UnderLeveledGaming

I have a folder of these on my phone... I'm not sure what that says about me!

Sutureflies resemble large dragonflies with three pairs of gossamer wings and a body that resembles splintered wood. They dart through the woods, reacting to most threats by trying to sew loops of a creature's own skin through eyelids, mouths, or other facial orifices to seal them shut. Researching their habits and lives is difficult, both due to their isolated habitat and aggressive tendencies, so their general diet, living system, and reproductive tactics are unknown for the most part. Rumors say they are divinely created hunters of blasphemy, hearing all lies or blasphemes that occur near them and reacting to seal shut the mouths of the source. Suturefly homes are noteworthy for corpses left behind with their face sealed shut, humanoid, animal, and even fey.

Inspired by the Tome of Beasts 1. This post came out a week ago on my Patreon. If you want to get access to all my monster conversions early, as well as access to my premade adventures and other material I’m working on, consider backing me there!

Pathfinder 2e

Suturefly Creature -1 Tiny Beast Perception +4; low-light vision Skills Acrobatics +5, Stealth +5 Str -5, Dex +4, Con +0, Int -5, Wis +1, Cha -3 AC 15; Fort +3, Ref +5, Will +2 HP 7 Speed 10 feet, fly 40 feet Melee needle limb +7 (agile, finesse), Damage 1 piercing damage plus suture Suture [1 action] Requirements The suturefly's last action was a successful Strike with its needle limb; Effect The suturefly attempts an Acrobatics check against the target's Reflex DC. Critical Success As success, except the DC to open the sewn shut orifice is 15. Success The suturefly sews shut one of the target's eyes, nose, or mouth shut. The creature can't use the sewn orifice until the sutures are cut with a blade and an Interact action, which deals 2 slashing damage to the creature unless the creature removing the sutures succeeds on a DC 13 Medicine check. Failure The target takes 1 additional piercing damage. Critical Failure No effect.

13th Age

I really like how the scientology speedrunning trend is developing, in this clip we see that the participants are

Not deterred by the closed door

Working as a group

Protecting their identities

Inflicting material costs to the institution via property destruction

Getting away at the end

I work in an obstetrician and gynaecologist’s office. we have to tell patients on a regular basis that they are binge drinking weekly when they think they are simply consuming a normal amount of alcohol on the weekends.

having more than 3 drinks in a single sitting if you have an estrogen based endocrine system is a binge that is medically significant.

having more than 5 in a sitting is a medically significant binge for someone with a testosterone based endocrine system.

every time you do this, it significantly impacts your risk of getting breast cancer, and damages your liver. it takes time to recover from that liver damage. if you’re having a 3-5 or more drink binge on a weekly basis, you are an alcoholic, medically speaking, and your liver is not recovering.

again: the bar for what binge drinking is, medically, is so much lower than what you think it is.

alcohol is a really toxic substance and not something you should fuck around with.

again: if you have an estrogenized hormone system (common for most women), then 3 drinks is a binge. if you have a testosteronized hormone system (common for most men), then 5 drinks is a binge.

anything above that number, consumed as frequently as weekly or more, and you’re medically a binge drinking alcoholic.

also, if you’re drinking any quantity of alcohol 6 days a week or more, that’s another threshold at which, medically speaking, you meet the definition of alcoholism. your liver needs more days without alcohol in your system than just one a week to recover and be healthy.

I don’t say any of this to shame anyone—to me, alcoholism or substance use disorders aren’t a sign of weakness or moral failing. and most of us genuinely don’t know this stuff.

information is key. you don’t have to stop drinking, but the utter lack of education on alcohol + the normalization of binge drinking in current society leads to many people drinking without any idea of what it’s doing to their bodies.

Because a vodka shot is not the same as (idk, some low alcohol percentage alcohol.)

do we have evidence of this being hormone related? Like in trans individuals or maybe people with PCOS or intersex people or is this purely body size?

I would like to be wrong but this sounds like a thing where “hormones” are a stand in for “sex at birth” and where the real issue lies is in body size and composition. Estrogen OS = overall shorter with more fat. Testosterone OS = overall taller with more muscle. Fat/muscle affects how things are broken down and used, and how much of those things someone needs. Meds, alcohol, food.

Not trying to be an asshole, fully believe that there are variations in how much people can tolerate and that body size and composition do tend to align with how the medical industry sorts people into two sexes. Just…I don’t trust research to look that deeply into things like this, once they start getting quoted.

Also just a smidge of “LADIES are delicate and too much of the demon rum will overwhelm their uteruses and they will swoon.” The way women are told they should eat less than a man their height and weight just because they are women, and women should eat less (delicate flowers, must not be seen to swallow meals like a snake, must not be allowed to get fat). No. You are feeding a body. If you aren’t feeding muscle, you are telling it to store fat.

This just sounds like science that is broadly right, for really stupid reasons.

For example, your liver screens excess estrogen from your body but will not do so efficiently if it is dealing with a damaging poison like alcohol. Having estrogen levels higher than your body would normally self regulate to is a major factor in breast cancer. Studies indicate that for people with estrogenized endocrine system alcohol consumption can increase the risk of breast cancer by as much as 35%

This also means that for anyone on HRT involving estrogen (common for a variety of situations, from menopause to transitioning) the risk of cancer goes up significantly when you are drinking. For example, post-menopausal women who are taking HRT and drink one or two alcoholic drinks per day have a breast cancer risk that is three times higher than women who don’t drink and don’t take HRT.

Alcohol also increases the risk of many types of cancer in people regardless of sex or hormonal system. Heavy drinking can increase the risk of stomach, prostate, and pancreas cancer (among others).

Light drinking, even a single drink each day, can increase the risk of several other types of cancer in any person (for instance liver cancer and colon cancer)

Of these, one notable and significant risk increase is for breast cancer in a person with high levels of estrogen.

Sexism and especially misogyny in medicine is a real issue but the information in this post is good and should not be dismissed on the assumption that medicine is probably wrong and sexist when it says things are “different for women than men”, even tho we may wish they would use other language to describe that situation (i do like estrogenized endocrine system here, because that is the relevant part of the biology).