Needs review
Source: Dragon Magazine #336

Description: Your Blasphemous Utterance becomes so terribly discordan t and unnatural that it makes unprepared listeners physically ill.

Prerequisites: Bardic Music, Undertone of Heresy, Blasphemous Utterance, Perform (12 ranks)

Your Blasphemous Utterance affects creatures in a more powerful way. Creatures with fewer Hit Dice than you are paralyzed, those with an equal number of Hit Dice become nauseated and creatures with up to 3 Hit Dice more than you are sickened. All three effects last tor a number of rounds equal to 1d4 + your Charisma modifier. This replaces the effect of Blasphemous Utterance. It otherwise functions as that ability.