Bloodheart Stake. The impaler is magically bound to the ceremonial stake and the sacrificed corpse the ritual caster used to create it. If the impaler is reduced to 0 hit points, it disappears, then re-forms 1d8 hours later in the nearest unoccupied space to the stake and regains all its hit points. The impaler dies only if it is reduced to 0 hit points while either the ceremonial stake is removed from the sacrifice's corpse or the impaler is on a different plane of existence from that corpse.
Legendary Resistance (3/Day). If the impaler fails a saving throw, it can choose to succeed instead.
Multiattack. The impaler makes one Spike attack and two Wicked Spear attacks.
Spike. Melee Weapon Attack: +11 to hit, reach 5 ft., one target. Hit:15 (2d8 + 6) piercing damage, and the target's speed is halved until the start of the impaler's next turn.
Wicked Spear. Melee or Ranged Weapon Attack: +11 to hit, reach 10 ft. or range 20/40 ft., one target. Hit:13 (2d6 + 6) piercing damage plus 13 (3d8) necrotic damage.
Spike Burst (Recharge 5–6). Twisted, spectral spikes shoot out from the impaler's body. Each creature within 30 feet of the impaler must make a DC 19 Dexterity saving throw, taking 40 (9d8) force damage on a failed save or half as much damage on a successful one.
Speed Spike. The impaler teleports up to 30 feet to an unoccupied space it can see. It can then make a Spike attack.
Deepen Wounds (Costs 2 Actions). Each creature whose speed is currently reduced by the impaler's Spike attack takes 18 (4d8) necrotic damage.
In the Domains of Dread, practitioners of foul magic perform a profane ritual that turns living creatures into fiendish killers. This ritual necessitates the use of a ceremonial stake, which is plunged into the heart of a living sacrifice. The hulking form of the relentless impaler then emerges from the sacrifice's pool of blood, spear in hand.