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Though valued by apothecaries and field medics as methods to reduce swelling or drain blood, leeches are despised by most who encounter them, regardless of the setting.

The spotted hooktooth leech is often found in areas frequented by trolls, who sometimes wear them as awful decorations, relying on their regeneration to control the bleeding effects. The gigantic elephant leech feeds on immense beasts of the swamplands or jungles, like elephants, froghemoths, and dinosaurs, attacking from unexpected range. But it’s the relatively small gutleech that provides the most fuel for nightmares, due to its awful habit of feeding on victims from inside.

Section 15: Copyright Notice

Pathfinder Bestiary 2 (Second Edition) © 2020, Paizo Inc.; Authors: Alexander Augunas, Dennis Baker, Jesse Benner, Joseph Blomquist, Logan Bonner, Paris Crenshaw, Adam Daigle, Jesse Decker, Darrin Drader, Brian Duckwitz, Robert N. Emerson, Scott Fernandez, Keith Garrett, Scott Gladstein, Matthew Goodall, T.H. Gulliver, BJ Hensley, Tim Hitchcock, Vanessa Hoskins, James Jacobs, Brian R. James, Jason Keeley, John Laffan, Lyz Liddell, Colm Lundberg, Ron Lundeen, Jason Nelson, Randy Price, Jessica Redekop, Patrick Renie, Alistair Rigg, Alex Riggs, David N. Ross, David Schwartz, Mark Seifter, Amber Stewart, Jeffrey Swank, Russ Taylor, and Jason Tondro.