Bestiary‎ > ‎(Bestiary) By Type‎ > ‎Undead‎ > ‎Beheaded‎ > ‎Beheaded, Medusa‎ > ‎Medusa Head, Screaming‎ > ‎

Medusa Head, Shrieking

Shrieking Medusa Head CR 4

XP 1,200
Advanced screaming medusa head
NE Small undead
Init +3; Senses darkvision 60 ft.; Perception +2


AC 19, touch 14, flat-footed 16 (+3 Dex, +5 natural, +1 size)
hp 34 (4d8+16)
Fort +5, Ref +4, Will +6
Immune undead traits


Speed fly 40 ft. (perfect)
Melee bite +8 (1d4+4 plus petrifying bite)
Special Attacks scream


During Combat If there are multiple medusa heads present, on the first round of combat, one medusa heads screams while another bites the closest opponent. They alternate screaming to affect as many foes as possible while trying to turn foes to stone with their petrifying bites.

Morale Medusa heads fight until destroyed.


Str 18, Dex 16, Con —, Int —, Wis 15, Cha 19
Base Atk +3; CMB +6; CMD 19 (can't be tripped)
Feats Flyby AttackB
Skills Fly +11


Petrifying Bite (Su)

Creatures bitten by a shrieking medusa head must make a DC 16 Fortitude save or turn to stone for 1d4 rounds. Targets immune to poison are immune to this effect. The save DC is Charisma-based.

Scream (Su)

Once every 1d4 rounds, a shrieking medusa head can open its jaw and emit a bone-chilling scream. Each creature within 30 feet must make a DC 16 Will save or be shaken for 1d4 rounds. This is a sonic mind-affecting fear effect. Whether or not the save is successful, an affected creature is immune to the same head’s scream for 24 hours.