Character Overview
Ability Score Breakdown
Convinced billionaires, generals, and a former Secretary of State
Knew enough to be dangerous. Not enough to deliver.
Believed she could fake it until she made it. She could not.
Dodged accountability for a remarkably long time
Average stamina, above-average audacity
All power was illusory
Equipment Inventory
Black Turtleneck of Deception
Rare (Cursed)A black turtleneck that grants +5 to all Deception checks when worn. The wielder is compelled to wear it at all times — board meetings, press events, blood draws, court appearances. The turtleneck is a deliberate copy of the Turtleneck of Simplicity (see: Steve Jobs) but without any of the substance behind it. The curse: the wielder begins to believe their own illusions. This is the critical failure condition that brought down the entire campaign.
Prototype That Doesn't Work
Uncommon (Fake)A small box with blinking lights and tubes that claims to run 200 medical tests from a single drop of blood. It does not work. It has never worked. The box occasionally produces results, but they are generated by third-party devices hidden inside — a literal illusion within an illusion. When investors ask for a demonstration, Holmes activates Minor Illusion to make it appear functional. The DM has ruled that this item has a DC 0 Investigation check to see through. Nobody rolled.
Voice Modulator Amulet
RareAn amulet that lowers the wielder's voice by two full octaves, granting +2 to Intimidation checks and an indefinable sense of authority. Holmes activated this amulet in every public appearance. Former employees have confirmed the voice is artificial. The amulet's enchantment breaks occasionally in unguarded moments, revealing the wielder's natural speaking voice. The party finds this deeply unsettling.
Board of Directors Shield (Ornamental)
Rare (Non-functional)A decorative shield bearing the names of Henry Kissinger, George Shultz, James Mattis, and other legendary warriors. The shield provides no actual AC bonus. It exists solely to make investors feel safe. The warriors whose names adorn the shield had no medical expertise whatsoever — they were there because Holmes convinced them to be there, which is the most terrifying Deception check in this campaign.
NDA Scroll of Silence
Very RareA legal scroll that, when signed, prevents the target from speaking about anything they witnessed at Theranos. Holmes required every employee, contractor, and visitor to sign this scroll. The silence effect is so powerful that it took a Wall Street Journal investigative reporter (John Carreyrou, a Rogue with expertise in Investigation) to finally break the enchantment. Even then, it required multiple sources willing to violate the scroll's terms.
Spell List
Campaign Logs
The rise and fall of the greatest deception in Silicon Valley history, told as a D&D campaign that ended in the only TPK in this compendium.
The Stanford Dropout Arc (Level 1–3)
Holmes drops out of Stanford at 19, claiming she will revolutionize blood testing. She has no medical degree. No engineering background. No laboratory experience. What she has is CHA 18 and a vision so audacious that people assume she must know something they don't. She does not. She raises $6 million in seed funding on the strength of a PowerPoint presentation and unwavering eye contact. The DM notes that no Insight check was rolled by any investor. Not one.
The Walgreens Partnership: Bluffing Past the Guard (Level 4–7)
Holmes convinces Walgreens — one of the largest pharmacy chains in the realm — to partner with Theranos. Walgreens sends a due diligence team. Holmes blocks their access to the lab. She shows them curated demos on devices that are mostly for show. The due diligence team raises concerns. Walgreens' leadership overrides them because Holmes is so convincing. This is a CHA 18 Deception check against a corporate Investigation check, and the CHA wins. The DM is visibly uncomfortable.
The Magazine Cover Era: Peak Illusion (Level 7–10)
Holmes appears on the covers of Fortune, Forbes, and Inc. She is called 'the next Steve Jobs.' She is valued at $9 billion gold pieces — making her the youngest self-made female billionaire in the realm. The illusion is complete. Major Image has been upcast to 9th level. Nobody can see through it because nobody is looking. The black turtleneck. The unblinking stare. The baritone voice. The entire persona is a spell, and the entire realm is a willing target.
The Whistleblowers: Cracks in the Illusion (Level 10–12)
Two former employees — Tyler Shultz and Erika Cheung — begin talking to journalist John Carreyrou. They are low-level adventurers who saw behind the curtain and chose to speak despite the NDA Scroll of Silence. Holmes activates Counterspell. She sends lawyers. She threatens families. George Shultz, Tyler's own grandfather and a Theranos board member, sides with Holmes over his own grandson. The intimidation checks succeed temporarily. But Carreyrou keeps investigating. He is a Rogue with +12 to Investigation. Holmes's Deception of +9 is not enough.
The Unraveling: Failed Deception Checks (Level 12–14)
The FDA, CMS, and SEC all begin investigating. Holmes is called to testify. She uses every tool: the turtleneck, the voice, the eye contact, the rehearsed answers. But the investigators are rolling with advantage now, and Holmes's Deception bonus is not enough to overcome a DC 20 check with disadvantage from mounting evidence. The lab is shut down. Partners withdraw. Employees flee. The $9 billion valuation evaporates like an illusion that was, in fact, an illusion.
The Trial: The Final Session (Level 14–15)
Holmes stands trial for fraud. This is the final session of the campaign. She has lost the Turtleneck of Deception (worn in court, but its power is broken). The Voice Modulator Amulet has been removed as evidence. The Board of Directors Shield has been shattered — every name on it has distanced themselves. She attempts one final Deception check: 'I believed in the mission.' The jury rolls Insight. They roll well. She is convicted on four counts of fraud. The DM declares this a TPK — Total Party Kill — for the entire Theranos party.
Personality Traits, Ideals, Bonds & Flaws
Personality Traits
- •Maintains unblinking eye contact for uncomfortable durations. The party has timed it at 11 seconds without blinking.
- •Never admits a mistake. Never. Even when the prototype is literally on fire.
- •Copies the mannerisms of more successful party members (Jobs turtleneck, Jobs presentation style, Jobs reality distortion — without Jobs' product).
- •Speaks in sweeping declarations about 'changing the world' while the world remains unchanged.
Ideals
- •Vision: If you believe in it hard enough, it becomes real. (It did not become real.)
- •Disruption: The existing system is wrong and only she can fix it. (She could not fix it.)
Bonds
- •Bound to the illusion — even after conviction, she has never fully acknowledged the deception.
- •Bound to Sunny Balwani — her co-conspirator and romantic partner who managed the lab. Also convicted.
- •Bound to the black turtleneck — it is more than clothing. It is the entire character build.
Flaws
- •WIS 6 — the lowest in the entire campaign. She could not see the inevitable consequences of building a company on lies.
- •Believed her own illusions. This is the fatal flaw that turns Illusion Wizards into Chaotic Evil characters.
- •The voice was fake. The technology was fake. The demos were fake. The only real thing was the conviction.
- •Could not distinguish between 'vision' and 'fraud.' This distinction matters.
The Alignment Debate: Why Chaotic Evil
This is the most controversial alignment on the list, and it's the one we're most confident about. Elizabeth Holmes is Chaotic Evil. Here's the argument.
Evil: Theranos ran blood tests on real patients with a device that did not work. Real people received incorrect test results. Misdiagnoses happened. Patients made medical decisions based on false information generated by a machine that Holmes knew was unreliable. This is not "aggressive business tactics." This is endangering human lives for personal enrichment. The Evil alignment does not require mustache-twirling villainy. It requires prioritizing the self at the expense of others' well-being. Holmes did this. Systematically.
Chaotic: Holmes did not follow rules. She broke FDA regulations. She intimidated whistleblowers. She fabricated test results. She lied to investors, partners, and patients. She created a culture of fear and secrecy that violated every norm of corporate governance, scientific integrity, and basic honesty. Lawful Evil characters operate within the system. Holmes operated outside every system designed to prevent exactly what she did.
Chaotic Evil — the alignment of someone who broke every rule, endangered real lives, and did so while wearing a turtleneck borrowed from a better character. The DM did not enjoy this campaign arc. Neither did the patients.
DM's Note: The Difference Between Holmes and Jobs
Both wore black turtlenecks. Both had reality distortion fields. Both asked people to believe in something that didn't exist yet. The difference: Jobs built the thing. The iPhone worked. The Mac worked. The iPod worked. Holmes never built the thing. The turtleneck without the product is not "visionary leadership." It is a costume. And a Disguise Self spell does not make you the person you are disguised as. It makes you a fraud wearing their clothes.
“The DM asked me to roll a Deception check. I rolled a 22. He asked: 'What are you trying to convince them of?' I said: 'That the machine works.' He asked: 'Does the machine work?' I said: 'Not yet.' He said: 'When will it work?' I said: 'Soon.' That was 11 years ago. The machine never worked. The Deception checks eventually failed. They always do.
Get Glen's Musings
Occasional thoughts on AI, Claude, investing, and building things. Free. No spam.
Unsubscribe anytime. I respect your inbox more than Congress respects property rights.
Keep Exploring
All D&D Character Sheets
11 billionaires as D&D characters. Full stats, equipment, and campaign logs.
Read moreSteve Jobs — Enchantment Wizard
CHA 20. Reality Distortion Field. The turtleneck that actually worked.
Read moreElon Musk — Chaotic Neutral Artificer
INT 18, WIS 8. Builds things no one asked for. Half explode.
Read moreOprah — Bard of Inspiration
CHA 20. You get a magic item! And YOU get a magic item!
Read more