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What will you set your mind on? There is no second chances here. You can also combine any number of these together.
>A - Go with fire. Burn the worm. [Will cost your Ignition spell and 3d10 fatigue for pushing it to level 3, the highest you can possibly go.]
>B - Fast freeze it. [Will cost your Rapid Cooling spell and 3d10 fatigue.]
>C - Cast Changing of Shapes on a metal cutlery. You can make a pincer with it. [Will cost the spell and 2d10 fatigue.]
>D - Another idea? Write in.
>E - You can also leave this for another time. The girl won't die, yet. But she is suffering.