| Hit Dice: | 4d12+3 (29 hp) |
| Initiative: | +3 |
| Speed: | 30 ft. (6 squares) |
| Armor Class: | 17 (+3 Dex, +4 natural), touch 12, flat-footed 14 |
| Base Attack/Grapple: | +2/+5 |
| Attack: | Bite +5 melee (1d8+3 plus paralysis) |
| Full Attack: | Bite +5 melee (1d8+3 plus paralysis) and 2 claws +1 melee (1d4+1 plus paralysis) |
| Space/Reach: | 5 ft./5 ft. |
| Special Attacks: | Ghoul fever, paralyis, spell-like abilities, stench |
| Special Qualities: | Darkvision 60 ft., undead traits, turn resistance +4 |
| Saves: | Fort +3, Ref +6, Will +8 |
| Abilities: | Str 17, Dex 17, Con —, Int 13, Wis 14, Cha 16 |
| Skills: | Balance +7, Climb +9, Hide +8, Jump +9, Move Silently +8, Spot +8 |
| Feats: | Multiattack, Toughness |
| Environment: | Any |
| Organization: | Solitary, gang (2–4), or pack (2–4 plus 7–12 ghouls) |
| Challenge Rating: | 4 |
| Treasure: | Standard |
| Alignment: | Always chaotic evil |
| Advancement: | 5–8 HD (Medium) |
| Level Adjustment: | — |
Ghoul Fever (Su): Disease—bite, Fortitude DC 15, incubation period 1 day, damage 1d3 Con and 1d3 Dex. The save DC is Charisma-based.
Paralysis (Ex): Those hit by a ghast’s bite or claw attack must succeed on a DC 15 Fortitude save or be paralyzed for 1d4+1 rounds. Even elves can be affected by this paralysis. The save DC is Charisma-based.
Stench (Ex): The stink of death and corruption surrounding these creatures is overwhelming. Living creatures within 10 feet must succeed on a DC 15 Fortitude save or be sickened for 1d6+4 minutes. A creature that successfully saves cannot be affected again by the same ghast’s stench for 24 hours. A delay poison or neutralize poison spell removes the effect from a sickened creature. Creatures with immunity to poison are unaffected, and creatures resistant to poison receive their normal bonus on their saving throws. The save DC is Charisma-based.
Spell-Like Abilities: 3/day—darkness, magic missile; 1/day—acid arrow, flame arrow, obscuring mist, vampiric touch. Caster level 4th; save DC 17 + spell level.
Source: Monster Manual II, page 216. This creature’s statistics block has been updated to version 3.5 as given in the D&D® V.3.5 Accessory Update for Monster Manual II.