Let's look at another creature that might be teamed up with it.
Is 18 damage, plus healing 15, plus taking away a healing surge, plus making a target weakened severe enough? That's a 33 point swing, plus 1/4th of your HP due to the loss of a healing surge. It kills a fighter with high con in about 9 hits, and together with the Death Hag, cripples you for later fights, possibly killing you straight out. With no healing surges, the cleric can't use Healing Word, you can't recover with a natural 20 on a death saving throw, and so on.
Is 18 damage, plus healing 15, plus taking away a healing surge, plus making a target weakened severe enough? That's a 33 point swing, plus 1/4th of your HP due to the loss of a healing surge. It kills a fighter with high con in about 9 hits, and together with the Death Hag, cripples you for later fights, possibly killing you straight out. With no healing surges, the cleric can't use Healing Word, you can't recover with a natural 20 on a death saving throw, and so on.





