Leach Therapy

Conjuration (Summoning)
Level: Chr 3 (bard, druid, psychic, sorcerer/wizard, summoner/unchained summoner, witch) (shaman 4)
Components: V, S, M/DF (a square of red cloth)
Casting Time: 1 standard action
Range: Close (15 ft.)
Effect: a cluster of leaches
Duration: Instantaneous
Saving Throw: None
Spell Resistance: No

You summon a cluster of leaches that pool in the palm of your hand. You may use action to throw them, and when you throw them, you decide whether they are helpful or harmful and the damage caused or healed will be 1d4 + your ability modifier.