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Stitchflesh's Creation is part of the achieve Surgeon's Supplies.

How to get Surgeon's Supplies:

destroy the two barrels by using the Meat Hook from the add Stitchflesh's Creation
after destroy the two barrels kill the adds that will appear and pull the boss by using Meat Hook
kill the boss

These barrels are located in the left and right side on the boss room.
Surgeon's Supplies is completed on the third boss in The Necrotic Wake (Mythic).

How to get Surgeon's Supplies: https://youtu.be/Wtg64mY3lH4

Stitchflesh's Creation

This NPC can be found in The Necrotic Wake .

Overview – Surgeon Stitchflesh periodically [Awakens Creations] to aid him from atop his platform while his constructs assault players with [Meat Hook].
- Tank –
  Aim [Meat Hook] carefully to pull Surgeon Stitchflesh from his platform.
  Quickly engage new constructs when Surgeon Stitchflesh casts [Awaken Creation].
  Defend cautiously against [Mutilate].
- Damage Dealers –
  Aim [Meat Hook] carefully to pull Surgeon Stitchflesh from his platform.
  Quickly defeat Stitchflesh's creations before you are overwhelmed.
  Prioritize Surgeon Stitchflesh while he's in the arena before he has a chance to [Escape].
- Healer –
  Aim [Meat Hook] carefully to pull Surgeon Stitchflesh from his platform.
  Tanks will take a severe amount of damage from [Mutilate].

Surgeon Stitchflesh assaults enemies from the safety of his worktable.

Noxious Fog – Surgeon Stitchflesh's work area is filled with a noxious fog that protects him from harm.

Inflicts 330317 Plague damage every 1 sec. to nearby enemies.
Awaken Creation – Stitchflesh awakens one of his monstrous creations and douses them with Festering Rot.
- Stitchflesh's Creation
  - Meat Hook – The construct hurls its meat hook through the air, pulling the first target hit to its location.
    Inflicts 40 Physical damage to players.
  - Mutilate – Inflicts 824394 Physical damage to an enemy.
  - Festering Rot – Stitchflesh's creation is drenched in a rotting liquid that inflicts 3298 Plague damage to all enemies every 3 sec.
    This effect stacks.
Embalming Ichor – Stitchflesh throws a jar of his embalming ichor, inflicting 15 Plague damage to all players within 4.5 yds and leaving behind a puddle of Embalming Ichor.
- Embalming Ichor – Standing in the disgusting fluids inflicts 164879 Plague damage every 1 sec.
Stitchneedle – Stitchflesh throws a sharp needle, inflicting 123659 Physical damage and causing the player to bleed for 24732 Physical damage every 1 sec. for 10 sec.

Once pulled into the arena, Surgeon Stitchflesh joins the fray with his murderous cleaver.

Sever Flesh – Surgeon Stitchflesh inflicts 659515 Physical damage to his current target.
Morbid Fixation – Surgeon Stitchflesh fixates on a nearby target for 8 sec, increasing his damage done by 100% but reducing movement speed by 60%.
Embalming Ichor – Stitchflesh throws a jar of his embalming ichor, inflicting 15 Plague damage to all players within 4.5 yds and leaving behind a puddle of Embalming Ichor.
- Embalming Ichor – Standing in the disgusting fluids inflicts 164879 Plague damage every 1 sec.
Escape – After a short period of time Stitchflesh escapes to the safety of his worktable.