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It's pretty obvious why they specified "horizontal", since teleporting foes upward could easily be abused, since a lot of fights take place outside or in caves with relatively high ceilings. Now you need to be near a cliff to cause that falling damage.

They could definitely have psionic gem dragonborn. And if the Psion class isn't solely for a Dark Sun book, but for something more general, I'd definitely like to see variants of the gem dragons more heavily focused on psionics similar to this system.