Fuckin’ Ow.
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I can speak from personal experience it feels a hell of a lot more than 1d4 damage.
Give em the old dick twist
1d4? Testicular torsion is basically always lethal…
Nothin a hot shower and shaking the old ball bag can’t fix.
To the testes not the person (long-term maybe) but it is usually easily treated if soon enough.
Oh yeah, I meant when untreated.
Wizards banned it, clerics swear by it.