The effects of having a supernatural being in one's heritage last for many generations. Although not as dramatically altered as half-celestial or a half-fiend, planetouched still retain some special qualities.

The two most common varieties of planetouched are aasimars and tieflings. Aasimars are humans with some trace of celestial blood in their veins, and tieflings have some fiendishness in their family tree.

With the Mask of the Betrayer expansion installed, players also have the ability to choose between the air genasi, earth genasi, fire genasi, and water genasi.