- Prerequisites: Martial Arts
Your unarmed or natural attacks can deal either Bludgeoning or Piercing damage. If you critically hit a foe with your unarmed strike or natural attack while doing Piercing damage, the additional pain caused by the strike causes your target to become Sickened for 1 round (or Staggered for 1 round if the target is already Sickened). Multiple critical hits in a round against a single foe do not increase the duration of the Sickened or Staggered condition.