All enemy creatures within range must make a Wisdom saving check with a -4 penalty. All creatures that fail this check take 8d8 necrotic damage as their bodies start to wither and fail. If a creature dies from this spell, you gain one inspiration.
Creatures that fail the check and lost all their hit points immediately lose balance and fall to their knees coughing up blood. Tears of blood start to stream from their eyes. Eventually they fall flat and start to spasm, as their muscles contort and twist. Then they stop moving altogether, their body a deformed of depiction of agony.
Decretum di Dolore