Killer Instinct (Tsathoggua)

Killer Instinct (Tsathoggua): Once you killed and ate with your hands, do so again…You gain a natural slam attack that does 1d4 (1d3 for small creatures) bludgeoning damage. If you use any other attacks this is a secondary natural attack. If this is the only attack you use on your turn, this is a primary natural attack.

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