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C'mon get down with the Ray of Sickness
I would never choose it as one of my spells, however the Staff of Crones, which essentially lets you cast it as a cantrip (at the cost of taking some poison damage yourself) is kind of cool, especially if you wear the Ring of Poison Resistance and Poisoner's Robe.
It used to be
But now we have level 5, so your cantrips are better.
Surface is just a nice ekstra
In theory it could be used on hard hitting fatties, but again CON save will make it almost impossible to hit. So in terms of debuff spell like 'blindness' would be better, in terms of damage — almost any dd spell would be better too )
As to pro: if you're feeling lucky — twin it with sorcerer to make 2 mobs sickened and damaged for 1 sorc point :)
things like poison which is consider most useless damage type in DND because lot of monster have poison resistance/immunity. but not player so they are more to target on players
Or some more items like Poisoner's Robe could change it.
https://imgur.com/WhO8qX3
Only requires attack roll, poison is guranteed(?) and can apply to more than 1 target (surface)
Ray of Sickness
https://imgur.com/xAIFdff
Requires attack roll and poison is not guaraneed (requries CON save)
In case when you have your teammate in range of target's AoE it Orb will hurt your ally.
Also it doesn't have sickness.
From point of damage view Ray it's useless, no doubts. Thunder 3d8 orb would look more interesting.
It could be only be considered as damage/debuff spell. But still meh.
Poisoned
A poisoned creature has disadvantage on Attack rolls and Ability Checks.
https://baldursgate3.wiki.fextralife.com/Poisoned
Think about the naming. 'Sickness' itis not just like that.
Orb is creating poison surface, but doesn't has the debuff AFAIK. Also Larian just made a broken spell again, which must not have AoE initially. They removed from orb's damage 1d8 but made it with aoe surface (Larian style — more surfaces!).
Initially in 5e Orb spell has to deal 3d8 with any element with no side effects. Elemental Damage only.
And also — the reason why it's so strong: it must consume diamond 50 or 100 gold.
most spells are niche uses, the whole point of casters is that they have a spell for every situation. poison is a very good status effect to have, its only problem is that magic spells you -want- to land are usually only useful against the very enemies that will resist it/make the save. Thats sort of the problem with magic in 5e.
set your intelligence to 30 with cheats and see if the game feels any better as a caster.
im betting itll feel better, but not nearly as broken as you think lol.
I suppose the only saving grace is some draconic sorcerers could add their charisma mod to the spell's damage at level six. Why they picked a bloodline that buffs poison damage I'll never understand.