SickNerd is the second encounter in the Theatre of Blood. It was created by a crazy vampyre known as "The Butcher" upon Verzik Vitur's request.

According to a book titled The Butcher, the Bloat was created by using three giant heads, an ogre's corpse, four buckets of human blood, two cyclopes arms, two catablepon legs, an apple pie and a sense of pride.


The bloat will walk around its room in a square as soon as the party enters the room. If any player is within its line of sight, the Bloat's flies will attack them, causing players to take rapid hits of 10-20 every tick until they are out of the Bloat's line of sight. This will spread to other players in the raid also and can therefore kill a party very quickly.

After seven or fourteen cycles of mutilated flesh falling from the ceiling, it will stop moving, allowing players to attack it. After a few seconds, it will stomp the surrounding area, dealing large amounts of damage. If a player is hit by a mutilated flesh, it will deal 30-50 damage and stun them temporarily. Falling flesh can be evaded beforehand by looking for their shadow on the floor.

The bloat will also change direction randomly throughout the fight. Along with this, it will also change the speed at which it is walking. It has 3 different speeds of walking.


  • Upon release, the Pestilent Bloat's falling flesh attack would fall so quickly that it was nearly impossible to dodge. The falling flesh were changed to fall one tick slower in a hotfix on 8 June 2018, and was made another tick slower in an update on 21 June 2018, with their shadows increasing in size as they approach the ground.

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