Multiattack. The wormhearted suffragan makes two Worm-Coated Fist or Paralyzing Bolt attacks.

Worm-Coated Fist. Melee Weapon Attack: +6 to hit, reach 5 ft., one target. Hit: 10 (2d6 + 3) bludgeoning damage plus 7 (2d6) necrotic damage, and the target must succeed on a DC 14 Constitution saving throw or contract a disease. Until the disease is cured, the target can't regain hp, and its hp maximum decreases by 7 (2d6) every 24 hours. This reduction lasts until the target finishes a long rest after the disease is cured. The target dies if this effect reduces its hp maximum to 0.

Paralyzing Bolt. Ranged Spell Attack: +6 to hit, range 60 ft., one target. Hit: 17 (4d6 + 3) necrotic damage, and the target must succeed on a DC 14 Constitution saving throw or be paralyzed until the end of its next turn.

Animating Worms (3/Day). The wormhearted suffragan touches the body of a dead Humanoid, passing on some of the suffragan's worms. The worms fill the target, animating it as a skeleton or zombie (the suffragan's choice) under the suffragan's control.