When you speak the dread word, name an object that your voice can reach—it shatters, unravels, or is otherwise unmade. Then roll +CON: on a 10+, pick 1; on a 7-9, pick 1 and the GM picks another; on a 6-, pick 1 in addition to whatever else the GM says; regardless, if the item you destroyed was indestructible, pick 1 more.

• Your throat burns and your tongue blisters; mark miserable and you can barely whisper for a few days.
• Your ears and those of all who heard the word start bleeding (1d4 damage, ignores armor, temporarily deafened).
• 1d4 other objects of the GM's choice also shatter/unravel/are unmade.
• This place is corrupted by the Things Below; if already corrupted, it gets worse; otherwise, it is now a shunned place, a place of disquiet and unease.