Bloody Asphyxiation

Necromancy [Evil]
Level: Sor/Wiz 3
Components: V
Casting Time: 1 action
Range:Medium (100 ft. + 10
Target: One humanoid
Duration: Instantaneous
Saving Throw: Fortitude negates
Spell Resistance: Yes

The subject’s lungs fill with blood if the subject fails a Fortitude saving throw. To avoid drowning, the subject can hold his breath. The subject gains a new save (to expel the blood) every 2 rounds after the first. While holding his breath with blood-filled lungs, a character cannot talk or cast spells with verbal components, and he takes a –2 circumstance penalty on attack rolls, saving throws, ability checks, and skill checks.