The odor of the incense within your censer smells overwhelmingly foul to your enemies. Any enemy within your smoke cloud who retches in an attempt to recover from the Sickened condition must roll the save twice and take the worse result; this is a misfortune effect. In addition, Swing the Censer's frequency becomes once per round, and any creature who fails its saving throw against your censer's adept benefit is Slowed 1 for as long as it its sickened.