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From PathfinderWiki
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A bloatmage.
(Prestige class)
Region Any
Races Any
Classes Arcane spell casters
Progression 10 levels

Source: City of Strangers, pg(s). 60-61

Bloatmages, also known as hemotheurges (or haemotheurges) or bloodcasters, are arcanists who cast spells strengthened by their own blood.[1] They produce excess blood to be used for power in spells and rituals. This blood pools in the folds of skin as blood vessels burst, giving the hemotheurge a grotesquely overweight look that gives rise to their common name.[2][3]

Use of leeches

Bloatmages use leeches to increase the blood flow in their bodies and clean the blood of toxins left behind from the spells they create. With all of the excess blood flowing through their veins, these mages place their leeches strategically, for they have found the extra blood can cause tantrums of uncontrolled rage where fat limbs and blood magic can be thrown around haphazardly. The leeches serve a higher purpose than managing the demeanor of the bloatmages, though, and if too many of them are removed for an extended period of time, the hemotheurge risks death due to over-saturation of blood within their system or simply bleeding to death.[2][4][5]

Haemotheurgy or blood magic

The craft of the bloatmages is known as hemotheurgy (haemotheurgy), or more prosaically as blood magic.[6]

Bloatmages on Golarion