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ExsanguinateSpell, Chaining, Physical, Duration
Level: (1-20)
Cost: (16-46) Life
Cast Time: 0.80 sec
Critical Strike Chance: 6.00%
Effectiveness of Added Damage: 180%
Requires Level 12Releases several tendrils of blood from your character, targeting enemies in a narrow angle in front of you. The beams deal physical damage and inflict a physical damage over time debuff to enemies, which can stack up to 3 times. Effects which allow skills to chain can apply to these tendrils.Per 1% Quality:1Superior2Anomalous3Divergent1% increased Skill Effect Duration0.5% increased Cast SpeedFires tendrils at up to +0.1 TargetsBase duration is 1.00 seconds
Deals (17-807) to (25-1211) Physical Damage
Deals (23.4-1121.1) Base Physical Damage per second
Fires tendrils at up to (7-9) Targets
Modifiers to Spell Damage apply to this Skill's Damage Over Time effect
Place into an item socket of the right colour to gain this skill. Right click to remove from a socket.
Exsanguinate skill icon.pngExsanguinate inventory icon.png
Area level: 12
Vendor Prices
Normal1x Orb of Transmutation
Vendor Offer
1x Scroll Fragment
Item class: Active Skill Gems

Exsanguinate is a physical spell that shoots out blood tendrils in a cone that deal physical damage and deal physical damage over time on hit, which can stack up to three times. Tendrils can be supported by chain modifiers to hit more enemies.

Skill functions and interactions

  • Casting Exsanguinate costs life instead of mana.
  • Each debuff applied by this skill has its own duration. Applying a second or third instance of the debuff does not refresh the duration of the previous ones.

Gem level progression

LevelRequired LevelRequired StrengthRequired IntelligenceLife
Physical DamagePhysical
Exp.Total Exp.
11221141617 to 2523.4700
21525171822 to 3330.571524915249
31930212130 to 4642.274151756766
42335242341 to 6257.4781983138749
52741282555 to 8376.97147968286717
63146322673 to 110101.87250557537274
73551362896 to 144133.57405086942360
838553830117 to 176162.784477181390078
941594132142 to 213197.586153182005396
1044634433172 to 258238.888346392840035
1147674734207 to 311288815707604410795
1250714935249 to 374346.3816339876044782
1353755237299 to 449415.4821510308195812
1456795539358 to 537497.18281218911008001
1559835840427 to 641593.79509936016107361
1662876042509 to 764707.69940073125508092
1764906243572 to 858794.791527336640781458
1866926444642 to 963891.992628658267068040
1968956645720 to 10801000.3962890590129958630
2070986846807 to 12111121.19212046017342004647
2172N/AN/A47904 to 13561255.69N/AN/A
2274N/AN/A481012 to 15181405.510N/AN/A
2376N/AN/A491132 to 16981572.410N/AN/A
2478N/AN/A501266 to 18991758.110N/AN/A
2580N/AN/A511415 to 21221964.810N/AN/A
2682N/AN/A521580 to 23702194.710N/AN/A
2784N/AN/A531764 to 26462450.310N/AN/A
2886N/AN/A541969 to 29532734.410N/AN/A
2988N/AN/A552196 to 32943050.111N/AN/A
3090N/AN/A562449 to 36733400.911N/AN/A
3191N/AN/A572585 to 38783590.511N/AN/A
3292N/AN/A582729 to 40943790.411N/AN/A
3393N/AN/A582881 to 43214001.111N/AN/A
3494N/AN/A593041 to 4561422311N/AN/A
3595N/AN/A593209 to 48134456.811N/AN/A
3696N/AN/A603386 to 50794703.211N/AN/A
3797N/AN/A603573 to 53604962.711N/AN/A
3898N/AN/A603770 to 56555236.111N/AN/A
3999N/AN/A613977 to 59665524.111N/AN/A
40100N/AN/A614196 to 62945827.411N/AN/A

Item acquisition

Upgrade paths

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

8Dying AnguishDying 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.
random level 19 gem with 19% alternative qualityAutomatic
1Gemcutter's IncubatorGemcutter's IncubatorAdds an incubated Quality Gem item to an equippable item
Item drops after killing # monsters
Quality GemRight click this item then left click an item to apply it. The Incubated item drops after killing a specific number of monsters.
random superior gemAutomatic
6The FoxThe Fox6Level 20 Gem"Masters of wit, strength and cunning. To survive the harsh winters, you must be like the fox."
- Ezomyte Proverb
random level 20 gemAutomatic
13The CataclysmThe Cataclysm13Level 21 Spell Gem
The mighty warriors traded in blows, the nimble archers in arrows, yet it was the brazen thaumaturgists who would bring catastrophe to all.
random corrupted level 21 Spell gemAutomatic
3Gemcutter's PromiseGemcutter's Promise3Superior Gem
Quality: +20%
"I swore to use my position to help the people. What good is power when it just accumulates on the already-powerful?" - Erasmus, Imperial Gemcutter
random superior gem with 20% qualityAutomatic
1The VoidThe Void1Reach into the Void and claim your prize.random divination card set exchangeAutomatic

Threshold jewels

The following threshold jewels augment Exsanguinate:


Related helmet enchantments

The following helmet enchantments affect Exsanguinate. No results found

Alternate skill effects

Exsanguinate has the following alternate skill effects:


Version history

Version Changes
  • Introduced to the game.