Thrull

This abomination is composed of four human arms mounted on a mangled, sewn-in torso. A living humanoid head protudes from the torso, allowing the beast some reasoning amidst the madness of its own existence. The creature haphazardly walks on its three lower limbs resembling a grotesque spider, while the fourth carries a scalpel stolen from its masters.
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Thrull

A Monk's tale shaarlander