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Message: <blockquote data-quote="ghearus" data-source="post: 5584418" data-attributes="member: 59105">When using Ultimate Mercy, the Paladin can choose to take a temporary negative level or pay the 5000gp casting cost of the spell.  When the casting cost (either the negative level or the gold) is paid, the targeted creature is then raised per the Raise Dead spell, with a 1st level creature taking the 2 point con drain.The important distinction is that the entire casting (10 lay on hands + gold or level) is paid by the Paladin.Here is the text from the feat:You can expend 10 uses of lay on hands to bring a single dead creature you touch back to life as a raise dead spell with a caster level equal to your paladin level. You must provide the material component for raise dead or choose to accept 1 temporary negative level; this level automatically goes away after 24 hours, never becomes a permanent negative level, and cannot be overcome in any way except by waiting for the duration to expire.</blockquote>