal skill check but the DC is equal to 10 + half the physician level + wisdom modifier instead of the standard DC 15 Heal check. The application of any effect that Heals hit point damage still stops the bleeding immediately.

  • Expert Healer: When the physician's selects this discovery their medicinal extracts from the conjuration [healing] school become more potent. Those medicinal extracts now heal and additional 2hp per formula level when imbued.

  • Combat Medic: The Physician has been trained for combat related situations and knows how to move about the battlefield to reach her patients without placing herself in harms way. By selecting this discovery the physician can as an immediate action move up to her base speed without provoking attacks of opportunity. The physician's movement must end next to a character that is either at zero hit points or dying. Once she has reached her target she can then administer any item, ability, spell, medicinal extract or skill that would either stabilize the dying character or restore hit point damage. This ability can be used a number of times per day equal to the physician's wisdom modifier.

  • Minor Conditional Treatments: With this discovery the physician has learned to alleviate or cause the following minor conditions. Removing a condition from a character only requires the physician to touch the subject. This requires a standard action that does provoke an attack of opportunity. In any case where the physician is attempting to cause or inflict the condition the subject is allowed a Fortitude saving throw to resist and the physician must make physical contact with the subject using a melee touch attack that does not provoke an attack of opportunity. The physician can only use these techniques a limited number of times per day equal to half her physician level (minimum of 1) + Wisdom modifier. By selecting this discovery the physician can now cause or remove the following conditions:
    -Fatigued: The physician can remove the fatigued condition or cause the target to become fatigued.
    -Shaken: The physician can remove the shaken condition or cause the target to become shaken.
    -Sickened: The physician can remove the sickened condition or cause the target to become sickened.

  • Advanced Conditional Treatments: With this discovery the physician adds the following conditions to her list of Conditional Treatments that she can remove or cause. The physician must possess the minor conditional treatments discovery and be at least 6-th level before they can select this one. By selecting this discovery the physician adds the following list of conditions that they can now cause or remove:
    -Dazed: The physician can remove the dazed condition or cause the target to become dazed.
    -Diseased: The physician can cure someone infected with a disease as if she had cast Remove Disease on them with her caster level being equal to her physician level. Likewise she may also attempt to afflict the target with a disease as if she had cast Contagion with her caster level being equal to her physician level.
    -Staggered: The physician can remove the staggered condition, unless the target is at exactly zero hit points or cause the target to become staggered for 1 round per two levels of physician.

  • Greater Conditional Treatments: With this discovery the physician adds the following conditions to her list of Conditional Treatments that she can remove or cause. The physician must possess the advanced conditional treatments discovery and be at least 10-th level before she can select this one. By selecting this discovery the physician adds the following list of conditions that they can now cause or remove:
    -Exhausted: The physician can remove the exhausted condition or cause the target to become exhausted.
    -Frightened: The physician can remove the Frightened condition or cause the target to become Frightened for 1 round per two levels of physician.
    -Nauseated: The physician can remove the nauseated condition or cause the target to become nauseated for 1 rounder per 3 levels of physician.
    -Poisoned: The physician can attempt to remove the poisoned condition as if she had cast Remove Poison or cause the target to become poisoned as if she had cast the spell Poison. In both cases her caster level is equal to her physician level.

  • Grand Conditional Treatments: With this discovery the physician adds the following conditions to her list of Conditional Treatments that she can remove or cause. The physician's must possess the greater conditional treatments discovery and be at least 12-th level before she can select this one. By selecting this discovery the physician adds the following list of conditions that they can now cause or remove:
    -Blinded: The physician can remove the blinded condition or cause the target to become blinded for 1 round per level of physician.
    -Deafened: The physician can remove the deafened condition or cause the target to become deafened for 1 round per level of physician.
    -Paralyzed: The physician can remove the paralyzed condition or cause the target to become paralyzed for 1 round.
    -Stunned: The physician can remove the stunned condition or cause the target to become stunned for 1 round per four levels of physician.

  • Conditional Strike*: With this discovery the physician can apply any one of his conditional treatments (minor, advance, greater or grand) to her surgical strike ability and deliver that condition to a target using her surgical strike. Only one condition may be applied per surgical strike. The target is still entitled to a saving throw to resist the effects of the condition being applied, just as if the physician had used the conditional treatment as a melee touch attack. Use of this discovery consumes one use of both the physician's surgical strike and conditional treatment abilities if successful. If the physician misses with her surgical strike she still expends the use of the surgical strike ability but not that of the conditional treatment discover. The physician must possess at least the Minor Conditional Treatments discovery before selecting this one.

  • Arterial Strike*: With this discovery the physician can use her surgical strike to deliver deadly wounds that do no heal so easily. When making a surgical strike the physician can choose to reduce her surgical strike damage from D6s to D4s and in return the target takes 1pt of bleed damage per Surgical Strike die. Bleeding creatures take that amount of damage every round at the start of each of their turns. The bleed damage can be stopped by a DC15 heal check, unless the physician has taken the Bleed Out discovery (see above), or the application of any effect that heals hit point damage.

  • Hindering Strike*: With this discovery the physician knows exactly how to strike her target so as to slow down their reactionary ability. This discovery reduces the physician's surgical strike damage from D6s to D4s but in exchange the target cannot make attacks of opportunity for a number of rounds equal to the physician's number of surgical strike dice.

  • Dispelling Strike*: Not oblivious to the effects that magic has upon the body the physician has learned how to counter and dispel these effects by focusing the strength of her own magical aura through her surgical strike. Opponents that are dealt surgical strike damage by a physician with this ability are effected by a targeted Dispel Magic targeting the lowest level spell effect active on the target, using the physician's class level as her caster level. A physician must be at least 6th level before selecting this discovery.

  • Crippling Strike*: With this discovery the physician can deal ability score damage. For every Surgical Strike Die she forgoes she can deal 2pts of Strength, Dexterity or Constitution damage to a creature. She may mix and match this damage freely choosing to inflict part of the damage as normal Surgical Strike Damage and part of it as ability score damage. For example if the physician has 5D6 Surgical Strike Damage she could choose to reduce her Surgical strike damage to 3D6 and then apply 4pts of ability damage to any one ability score, or 2pts of ability score damage to any 2 ability scores. The physician must be at least 10th level before selecting this discovery.

  • Hamstring Strike*: Knowing which muscles and tendons to cut, a physician with this discovery and stop her opponent dead in their tracks. When a physician strikes an opponent with this ability she can choose to forgo some or all of her surgical strike dice. For each die she forgoes the targets movement is reduced by 10ft. This lasts until the target is affected DC 15 Heal check or the target or the application of any effect that heals hit point damage.

  • Quick Surgeon: A physician with this discovery can focus quickly enough that she can execute multiple surgical strikes in a single round. She can execute multiple surgical strikes as a full round action if her base attack bonus is high enough to grant her additional attacks. This functions just like a full attack. A physician must be at least 8th level before selecting this discovery.

  • Poison Use: With this discovery the physician has trained herself in the use of poisons and no longer runs the risk of accidentally poisoning herself when applying poison to her weapon. Taking this discovery allows the physician to take additional alchemist discoveries that are related to poison use but not poison resistance.

  • Swift Poisoning: With this discovery the physician can apply a dose of poison to her weapon as a swift action. A physician must be at least 6th level before selecting this discovery.

  • Power over Death: By selecting this discovery the Physician gains the ability to use the spell Breath of Life as a spell like ability. All the physician needs to do is touch the creature. She uses her physician level as her caster level. A physician may use this discovery a number of times per day equal to 1 + her wisdom modifier. A physician must be at least 10th level before selecting this discovery.

    Discoveries that can be taken as they are (listed by book). Please note that for any discovery effect or number of uses per day related to intelligence, that discovery is modified for the physician by having its key ability reassigned to wisdom.
    (Advanced Player's guide): Combine Extracts, Concentrate Poison, Dilution, Elixir of life, Enhance Potion, Eternal Potion, Extend Potion, Feral Mutagen, Grand Mutagen, Greater Mutagen, Infuse Mutagen, and Sticky Poison.
    (Ultimate Magic): Alchemical Simulacrum, Alchemical Zombie, Cognatogen, Doppleganger Simulacrum, Grand Cognatogen, Greater Cognatogen, Healing Touch, Lingering Spirit, Mummification, Mutagen, Parasitic Twin, Preserve Organs, Spontaneous Healing, Tentacle, Tumor Familiar, Vestigial Arm, and Wings).
    (Ultimate Combat): [i]Nauseating Flesh and Poison Conversion
    .

    Disease Resistance (Ex) replaces Poison Resistance (Ex):
    At 2nd level, a physician gains a +2 bonus on all saving throws against diseases. This bonus increases to +4 at 5th level and + 6 at 8th level. At 10th level the physician becomes completely immune to diseases both nonmagical and magical.

    Swift Healing (Ex) replaces Swift Alchemy (Ex):
    At 3rd level a Physician can execute skills of healing with amazing speed. The times required to perform all non combat related actions with the Heal skill (such as treating disease and treating wounds from caltrops...) is reduced by half. Thus where it would normal take 10 minutes to treat disease with the heal skill the Physician can do so in 5 minutes. Where it would take a character 1 hour to treat deadly wounds, the Physician can perform the same amount of healing in half an hour. Long term care only requires 4 hours of full rest or half a day of complete rest. This also means that characters heal twice as fast if they take a full 8 hours of full rest or a full days worth of complete rest.
    -Finally providing first aid, treating a wound or treating poison is reduced from a standard action to a move action for the Physician.

    Anesthetic (Ex) replaces Swift Poisoning (Ex):
    At 6th level, a physician learns how to supplement uses of the Heal skill with pain-killing drugs. She gains Skill Focus (Heal) as a bonus feat. Any use of the Heal skill that has a risk of harming the patient (such as extracting a barb) only deals the minimum damage when performed by a physician.

    Enduring Tonic (Su) replaces Persistent Mutagen:
    At 14th level the effects of the physician's tonic last for 1hour per physician level.

    Instant Healing (Ex) replaces Instant Alchemy:
    At 18th level the physician can perform feats of healing with amazing speed. First providing first aid, treating a wound or treating poison using the heal skill is reduced from a move action (due to swift healing) to an immediate action. Second, the time required to perform other uses of the Heal skill such as treating deadly wounds or treating a disease can be done as a full round action. Long Term Care is not affected by this ability. -Finally as long as a physician is next to or adjacent to her companion she can administer any medicinal extracts of the conjuration [healing] school as an immediate action. She may even take a five foot step or a full move action to reach her target but she must end her move next to or adjacent to her target in order to administer the medicinal extract as an immediate action.

    Grand Discovery (Su):
    At 20th level, the physician makes a grand discovery. She immediately learns two normal discoveries, but also learns a third discovery chosen from the list below, representing a truly astounding medicinal break through of significant importance. For many physicians, the promise of one of these grand discoveries is the primary goal of their study and hard work.

    The Physician can select from almost any of the Alchemist's discoveries that are not related to bombs as they are not a class feature. The following are additional Grand Discoveries that the Physician has access to.

    -True Wisdom: The Physician constant research of medicinal techniques have given her an almost supernatural understanding of the body and its internal workings. Selecting this discovery permanently increases her wisdom score by 2 points.
    -Ultimate Tonic: The Physician's tonic now grants a +8 Alchemical bonus to all three physical ability scores, Strength, Dexterity and Constitution. Also use of the tonic no longer causes the user to become fatigued or exhausted after its duration ends. A physician must must possess the grand tonic discovery before selecting this discovery.
    -Healing Touch: The physician gains a healing touch that replicates the effects of a Heal spell. The physician can only use this ability once per day + a number of additional times equal to his Wisdom modifier.
    -The Cure: Learning from countless exposures to harmful diseases the physician has finally discovered a common weakness that they all share. From this point forth, a Physician can cure any disease, nonmagical or magical by simply touching a creature. There is no DC to overcome, no skill check that needs to be made. The physician simply touches the target and the disease is removed.

    The following Grand Discoveries are appropriate for the Physician to take as well:
    (Advanced Player's guide): Awaken Intellect, Eternal Youth, Fast Healing, Philosopher's Stone, Poison Touch, and Grand Mutagen

    ”Alternatives for Discoveries and Grand Discoveries that are available” wrote:


    On a side note: If you want to balance the playing field between the Alchemist and the Physician you can choose to allow the alchemist to take most of the physician's discoveries as well. If you do this here are a few ideas. Make Tonic a discovery just like Mutagen is in Ultimate Magic. DO NOT make Surgical Strike and Bombs into discoveries. This is one area that you should keep separated.

    Alternatively you could choose to limit what Alchemist discoveries the physician can take. If you really want to draw a line in the sand consider not allowing the physician to take any discovery related to Mutagens or Cognatogens. Also remove all the Grand discoveries except: Eternal Youth, Fast healing, and the Philosopher's Stone. This will create a distinct area of difference between the two classes.


  • Awesome job!!! I totally am going to play this class! I really like the ultimate discovery "The Cure"! The class in total seems to have a nice flow to it.


    Kick for anyone else that wants to have a look or comment


    (kicking this thread back to the top of the list) giving folks enough time to view it before it disappears into the forum.


    I think combat medic needs to be toned down. It's a tough one though. I'd also be inclined to make surgical strike not limited and remove quick surgery, but that's just because I am enamored with the idea I mentioned last thread. In a sense, the inability to affect multiple enemies with AoE means that unlimited surgical strikes are probably OK.

    Also, what's that healing teamwork feat? Maybe something like a discovery to get that and solo tactics with it.


    (kick)


    The mods generally look down on bumps <_<

    My issue with Combat Medic is that it's essentially a free full turn. movement (with no AoOs) and a then a standard action at the end. Maybe just a bonus to AC for AoOs will do fine. But inserting a full turn out of your turn isn't a good idea.

    I'm not 100% sold on surgical strikes. It works fairly well, don't get me wrong. But there's something off about it to me.

    Overall, I think it's a bit on the weakside, although I suspect that's due to the subject matter, healing, more than anything else.


    Cheapy wrote:

    The mods generally look down on bumps <_<

    My issue with Combat Medic is that it's essentially a free full turn. movement (with no AoOs) and a then a standard action at the end. Maybe just a bonus to AC for AoOs will do fine. But inserting a full turn out of your turn isn't a good idea.

    I'm not 100% sold on surgical strikes. It works fairly well, don't get me wrong. But there's something off about it to me.

    Overall, I think it's a bit on the weakside, although I suspect that's due to the subject matter, healing, more than anything else.

  • Combat Medic: The Physician has been trained for combat related situations and knows how to move about the battlefield to reach her patients without placing herself in harms way. By selecting this discovery the physician can as an immediate action move up to her base speed without provoking attacks of opportunity. The physician's movement must end next to a character that is either at zero hit points or dying. Once she has reached her target she can then administer any item, ability, spell, medicinal extract or skill that would either stabilize the dying character or restore hit point damage. This ability can be used a number of times per day equal to the physician's wisdom modifier.

    Well here's a question. I understand what you're saying about it being powerful. The question is, does the restriction of only being able to use the ability to reach someone that is at zero hp or dying limit the ability's usefulness to the point that its not as over powering as one might think?

    The condition to use the ability is that someone has to be at zero hp or dying. While you can make a full move without provoking AoOs at the end of that move you can only use abilities that would restore hit point damage. So even the action you can take is limited.

    To top it off you can only use it a number of times per day equal to your wisdom modifier.

    My concern is that its so conditional and specific that if I limit it any further it will become unusable. Thoughts?


  • Is there a PDF or DOC file of this?


    ThatWeirdGeckoGuy wrote:
    Is there a PDF or DOC file of this?

    Unfortunately no there is not. If someone wants to PDF/DOC it online feel free.


    this seems to work really well. i was wondering what are your thoughts on reach weapons with Surgical Strike. you don't mention them in your write up but do say opponent has to be adjacent.


    Sorry for the thread resurrection. I know this has gone without comment for a while, but I just found it and had some thoughts.

    First of all, thanks! This is awesome and fills a niche, specifically the surgeon / doctor idea. Chirurgeon doesn't do enough, Vivisectionist has some flavor baggage and isn't quite there. This really hits the theme spot on and I think the mechanics are quite solid.

    A few thoughts:
    -Why Wisdom instead of Intelligence? I rather like the idea of an Int-based healing class, and it seems more in keeping with the concept. That would also mean undoing the skill points change. You could allow a stat mod replacement on Heal checks, subbing in Int for Wis.
    -The healing side of surgical strike seems a bit weak. Compare to channel energy, for instance. I'm not saying it should be as good as that, but it's way way worse. Maybe add your mod to the healing done at level 1 (comparable to bombs in that regard)?
    -Quick Surgeon: I'd love it if this let you combine attacks and healing actions.
    -Conditional Strike: Minor thing, the name makes me think that the strike is somehow conditional. Maybe "Condition Strike"? Also, I think this would be a way to make surgical strikes for healing be a decent action, if this allowed removing the affected conditions.
    -Anesthetic: This seems unnecessary given the competence bonus to Heal checks. I know it was inherited from Chirurgeon, but just doesn't feel needed anymore.

    I'm planning on running a Weird West adventure with a gunslinger, occultist and some others, and I'll be using this class as the town doctor. Thanks again!

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