Chirurgeon (5A)

Whoo-hoo-hoo, look who knows so much. It just so happens that your friend here is only MOSTLY dead. There's a big difference between mostly dead and all dead. Mostly dead is slightly alive.
—Miracle Max, the Princess Bride 1987

The chirurgeon is a practitioner of the art of health care. They use their knives to cut away unsightly hair and blemishes, to drain pustules, amputate limbs, and otherwise bring forth health and beauty through selective destruction. They use leeches to remove harmful substances, curses, and even spell effects. They use medicines to counter disease and ailments. They use massage to promote well-being and bring forth inner energy. Naturally, all this requires a practical knowledge of anatomy, which can also make chirurgeons dangerous in combat when they get a good opening to use their skills for destruction.

The chirurgeon archetype represents a non-supernatural healing tradition. Because supernatural healing is the norm in the game, and natural healing is also rather quick and simple, the efficiency of the chirurgeon's healing abilities have to be rather cinematic to be at all competitive. The chirurgeon also uses some methods that are not recommended medical practice today but a part of medieval medicine—like bleeding. Do not try this at home.

Bonus Proficiencies

At 3rd level when you pick this archetype, you have already faced your share of death, and are now set on fighting plague and illness. You gain proficiency in the Healing skill, with the herbalism kit, and with Constitution saving throws. If you are already proficient with the Medicine skill you can replace this with another skill. If you are already proficient with the herbalism kit, you can replace this with another tool kit. When you gain expertise, add Medicine to the options you can select.

Healing Balms

At 3rd level during a short rest you can add your Medicine proficiency bonus to each hit die you or a companion spends to recover hit points. Any saving throws made during a long or short rest can add your Medicine proficiency bonus to the result. Undead and constructs cannot benefit from this ability.

First Aid

At 3th level you can spend an action to give first aid to an adjacent willing creature to gain all of the following effects. Undead and constructs cannot benefit from this ability.

The ally gains a number of temporary hit points equal to your Medicine proficiency bonus. This cannot exceed the damage your ally has taken. These temporary hit points last until the ally takes a long or short rest.
Select one ongoing, non-permanent effect on the patient that allows a saving throw and make an Intelligence (medicine) check. If you succeed against the save DC, the effect ends.
The ally is grappled for one round as you provide care.

Lesser Surgery

At 9th level you can use surgery to cure minor ailments. Undead and constructs cannot benefit from this ability. The patient is cured of any one effect or condition that is not permanent. This includes spells, but not curses and cannot cure exhaustion. Lost limbs can be replaced if a limb is available, either the creature's own or that of another similar creature. Body parts must be no more than 3 days old or well preserved to be used. Alternatively, make an Intelligence (medicine) check and restore this many hit points. Surgery to restore hit points or remove one effect takes 1 minute and causes the patient one level of exhaustion. The patient has to be restrained during the procedure.

Revivification

At 13th level you can restore the recently dead to life. Undead and constructs cannot benefit from this ability. A creature that suffered instant death cannot be revivified, and the corpse can be no more than 3 days old. A revivification takes an hour and the patient has to be restrained during the procedure. The creature is restored to 1 hit point and gains 4 levels of exhaustion. This neutralizes any poisons and cures diseases that affected the creature at the time it died. Revivification doesn’t remove magical diseases, curses, or similar effects; they take effect when the creature returns to life. Revivification closes all mortal wounds, but it doesn’t restore missing body parts. If the creature is lacking body parts or organs integral for its survival-its head, for instance-revivification automatically fails.

Major Surgery

At 17th level your surgery options expand dramatically. Undead and constructs still cannot benefit from this ability. The patient can be cured of any one effect except exhaustion. This includes permanent effects, magical effects, curses, and spells. A dead creature can be revived provided its head is available and preserved. Alternatively, major surgery can restore all hit points. Surgery to restore hit points or remove one effect takes 1 minute and causes the patient one level of exhaustion. The patient has to be restrained during the procedure.