Dealing damage with spells and abilities has a chance to apply a stack of Ever-Decaying Spores to your target. At 5 stacks the spores rapidly decay and inflict X Nature damage over 10 sec. Sometimes the spores will immediately decay and inflict 3.8553 × SP Nature damage to you. This effect is increased by 100% if you equip an item crafted with a Toxified Armor Patch.