Works for me.
Shall we make the escape DEX-based, so DC 16, with the save vs. HP reduction CON-based for DC 15?
That just leaves damage and to hit. I reckon its tendrils will also be DEX-based, for +8 to hit and #d# + 5 damage, although I can see an argument for making the damage CON-based too for #d# + 4 but in either case we'll need to set a dice amount.
For that it we could decide on a Challenge Rating and use the rest of the stats to reverse-calculate what DPR it'd need to hit that CR.
If we're using a +3 Proficiency Bonus, the CR must be in the range 5 to 8.
So according to the CR Calculator, we're talking:
Challenge Rating | DPR ("Immunities") | DPR ("Resistances") |
---|
5 (1,800 XP) | 15 to 20 | 21 to 38 |
6 (2,300 XP) | 21 to 38 | 39 to 56 |
7 (2,900 XP) | 39 to 56 | 57 to 68 |
8 (3,900 XP) | 57 to 68 | 68 to 80 |
That's ignoring how the "reduce maximum hit points" trait would affect the CR though.
I could make an estimate by running a Wraith's numbers through the Calculator since that's a mechanically similar creature…
…hmm, according the CR calculator has a 5E SRD Wraith coming out as Challenge Rating 3 regardless of whether it has Immunities or Resistances checked. So at CR 5 it has a +2 CR modifier for having Life Drain.
That's pretty hefty, but it's a nasty ability for parties that have a long adventure day so I can see why the game developers decided on it.
So if we follow that example and put the DPR in the 21 in 38 range then a Scarlet Death should be CR 7.
So how about aiming for the centre of that range and make it 15 (3d6 + 5) necrotic damage for each tendril, for a total DPR of 30?