A creature that fails its saving throw against the rotsam’s diseased bite attack becomes infected with the bog rot disease. Until the disease is cured, the infected creature’s skin breaks out in a rot-like rash that slowly spreads across its body, and its hp maximum decreases by 7 (2d6) for every 24 hours that elapse. After the first 24 hours, the creature’s skin starts to smell like rot, and creatures have advantage on Wisdom (Perception) and Wisdom (Survival) checks to find the infected creature. The reduction and rot smell last until the disease is cured. The creature dies if the disease reduces its hp maximum to 0.

The rotsam can climb difficult surfaces, including upside down on ceilings, without needing to make an ability check.

The swarm can occupy another creature’s space and vice versa, and the swarm can move through any opening large enough for a Tiny rotsam. The swarm can’t regain hp or gain temporary hp.