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In the Dungeons & Dragons role-playing game, pech are elemental creatures from the Inner Plane of Earth that are based on the pech of Scottish mythology. They are humanoid earth elementals who are related to gnomes. They sometimes leave their plane to mine in the deepest parts of the Prime Material Plane. Pech prefer enclosed dark spaces to open spaces, are generally peaceful, and many travel to the Prime Material Plane to escape the hostile Elemental Plane of Earth. Pech can communicate with stone.

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