For a futuristic grim gory setting. Probably powered by some kind of dilithium battery or something similarly awesome. Anyways, basicly a big drill sticking up from a hilt that you primarily use for skewering enemies painfully and drilling through armor.
A terrible affliction spreads through the land: A disease, highly contagious, which makes its victims mildly ill, but then permanently paralyzes the vocal cords. Dozens of reputed cures and protections are sold in the marketplaces, which gradually grow quieter and quieter...