Channeling the strength of your will behind your ability to change shape, you can painfully, but permanently, alter yourself. 

Amalgam: Dominate 2

Cost: One Rouse check

System: You gain the ability to make and maintain Vicissitude alterations to your body. You may have one alteration active at a time for free. Each additional alteration costs the temporary loss of one Physical attribute of your choosing each as you redistribute body mass to new areas. Any lost Physical attributes return when your total number of alterations becomes one or fewer. Making an alteration requires five minutes. Choose from the following list of alterations:

• Appearance: You may physically sculpt your features to any appearance within a normal human range. You can alter your face, size, skin, sex, or hair color. You may also make yourself taller or shorter by up to one foot. To mimic a specific person’s appearance, you must have at least two dots of the Medicine Skill, and you must study that individual from multiple angles for at least fifteen minutes. This study must be done live; it cannot be done through recordings. 
• Voice: You may alter your vocal cords to change your voice however you wish. You may duplicate another person’s voice if you have three dots of the Medicine Skill and have spent at least five minutes listening to that person speak. This study must be done live; it cannot be done through recordings.
• Horrifying Appearance: By making yourself appear horrifying through alterations, you may gain a +3 bonus on mundane Charisma + Intimidation checks to terrify mortals. This is a Masquerade breach, but some fleshcrafters do this and use Dominate to cover up the deed.
• Bony Weapons: You may alter your skeleton to create a bone weapon with the Concealable quality. This weapon can be wielded using either the Brawl or Melee Skill and may not be disarmed.
• Hag’s Wrinkles: You may conceal items up to the size of a large handgun within folds and pouches in your flesh. Accessing items stored in these pouches requires a simple action.
• Bone Tool: You can modify your fingers to be more efficient for various tasks that would otherwise be accomplished by a tool. In this way, you could give yourself the ability to pick locks, hotwire cars, tailor a suit, or any other thing that a tool would assist with. This reduces the difficulty of a test by two, as if you had Superior Miscellaneous Gear. This effect does not stack with Gear.
• Climbing Spurs: You may add spurs to your feet and hands that allow you to climb surfaces without handholds at your normal speed. This does not require a test.

Making such alterations requires concentration and time. You must spend at least five minutes of relatively focused effort on making each alteration. These alterations are permanent until reverted through another use of Vicissitude, or they may be mended, with each change healing at the same rate as one Aggravated Damage. Vicissitude is not a transformative power, nor are the alterations it creates. When using a transformative power, any alterations made from Vicissitude cease to function unless otherwise stated.

Duration: Until healed or undone with other uses of Vicissitude