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Pestilent StrikeAttack, Melee, Strike, AoE, Duration, Chaos
Level: (1-20)
Cost: 6 Mana
Attack Damage: (125-160)% of base
Effectiveness of Added Damage: (125-160)%
Requires Level 28Attacks with your weapon, inflicting a debuff on enemies hit by the strike. If a debuffed enemy dies while poisoned, Pestilent Strike inflicts a secondary chaos damage over time debuff on enemies around them, based on the poisons on the slain enemy. This damage is not affected by your damage modifiers. Requires a Claw or Dagger.Per 1% Quality:1Superior2Anomalous3Divergent4Phantasmal+0.5% to Damage over Time Multiplier for Poison1% increased Area of Effect1% increased Skill Effect Duration1% of Physical Damage Converted to Chaos DamageDeals (125-160)% of Base Attack Damage
Base duration is 1 seconds
Secondary Debuff deals 50% of the total remaining Expected Poison Damage of all Poisons on the dying Enemy per second as Chaos Damage
Base secondary duration is 1 seconds
60% chance to Poison on Hit
60% of Physical Damage Converted to Chaos Damage
30% more Poison Duration
(20-113) to (30-169) Added Chaos Damage
+(0-2) to Melee Strike Range
Place into an item socket of the right colour to gain this skill. Right click to remove from a socket.
Pestilent Strike skill icon.pngPestilent Strike inventory icon.png
Area level: 28
Vendor Prices
Normal1x Orb of Chance
Vendor Offer
1x Scroll Fragment
Item class: Active Skill Gems
Metadata ID: Metadata/Items/Gems/SkillGemPestilentStrike

Pestilent Strike is a melee strike skill that deals chaos damage and applies poison. If the poisoned enemy dies while poisoned it will inflict other nearby enemies with another chaos damage over time debuff.

Skill functions and interactions

The base debuff radius is 27.[1]

Enemies killed while under the effect of Pestilent Strike’s signature debuff will leave no corpse. This can be useful for bypassing some monsters’ on-death effects.

Multiple debuffs can be on the same monster, but only the highest damage debuff will cause damage at any given time.

The debuff requires an enemy to die with poison on it near the enemy you want the debuff on. For solo enemy fights, Vaal BreachVaal BreachVaal, Spell
Level: 1
Souls Per Use: 100
Can Store 1 Use(s)
Cast Time: 2.50 sec
Requires Level 10Creates a breach, making you vulnerable to its powerful inhabitants.Per 1% Quality:1Superior3% increased Cast SpeedMonsters from the Breach do not grant Experience or drop Items
Place into an item socket of the right colour to gain this skill. Right click to remove from a socket.
Vaal Breach skill icon.png
can spawn enemies to spread the debuff.

The debuff takes half of the poison damage left on the monster when it died and deals it incrementally over 1 second.

  • Example - A 6 second poison does 3 seconds worth of debuff damage in 1 second. In this example the debuff does 3 times the damage (200% more damage) per second than the poison damage.

Damage Calculations


Pestilent Strikes debuff can scale poison damage in unique ways that would not be beneficial to most other poison attacks. Some examples:

  • Because all sources of poisons transfer on the debuff, spells, minions and even other players with poison, can help scale the damage.
  • Poison duration will increase the damage per second of the debuff. The assassin ascendancy passive Noxious Strike with many poisons landed per second is the largest source of poison duration.

Gem level progression

LevelRequired LevelRequired DexterityRequired IntelligenceDamage
Exp.Total Exp.
1284229125%125%20 to 30N/A00
2314632127%126.8%23 to 35N/A199345199345
3345035129%128.7%27 to 40N/A285815485160
4375437131%130.5%31 to 46N/A401344886504
5405840132%132.4%35 to 53N/A5543791440883
6426042134%134.2%38 to 58N/A4774371918320
7446344136%136%42 to 63+15837862502106
8466646138%137.9%45 to 68+17103593212465
9486848140%139.7%49 to 74+113555114567976
10507149142%141.6%53 to 80+111388775706853
11527451143%143.4%58 to 86+113682337075086
12547653145%145.2%62 to 93+116383388713424
13567955147%147.1%67 to 101+1195664810670072
14588257149%148.9%73 to 109+2365518414325256
15608459151%150.8%78 to 117+2301732717342583
16628760153%152.6%84 to 126+2775999525102578
17649062154%154.4%91 to 136+21513819340240771
18669264156%156.3%98 to 146+22608382566324596
19689566158%158.1%105 to 157+262620247128944843
20709868160%160%113 to 169+2211708088340652931
217210070162%161.8%121 to 181+3N/AN/A
2274N/AN/A164%163.7%130 to 195+3N/AN/A
2376N/AN/A166%165.5%139 to 209+3N/AN/A
2478N/AN/A167%167.3%149 to 224+3N/AN/A
2580N/AN/A169%169.2%160 to 239+3N/AN/A
2682N/AN/A171%171%171 to 256+3N/AN/A
2784N/AN/A173%172.9%183 to 274+3N/AN/A
2886N/AN/A175%174.7%196 to 293+4N/AN/A
2988N/AN/A177%176.5%209 to 314+4N/AN/A
3090N/AN/A178%178.4%223 to 335+4N/AN/A
3191N/AN/A178%178.4%231 to 346+4N/AN/A
3292N/AN/A180%180.2%239 to 358+4N/AN/A
3393N/AN/A182%182.1%247 to 370+4N/AN/A
3494N/AN/A184%183.9%255 to 382+4N/AN/A
3595N/AN/A186%185.7%263 to 395+5N/AN/A
3696N/AN/A188%187.6%272 to 408+5N/AN/A
3797N/AN/A189%189.4%281 to 421+5N/AN/A
3898N/AN/A191%191.3%290 to 435+5N/AN/A
3999N/AN/A193%193.1%300 to 449+5N/AN/A
40100N/AN/A195%194.9%309 to 464+5N/AN/A

Item acquisition

Upgrade paths

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

3The Bitter BlossomThe Bitter Blossom3Level 21 Chaos Gem
Quality: +23%
The pain you feel is of no consequence, it is evolution, to be made whole within something greater.
random corrupted superior level 21 Chaos gem with 23% qualityAutomatic
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
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

Quest reward

This item is given as a quest reward for the following quests:

Class →WitchShadowRangerDuelistMarauderTemplarScion
Quest ↓
Sever the Right Hand
Act 3

Vendor reward

This item can be bought at the listed NPC vendors, after completing the following quests:

Class →WitchShadowRangerDuelistMarauderTemplarScion
Quest ↓
A Fixture of Fate
Act 3
Sever the Right Hand
Act 3
Fallen from Grace
Act 6
Lilly Roth

Threshold jewels

The following threshold jewels augment Pestilent Strike:


Related helmet enchantments

The following helmet enchantments affect Pestilent Strike.

NameFor generated item/monster modifiers the minimum item/monster level respectively. Some generation types may not require this condition to be met, however item level restrictions may be raised to 80% of this value.StatsSpawn Weighting
Enchantment Pestilent Strike Area Of Effect 166Pestilent Strike has 16% increased Area of Effecthelmet 100
default 0
Enchantment Pestilent Strike Area Of Effect 275Pestilent Strike has 24% increased Area of Effecthelmet 100
default 0
Enchantment Pestilent Strike Damage 166Pestilent Strike deals 25% increased Damagehelmet 100
default 0
Enchantment Pestilent Strike Damage 275Pestilent Strike deals 40% increased Damagehelmet 100
default 0
Enchantment Pestilent Strike Duration 166Pestilent Strike has 25% increased Durationhelmet 100
default 0
Enchantment Pestilent Strike Duration 275Pestilent Strike has 40% increased Durationhelmet 100
default 0

Version history

Version Changes
  • Now converts 60% of physical damage to chaos damage (from 50%).
  • Now gains additional Melee range as the gem levels, up to +2 at gem level 20.
  • Pestilent Strike has been added to the game.