Plague-born often cause the most horror in their victims, as they prefer flesh-based diseases such as rot, leprosy, weeping sores and buboes. Plague Necromancers are capable of causing mutations in dragons, which can lead to both beneficial and detrimental effects.

There are no royal bloodlines in the Plaguelands. To rule one must command with strength, and respect is earned through survival. However, if there were an analog of nobility in Plagubringer's wastes it is well represented by the Necromancers.

Serving triple roles as advisors, infectionists, and priests, Necromancers are regarded as aspects of the Plaguebringer's Will personified. To have one serve a clan is recognized as a great honor and a sign of Her favor. Those outside the Plaguelands can be confused by the title, as Plaguebringer's enmity toward zombies and those that deal with them is well known. However, Mother's first servants do not take their name from its contemporary usage, but instead choose to reclaim the word's original root, as found in necrosis, to describe the mastery and manipulation of flesh-killing disease.

Necromancers earn their title by meditating for twenty-three days and nights on the Rotrock Rim without aid or succor. Prestige is gained by choosing a perch closer to the Wyrmwound, but this also increases the risk of failure. Successful dragons choose a symbol of Necromantic rank and a familiar and thereby earn the title of Necromancer.

Dragons with uncommon eyes tend to be open and easily influenced by the magical energies in their environment. Magic casters find that they have a wealth of power at their disposal if their surroundings match their element, but they can also be severely limited in lands that are foreign to their birth place. Due to their openness, dragons with uncommon eyes are especially suited to the first trial of infection. Their bodies readily accept Mother's Blessing and within days they find themselves riddled with plague. Given this early advantage, uncommon-eyed dragons typically have more time to fight off the plague and learn to control it, though their ability to do so is no greater or less than a common-eyed dragon.