D'rek was an Ascendant goddess known as the Worm of Autumn. She was mentioned in Gothos' Folly as the Mistress of Decay and the Mistress of Worms. She sometimes took on the mantle of the Queen of Disease. The cult of the Worm was ancient and had withstood the passage of time. Banaschar called her "the face of inevitable decay" and mentioned that she was coiled around time itself. D'rek was Kartool's patron Goddess. Callows was home to the Thousand Sects of D'rek, each with its own religious dogma and icons. A D'rek Monastery stood on the southeastern coast of Malaz Island.