As stated, this spell is generally used for good purposes, but it can be used for more disturbing things. It is a favorite among low level necromancers who use it to sew up enemy's eyes, nostrils or lips. This, of course, makes it nigh impossible for enemy casters to complete spells. It can also cause your enemy to suffocate, taking 1d4 points of damage per round once he is no longer able to hold his breath. Do keep in mind, however, that the sutures are not all that strong and can be broken. So, even if you sew an enemy's orifices shut, he can still force them open, but it will tear the flesh about his lips/eyes/nose just as if they had been sewn with a needle, doing 1d3 points of damage.