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As illithids are parasitic creatures that take over their host, this is likely the result of an illithid tadpole being implanted into a dragon.
- ↑ 1.0 1.1 1.2 Kevin Baase, Eric Jansing, Oliver Frank, and Bill Halliar (November 2005). “Monsters of the Mind – Minions of the Mindflayers”. Dragon #337 (Paizo Publishing, LLC), pp. 25–35.