Deadly Ailments SupportSupport Icon: i Level: (1-20) Cost & Reservation Multiplier: 140%Requires Level 18Supports any skill that hits enemies.Supported Skills deal (30-44)% more Damage with Ailments Supported Skills deal 80% less Damage with Hits
Additional Effects From 1-20% Quality: Supported Skills deal 0.5% increased Damage over TimeThis is a Support Gem. It does not grant a bonus to your character, but to skills in sockets connected to it. Place into an item socket connected to a socket containing the Skill Gem you wish to augment. Right click to remove from a socket.
Acquisition Drop level: 18Vendor Offer 1x Scroll FragmentMetadata Item class: Support Gem Metadata ID: Metadata/Items/Gems/SupportGemDeadlyAilments
While counter-intuitive, damage with hits and with ailments are calculated independently, with modifiers to hit damage not interacting with the hit's ailments in any way. This means that for the purpose of a damaging ailment inflicted by a skill supported by this gem, the less damage with hits part can be ignored.
For example, let's consider an ignite inflicted by a hit of 100 base damage.
Without this support gem, the hit would deal 100 damage, then the ignite would burn for 90 damage per second over 4 seconds, for a total of 100 + 90 * 4 = 460 damage.
With the support factored in, the hit would only deal 20 damage, but the ignite would still be based on the 100 damage it would've dealt without the hit damage modifier, and then increased by the 44% more damage with ailments, to 129 damage per seconds, for a total of 20 + 129 * 4 = 536 damage.
An other interesting point concerns the divergent quality version of the gem. The more damage with hits part is additive with the less damage with hits part, which means that at 20% quality, the gem would now give 40% less damage with hits. This can be pushed further, for example, socketing the gem in Atziri's DisfavourAtziri's Disfavour Vaal AxeTwo Handed Axe Physical Damage: (414-434) to (544-564) Critical Strike Chance: 5.00% Attacks per Second: (1.29-1.33) Weapon Range: 2.3 metresRequires Level 64, 158 Str, 76 Dex25% chance to Maim on Hit+30% to Quality of Socketed Support Gems Adds (310-330) to (370-390) Physical Damage (12-16)% increased Attack Speed 25% chance to cause Bleeding on Hit +1 metres to Weapon Range"I do not believe in disguising my disappointment." - Atziri, Queen of the Vaal, which gives +30% to quality of socketed support gems, would result in the gem giving 20% more damage with hits, negating its downside. This however would still not affect the ailments damage whatsoever.
Gem level progression
Level
More Damage with Ailments
Exp.
Total Exp.
1
18
21
14
30%
0
0
2
22
24
17
30%
69833
69833
3
26
28
19
31%
128549
198382
4
29
31
21
32%
154553
352935
5
32
34
23
33%
225374
578309
6
35
37
25
33%
320672
898981
7
38
40
27
34%
447718
1346699
8
41
42
29
35%
615318
1962017
9
44
45
31
36%
834639
2796656
10
47
48
33
36%
1570760
4367416
11
50
51
35
37%
1633987
6001403
12
53
54
37
38%
2151030
8152433
13
56
57
39
39%
2812189
10964622
14
58
58
41
39%
3655184
14619806
15
60
60
42
40%
3017327
17637133
16
62
62
43
41%
7818905
25456038
17
64
64
44
42%
15256013
40712051
18
66
66
46
42%
26260555
66972606
19
68
68
47
43%
62855887
129828493
20
70
70
48
44%
212002638
341831131
21
72
72
50
45%
N/A
N/A
22
74
N/A
N/A
45%
N/A
N/A
23
76
N/A
N/A
46%
N/A
N/A
24
78
N/A
N/A
47%
N/A
N/A
25
80
N/A
N/A
48%
N/A
N/A
26
82
N/A
N/A
48%
N/A
N/A
27
84
N/A
N/A
49%
N/A
N/A
28
86
N/A
N/A
50%
N/A
N/A
29
88
N/A
N/A
51%
N/A
N/A
30
90
N/A
N/A
51%
N/A
N/A
31
91
N/A
N/A
52%
N/A
N/A
32
92
N/A
N/A
52%
N/A
N/A
33
93
N/A
N/A
52%
N/A
N/A
34
94
N/A
N/A
53%
N/A
N/A
35
95
N/A
N/A
53%
N/A
N/A
36
96
N/A
N/A
54%
N/A
N/A
37
97
N/A
N/A
54%
N/A
N/A
38
98
N/A
N/A
54%
N/A
N/A
39
99
N/A
N/A
55%
N/A
N/A
40
100
N/A
N/A
55%
N/A
N/A
Gem quality
Type
Additional Effects per 1-20% Quality
Weight
Superior
Supported Skills deal (0.5-10)% increased Damage over Time
1
Item acquisition
Deadly Ailments Support can drop anywhere.
Recipes
Deadly Ailments Support can be created from the following recipes:
Amount
Part
Description
Meta
9
Gift of the Gemling QueenGift of the Gemling Queen9Level 20 Support GemOur Lady Dialla, as a symbol of our progress, shines greater than all the gems.
Random level 20 support gem
A
7
Dialla's SubjugationDialla's Subjugation7Support Gem Quality:+23% CorruptedA symbol of beauty and innocence The gems corrupted her mind Malachai corrupted her gems All but a glimmer of greatness lost in madness
Random corruptedsupport gem with 23% quality
A
6
The 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 gem
A
3
Gemcutter's PromiseGemcutter's Promise3Gem 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 gem with 20% quality
A
1
Gemcutter's IncubatorGemcutter's IncubatorStack Size: 10Adds an incubated Quality Gem item to an equippable item Item drops after killing {0} monstersRight click this item then left click an item to apply it. The Incubated item drops after killing a specific number of monsters.
Random gem with 1–20% quality
A
1
The VoidThe Void1Reach into the Void and claim your prize.
Random divination card set exchange
A
Quest reward
This item is given as a quest reward for the following quests: