Dying Anguish

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Dying Anguish8Level 19 Gem
Alternative Quality: +19%
Moribund, he gazed upon the journey taken as blood trickled down his chin. His eye closed on the city ahead that he would never call home.
Level: 1
Arsenal MapColonnade MapGhetto MapPort MapPromenade Map
Sell Price
1x Scroll Fragment
Item class: Divination Card
Metadata ID: Metadata/Items/DivinationCards/DivinationCardDyingAnguish

Dying Anguish is a divination card. A set of eight can be exchanged for a random level 19 gem with 19% alternative quality.

Item acquisition

Area restrictions

This item can be acquired in the following areas:

Upgrade paths

This item can be acquired through the following upgrade paths or vendor recipes:

5The GamblerThe Gambler5Divination Card"I don't believe in karma. If it were real, I would never win."random divination cardAutomatic
1Stacked DeckStacked DeckStack Size: 10A stack of unknown divination cardsRight click to take a divination card out of the deck.
Shift click to unstack.
random divination cardAutomatic

Supporter attribution

Dying Anguish was created by supporter Xanqos.[1]

Version history

Version Changes
  • Can be found once again.
  • (Not in patch note) Now grant gem with alternative quality
  • The Dying Anguish Divination Card can no longer drop. It will return in the future with some modifications.
  • Merciless difficulty and thus the former drop locations are removed.
  • Introduced to the game.


  1. Xanqos (April 25, 2016). "Upcoming Divination Cards". Official Path of Exile Forums. Retrieved May 4, 2016.