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One of the PCs contracted mummy rot in an adventure, and we're trying to learn the dynamics of the curse/disease. I've read up on the 3.5 DMG description, but it appears different in Pathfinder - so, we'll start there. Here's my reading. Please feel free to counter or confirm.
1. Mummy rot (Bestiary, p.210) appears to read only 1 save. Period. No save each day versus further onset. Either you get it or you don't. Either you cure it or it progresses. Period.
2. 1d6 Con and 1d6 Cha are non-specific as to Drain or Damage, but the description also provides that "a creature suffering from it cannot recover naturally over time." This would imply Drain. Otherwise, with Damage, you'd recover 1 pt. Con and 1 pt. Cha with a full night's rest (even though you'd still suffer the 2 1d6s again the following day).
3. "Anyone casting a conjuration (healing) spell on the afflicted creature must succeed on a DC 20 caster level check or the spell is wasted and the healing has no effect. I'm reading this not only for restoration, but (a) cure wounds spells and (b) lesser restoration. Correct? If so, then with "lesser restoration", the inference is that mummy rot induces Damage, not Drain.
So, in conclusion:
1. You suffer Ability Damage that you can't gain back naturally.
2. You can cast "lesser restoration" to negate some of the Damage, assuming you beat a Spellcraft DC20, but it'll keep coming back.
3. You can't even cure your health without a Spellcraft DC20.
4. Assuming you Remove Curse first, then spells like Lesser Restoration should also work to remove the disease. (Or does the ability damage still come back each day, unless you Remove Disease, too?) (Or would you have to make another Fort Sv DC 16 each day to stave off the disease?) ... Not sure how this last bit works.
5. Last, per Core Rulebook, p.16 - you don't die at 0 Charisma, but instead, are unconscious. It's only at 0 Constitution that you die and turn to dust.
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LOL. "Frequency 1/Day" reads different than "Frequency 1 Day". Of course, I also just realized that my hard copy and .pdf are worded different. My .pdf, which includes errata reads "Frequency 1/Day." Voila!
That said, there remains the following train of thought I'm trying to resolve:
1. Assuming you Remove Curse first, would spells like Lesser Restoration also remove the disease or just the effect of the disease? I'm assuming that it's just the effect.
2. With Cure reading "-", I interpret this that you'll still have to make a save each day, even with the curse removed, until you cast Remove Disease.
3. With the Curse removed, you still have to make a Spellcraft DC20 for conjuration (heal) spells, until the disease is removed.
I.e., the nature of the disease doesn't change with the curse removed.
Cure mummy rot can only be cured by successfully casting both remove curse and remove disease within 1 minute of each other.
Mummy Rot sucks.
Unless it operates differently based on the source of the Mummy Rot? *shrug*
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The entries for mummy rot are all over the place, and not entirely consistent with each other;
monster entry, PFSRD entry for mummy rot.
In either case, it's damage, not drain, but it seems that while the curse is present, the damage doesn't heal naturally, it needs Restoration-like spells to heal.
I think it's interesting that the mummy's monster entry doesn't mention the one minute restriction between remove curse and disease spells.
The entries for mummy rot are all over the place, and not entirely consistent with each other;
monster entry, PFSRD entry for mummy rot.
In either case, it's damage, not drain, but it seems that while the curse is present, the damage doesn't heal naturally, it needs Restoration-like spells to heal.
I think it's interesting that the mummy's monster entry doesn't mention the one minute restriction between remove curse and disease spells.
Yeah, that's where I looked first and didn't see it, but kept digging because I remembered seeing it somewhere.
Also, according to the BoEF, Mummy rot can be transferred sexually.
I could swear that once upon a time, mummy rot stopped you from receiving any healing (including HP), at least without spellcraft/caster level checks of some kind. But that could be 2nd/3rd ed ideas swirling around in the back of my head.
From the monster entry above: "Anyone casting a conjuration (healing) spell on the afflicted creature must succeed on a DC 20 caster level check, or the spell is wasted and the healing has no effect."
Ah, right. Sorry, misread you.
From the monster entry: "Even after the curse element of mummy rot is lifted, a creature suffering from it cannot recover naturally over time." While it doesn't mention HP healing (so I'd say that's still fine, unless there's a third rule elsewhere that contradicts that), it does so you can't naturally recover the ability damage from it. However, it doesn't discuss whether you could naturally recover ability damage from another source while you're suffering from Mummy Rot. So, unfortunately that one's up in the air, too. I'd argue you can, simply because rules like this are typically prohibitive in nature.