A PC uses Gift of Madness and confuses an enemy. The enemy rolls a d100 on the confusion table and gets between 51-75. The table indicates the following:
- 01–25 Act normally.
- 26–50 Do nothing but babble incoherently.
- 51–75 Deal 1d8 points of damage + Str modifier to self with item in hand.
- 76–100 Attack nearest creature (for this purpose, a familiar counts as part of the subject’s self).
If read as written, the result for 51-75 strictly says with item in hand. What happens if the enemy is unarmed, and its only attacks listed are Slam attacks? Does it still punch itself in the face, or, unable to meet the conditions, does it just babble incoherently?