This improved version of Shout is a Wizard's Guild restricted spell. Members may learn it at no cost.

Shout of Ruin [293] 
    Innate Attack (Crushing, Breath) 16d [184] 
        Armor Divisor (5) [+150%] 
    Innate Attack (Toxic, Breath) 8d [108.8] 
        Side Effect (Stunning) [+50%] 
        Symptoms (Deafness at 1/3 HP) [+60%] 
        Hearing-Based [+150%] 
    Cone (7 yards wide) [+120%] 
    Link [+10%] 
    Reduced Range (x1/5) [-20%] 
    Backlash (Unconsciousness, Resistible) [-100%] 
    Magical [-10%] 
    Spell Components [-20%] 
        Must scream 
        Must hold hands around mouth