Shinobi subclass
Path of the Medical Shinobi
Healing, stabilization, and precise chakra control used to keep allies alive.
Path of the Medical Shinobi changes how the Shinobi applies chakra, techniques, reactions, and path features during play.
This page collects the path overview, feature progression, subclass features, and playstyle guidance.
Path Overview
Medical Shinobi use precise chakra control to close wounds, remove toxins and manipulate the biological systems of living creatures.
The same knowledge that repairs tissue can also interrupt nerves, disable muscles and prevent an enemy from recovering.
Path Features
| Shinobi Level | Feature |
|---|---|
| 3 | Medical Training |
| 6 | Chakra Scalpel |
| 10 | Cellular Restoration |
| 14 | Regenerative Seal |
Medical Training
Gain proficiency in Medicine. If you already have proficiency in Medicine, your proficiency bonus is doubled for checks made with it.
You learn First Aid Technique if you do not already know it. It does not count against your number of techniques known.
A creature can regain hit points from your First Aid Technique twice per short or long rest instead of once. Whenever one of your Shinobi techniques restores hit points to a creature, that creature also gains temporary hit points equal to your proficiency bonus.
Chakra Scalpel
As a bonus action, you can expend 1 Chakra Point to form a chakra scalpel around one or both hands for 1 minute.
- Your unarmed strikes can deal force damage instead of bludgeoning damage.
- You can use Wisdom instead of Strength or Dexterity for the attack and damage rolls of your unarmed strikes.
- Once on each of your turns when you hit a creature with an unarmed strike, the creature takes an additional 1d8 force damage.
- A creature damaged by the additional force damage cannot regain hit points until the start of your next turn.
The effect ends early if you become unconscious.
Cellular Restoration
As an action, touch a living creature and expend 3 Chakra Points. Choose one effect.
- End the blinded condition.
- End the deafened condition.
- End the paralyzed condition.
- End the poisoned condition.
- End one disease affecting the target.
- Reduce the target exhaustion level by 1.
A creature cannot have its exhaustion reduced by this feature again until it finishes a long rest.
Regenerative Seal
When you finish a long rest, place a Regenerative Seal on yourself or one willing creature you touch. The seal remains until you finish another long rest or place it on a different creature.
When the sealed creature is reduced to half its hit point maximum or lower, you or the sealed creature can use a reaction to activate the seal.
The creature regains 4d8 + your Wisdom modifier hit points and can immediately end one of these conditions: blinded, charmed, deafened, frightened, paralyzed, poisoned, or stunned. Once activated, the seal disappears.
Play This Path If You Want To
- Heal party members.
- Remove dangerous conditions.
- Stabilize injured allies.
- Fight with precise chakra scalpels.
- Combine support with melee pressure.
FAQ
What is the Path of the Medical Shinobi?
The Path of the Medical Shinobi is a support and precision-melee Shinobi Path built around healing, condition removal and biological chakra control. It gains Medical Training, Chakra Scalpel, Cellular Restoration and Regenerative Seal, allowing the character to heal more efficiently, fight with Wisdom-powered unarmed strikes and remove dangerous conditions.
Read more: Path of the Medical Shinobi 
D&D Portal - What is the Path of the Medical Shinobi? Path of the Medical Shinobi FAQ The Path of the Medical Shinobi is a support and precision-melee Shinobi Path built around healing, condition removal and biological chakra control. It gains Medical Training, Chakra Scalpel, Cellular Restoration and Regenerative Seal, allowing the character to heal more efficiently, fight with Wisdom-powered unarmed strikes and remove dangerous conditions. Full link: https://dnd-portal.com/faq/path-of-the-medical-shinobi/what-is-the-path-of-the-medical-shinobi/
What are the main Path of the Medical Shinobi features?
The Path gains Medical Training at 3rd level, Chakra Scalpel at 6th, Cellular Restoration at 10th and Regenerative Seal at 14th. Together they strengthen First Aid, add a Wisdom-based melee mode, remove serious conditions and provide a prepared emergency heal.
Read more: Path of the Medical Shinobi D&D Portal - What are the main Path of the Medical Shinobi features? Path of the Medical Shinobi FAQ The Path gains Medical Training at 3rd level, Chakra Scalpel at 6th, Cellular Restoration at 10th and Regenerative Seal at 14th. Together they strengthen First Aid, add a Wisdom-based melee mode, remove serious conditions and provide a prepared emergency heal. Full link: https://dnd-portal.com/faq/path-of-the-medical-shinobi/what-are-the-main-path-of-the-medical-shinobi-features/
How do you build and play a Medical Shinobi?
Prioritize Wisdom, keep Dexterity and Constitution healthy, and treat healing as one part of the character rather than the only job. Use First Aid and condition removal when they prevent an ally from losing meaningful turns, while Chakra Scalpel lets you contribute direct melee pressure without abandoning the support role.
Read more: Path of the Medical Shinobi D&D Portal - How do you build and play a Medical Shinobi? Path of the Medical Shinobi FAQ Prioritize Wisdom, keep Dexterity and Constitution healthy, and treat healing as one part of the character rather than the only job. Use First Aid and condition removal when they prevent an ally from losing meaningful turns, while Chakra Scalpel lets you contribute direct melee pressure without abandoning the support role. Full link: https://dnd-portal.com/faq/path-of-the-medical-shinobi/how-do-you-build-and-play-a-medical-shinobi/
How do First Aid Technique and Medical Training work together?
Medical Training gives you First Aid Technique if you do not already know it and makes it a stronger repeatable support tool. A creature can regain hit points from your First Aid Technique twice per short or long rest instead of once, and whenever one of your Shinobi techniques restores hit points, the target also gains temporary hit points equal to your proficiency bonus.
Read more: Path of the Medical Shinobi D&D Portal - How do First Aid Technique and Medical Training work together? Path of the Medical Shinobi FAQ Medical Training gives you First Aid Technique if you do not already know it and makes it a stronger repeatable support tool. A creature can regain hit points from your First Aid Technique twice per short or long rest instead of once, and whenever one of your Shinobi techniques restores hit points, the target also gains temporary hit points equal to your proficiency bonus. Full link: https://dnd-portal.com/faq/path-of-the-medical-shinobi/how-do-first-aid-technique-and-medical-training-work-together/
How do Chakra Scalpel, Cellular Restoration and Regenerative Seal differ?
Chakra Scalpel is an offensive 1-minute melee mode, Cellular Restoration is an action-based condition-removal tool fueled by 3 Chakra Points, and Regenerative Seal is a long-rest preparation that later triggers a large emergency heal plus condition removal. They solve different problems and should not be treated as interchangeable healing buttons.
Read more: Path of the Medical Shinobi D&D Portal - How do Chakra Scalpel, Cellular Restoration and Regenerative Seal differ? Path of the Medical Shinobi FAQ Chakra Scalpel is an offensive 1-minute melee mode, Cellular Restoration is an action-based condition-removal tool fueled by 3 Chakra Points, and Regenerative Seal is a long-rest preparation that later triggers a large emergency heal plus condition removal. They solve different problems and should not be treated as interchangeable healing buttons. Full link: https://dnd-portal.com/faq/path-of-the-medical-shinobi/how-do-chakra-scalpel-cellular-restoration-and-regenerative-seal-differ/