Syphoned

is an effect that drains the life essence of a target over time. Every turn, if the user's Ego(or effect's level, whichever is higher) is greater than the target's MA with a randomized -4 to +4 added, the target will be inflicted with the specified damage and the user will heal that amount. This effect can be reality distorting depending on the source.

Sources of Syphoned

 * that absorbed blood to have a bloody pseudopod, inflicting level 10 syphoned for 2 turns for 15-20 damage.
 * Syphon Vim, which inflicts level-based damage for 20 turns. This is reality distortion based.