Turn
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If a modifier is listed after Type, this alters the effective Turning Level of a character. If it lists Level, it uses the Level of the character. If it lists Level + or - a modifier, it uses Level modified by this - this is usually a Class Feature. If it simply lists a modifier of + or -, the character adds this to their current Turning Level. Most characters have a Turning Level of 0, unless they gain it from a Class - any modifier is thus applied to this.
For example, a 10th Cleric has Turn [Undead, Level] meaning they have a Turning Level of 10. A 10th Level Paladin has Turn [Undead, Evil Outsider, Level -2] meaning they have a Turning Level of 8. A 10th Level Thief with an Amulet of Turning has Turn [Undead, +2] meaning they have a Turning Level of 2. If the Thief gave the Paladin this item, it would bring their Turning Level up to 10 or the Cleric's to 12.
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