Telekinetic Strangulation

You telekinetically grasp a creature's throat or similar vital anatomy with a vicelike grip, forcefully lifting it a few inches off the ground as it struggles to breathe. Make a ranged spell attack against the target's AC. On a hit, you deal 6d12 bludgeoning damage, and the target is Immobilized. While Immobilized in this way, it must hold its breath or begin suffocating. The first time each round you Sustain the spell, the target takes 1d12 bludgeoning damage, remains immobilized, and must continue holding its breath. The target can attempt to Escape (the Escape DC is your spell DC, and the attempt is affected by the Incapacitation trait).

Rank 6 · Traditions Divine, Occult · Cast 2 actions · Range 30 feet · Target 1 creature · Duration sustained up to 1 minute · Defense Ac