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An ailment is a detrimental effect associated with one or more damage types.

Ignite, chill, freeze, shock, scorch, brittle, and sap are collectively referred to as elemental ailments.

Chill, freeze, shock, scorch, brittle, and sap are collectively referred to as non-damaging ailments.

Bleed, poison, and ignite are damaging ailments.

List of ailments[]

Ailment Associated with Effect
Bleed

Physical Bleed can only be inflicted by physical damage from attacks. Bleeding enemies take 70% of the physical damage of the hit that inflicted Bleed as physical damage over time. Moving enemies take an additional 140% damage. The base duration is 5 seconds.
Poison

Physical and chaos Poison causes the affected target to take 20% of the combined physical and chaos damage of the hit that applied Poison as chaos damage over time. Poison can stack multiple times on a single target. Additional stacks do not refresh the duration, but stack independently from each other. The base duration is 2 seconds.
Ignite

Fire Ignite causes the affected target to burn for 50% of the fire damage of the hit that applied Ignite as fire damage over time. The base duration is 4 seconds.
Chill

Cold Cold damage always inflicts chill. Chill slows all actions of the affected target up to 30%, based on the cold damage of the hit. The base duration is 2 seconds.
Freeze

Cold Freeze prevents the affected target from taking actions, based on the cold damage of the hit. The base minimum duration is 0.3 seconds and the base maximum duration is 3 seconds.
Shock

Lightning Shock causes the affected target to take up to 50% increased damage from all sources, based on the lightning damage of the hit. The base duration is 2 seconds.
Scorch

Fire Scorched Enemies have their Elemental Resistances lowered by up to 30%, based on the fire damage of the hit. The base duration is 4 seconds.
Brittle

Cold Brittle causes hits against enemies to have up to +15% Base Critical Strike Chance against them, based on the cold damage of the hit. The base duration is 4 seconds.
Sap

Lightning Sapped enemies deal up to 20% less Damage, based on the lightning damage of the hit. The base duration is 4 Seconds.

Mechanics[]

Ailments are in many ways similar to debuffs. The most notable difference is that ailments are associated with damage types, whereas debuffs are associated with skill effects. Modifiers to skill effect duration affect the duration of debuffs applied by skills, but not the duration of ailments.[1]

There is no limit on the number of different ailments a target can have at any given time.

Application by damage[]

Ailments can be applied by hits of damage.

Each ailment is associated with one or more damage types. A damaging hit has the potential to inflict any ailments associated with the types of damage dealt. For example, a hit of physical and fire damage has the potential to inflict bleed, poison and ignite. Bleed has an additional restriction: It can only be applied by attacks.

The damage type associations for ailments may be changed by certain effects. As an example, Lua error: Error: invalid field alias "items._pageName"; aliases cannot contain dots or quotes.. changes which damage types have the potential to inflict elemental ailments.

A hit of damage also carries a property for each ailment that gives the hit a chance to inflict that ailment. By default, the chance to inflict most ailments is 0%. Any damaging hit has a 100% chance to inflict chill.[2] Critical strikes have a 100% chance to inflict ignite, freeze and shock. Some skill and support gems include modifiers that grant additional chance to inflict certain ailments. Additional chance to inflict ailments can also be gained from passive skills and equipment.

Targets may also have immunity or a chance to avoid certain ailments.

To summarize, an ailment is applied to the target if:

  • The hit of damage consists of damage types that have the potential to inflict the ailment
  • The chance to inflict the ailment is successful
  • The target fails to avoid the ailment
  • The target is not immune to the ailment
  • Any other conditions are met

Application by other means[]

Ailments can be applied in ways other than direct hits of damage.

  • Elemental proliferation causes elemental ailments to spread to other targets within a radius.
  • Certain ground effects apply ailments.
  • Slaying a poisoned enemy with Lua error: Error: invalid field alias "items._pageName"; aliases cannot contain dots or quotes.. equipped spreads poison to other targets within a radius.
  • Lua error: Error: invalid field alias "items._pageName"; aliases cannot contain dots or quotes.. chills enemies when hit.
  • A strongbox with the "Incandescent" prefix ignites the character that activates it.

Damage with ailments[]

Ignite, bleed and poison are damaging ailments. A damaging ailment deals damage over time based on the base damage of the skill that inflicts the ailment. Only the damage types that have the potential to inflict a damaging ailment are used as a basis for calculating the damage over time for that ailment. From a previous example, a hit of physical and fire damage has the potential to inflict bleed, poison and ignite. In this example, only the fire portion of the base damage is considered for ignite.[3]

Damage with hits and damage with ailments are calculated separately and have different modifiers. Modifiers to damage with ailments do not contribute to the damage of attacks or spells. Similarly, modifiers to attack damage and spell damage do not contribute to damage with ailments. Modifiers to damage with weapons, melee damage, projectile damage and area damage do not apply to ailments under any circumstances. Modifiers to damage with ailments, damage over time modifiers, and generic damage modifiers all apply to damaging ailments. Modifiers to damage with specific ailments apply only to those ailments. Damage type modifiers apply to ailments that deal those types of damage. Additionally, burning damage modifiers apply to ignite, since 'burning damage' simply means fire damage over time. Resistances apply to damage of the corresponding types dealt by ailments.[1][3]

The damage multiplier for ailments from critical strikes exists independently from the critical strike multiplier used for hits. A character's base damage multiplier for ailments from critical strikes is 150%. There currently exist no modifiers to this stat. However, the Perfect Agony keystone applies a percentage of modifiers to critical strike multiplier to the damage multiplier for ailments from critical strikes.[1]

Unique items[]

List of unique items related to Ailment. This list does not include item that affect individual ailment only. For those item , read Bleed, poison, ignite, Chill, freeze, shock, scorch, brittle, and sap article. Lua error: Error: invalid field alias "items._pageID"; aliases cannot contain dots or quotes..

Passive skills[]

These passive skills are related to ailments.

Ailment damage with weapon or wielding type[]

Ailment damage with melee weapons[]

These passive skills grant increased ailment damage while wielding melee weapons. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ailment damage with one-handed weapons[]

These passive skills grant increased ailment damage while wielding one-handed weapons. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ailment damage with two-handed weapons[]

These passive skills grant increased ailment damage while wielding a two-handed weapon. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ailment damage while dual wielding[]

These passive skills grant increased ailment damage while dual wielding. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ailment damage with specific weapon class[]

Ailment damage while wielding a shield[]

These passive skills grant increased ailment damage from attack skills while wielding a shield. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ailment damage while wielding an axe[]

These passive skills grant increased ailment damage from attack skills while wielding an axe. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ailment damage while wielding a mace[]

These passive skills grant increased ailment damage with attack skills while wielding a mace. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ailment damage while wielding a sword[]

These passive skills grant increased ailment damage with attack skills while wielding a sword. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ailment damage while wielding a dagger[]

These passive skills grant increased ailment damage with attack skills while wielding a dagger. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ailment damage while wielding a claw[]

These passive skills grant increased ailment damage with attack skills while wielding a claw. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ailment damage while wielding a staff[]

These passive skills grant increased ailment damage with attack skills while wielding a staff. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ailment damage while wielding a bow[]

These passive skills grant increased ailment damage with attack skills while wielding a bow. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ailment damage while wielding a wand[]

These passive skills grant increased ailment damage with attack skills while wielding a wand. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Increased elemental ailment duration[]

These passive skills increase the duration of elemental ailments. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Increased cold ailment duration[]

These passive skills increase the duration of cold ailments. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Increased fire ailment duration[]

These passive skills increase the duration of fire ailments. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Increased lightning ailment duration[]

These passive skills increase the duration of lightning ailments. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Increased non-damaging ailment effect[]

These passive skills increase the effects of non-damaging ailments. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Increased elemental ailment effect[]

These passive skills increase the effect of elemental ailments. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Increased cold ailment effect[]

These passive skills increase the effects of cold ailments. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Increased fire ailment effect[]

These passive skills increase the effects of fire ailments. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Increased lightning ailment effect[]

These passive skills increase the effects of lightning ailments. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Misc[]

These passive skills are related to ailments, but do not fit into any other category. Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Ascendancy passives[]

Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Cluster jewel passives[]

The following cluster jewel-only passives are related to Ailment: Lua error: Error: invalid field alias "passive_skills.is_keystone"; aliases cannot contain dots or quotes..

Related modifiers[]

The following modifiers are related to ailment:

Item mods[]

Lua error: Error: invalid field alias "mods._pageID"; aliases cannot contain dots or quotes..

Enchantments[]

The Lord's Labyrinth enchantments Lua error: Error: invalid field alias "mods._pageID"; aliases cannot contain dots or quotes.. Heist enchantments Lua error: Error: invalid field alias "mods._pageID"; aliases cannot contain dots or quotes..

Map and area mods[]

Lua error: Error: invalid field alias "mods._pageID"; aliases cannot contain dots or quotes..

Monsters mods[]

Lua error: Error: invalid field alias "mods._pageID"; aliases cannot contain dots or quotes..

Legacy mods[]

The following fossil-exclusive modifiers are spawn disabled: Lua error: Error: invalid field alias "mods._pageID"; aliases cannot contain dots or quotes..

Achievements[]

Name Description
Elemental Trinity

Slay an enemy that is simultaneously Ignited, Shocked, and Frozen.

Version history[]

Version Changes
3.5.0
  • Added 3 new Elemental Ailments to the game; Scorched, Brittle, and Sapped.
3.0.0
  • Bleeding and Poison are now both considered 'Ailments'. This means their durations are only affected by increased bleeding/poison duration modifiers, and the new ailment duration modifier (they are not elemental ailments, so are not affected by the existing modifier to elemental ailments).
  • We now only refer to 'Ailments' rather than the longer 'Status Ailments'. The pre-existing 'Elemental Status Ailments' are now referred to as 'Elemental Ailments', and cases where 'Elemental' was left off because there were previously no non-elemental ailments have been corrected.
  • There are now separate reminder texts for Elemental Ailments and for Ailments.

References[]

  1. 1.0 1.1 1.2 Rory (May 3, 2017). "Damage Over Time Changes - Part 2". Official Path of Exile Forums. Retrieved August 6, 2017.
  2. Bex_GGG (August 2, 2017). "Path of Exile 3.0.0: The Fall of Oriath Patch Notes". Official Path of Exile Forums. Retrieved August 6, 2017.
  3. 3.0 3.1 Rory (April 27, 2017). "Damage Over Time Changes - Part 1". Official Path of Exile Forums. Retrieved December 26, 2017.