Ailment

An ailment is a detrimental effect associated with various types of damage.

Ailments are associated with secondary effects applied with damaging hits. Damage from ailments are based on the base damage of the hit, and have its own scaling modifiers. Ailments also have a

Elemental ailments are applied with the associated elemental damage. The most notable mechanics tied to elemental ailments is that critical strikes inherently have a 100% chance to apply elemental ailments. Another subtle yet important elemental ailments have is that modifiers to skill effect duration do affect the duration of ailments applied by skills.

List of ailments

Icon	Description
	Bleed causes the affected target to take physical damage over time, dealing increased damage while the target is moving. It can only be applied with physical damage from attacks.
	Poison causes the affected target to take chaos damage over time. Poison can stack multiple times on a target. It can only be applied from physical and chaos damage.

Elemental Ailments

Icon	Description
	Ignite is associated with fire and causes the affected target to burn, taking fire damage over time.
	Chill is inherent to cold and applies a slow effect to the character, affecting the animation speed at which the character plays.
	Freeze is also associated with cold and prevents the affected target from taking actions.
	Shock is associated with lightning and causes the affected target to take increased damage from all sources.

Mechanics

Any hit of cold damage has the potential to chill the target, as long the chill duration would result in lasting at least 300ms. A freeze will only occur if the chance to freeze was hit, and all conditions were met. This is the same for shock.

Ignite, freeze, and shock can be inflicted by critical strikes of their corresponding element. Certain effects and passives add a chance to apply a status ailment, which can be applied on non-critical strikes.

Elemental ground effects also apply elemental status ailments on units over them.

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

Altering the default behaviour

There are few ways to change the default mechanics:

• The unique changes which element can apply a particular status ailment.
• Conflux makes all hits apply chill, shock and/or ignite based on damage dealt from all combined damage types.
• Master Alchemist grants immunity to elemental status ailments during flask effect.
• Avatar of the Veil grants immunity to elemental status ailments while phasing.

Proliferation

"Elemental Proliferation" redirects here. For the support gem, see Elemental Proliferation Support.

Elemental proliferation is a modifier that makes hits apply status ailment debuffs as auras to targets; these debuff auras have the same effects and durations as the original debuffs. Nearby enemies affected by these auras do not gain the auras, because only a target that has received a status ailment – as a result of being hit – can gain them. These auras are considered as status ailments, which means there can be more than one proliferation effect on the same target at the same time, but only the strongest one will present itself. The exception to this is if status ailments are allowed to stack, as is the case with EmberwakeEmberwake
Ruby RingRequires Level 16+(20-30)% to Fire Resistance(30-40)% increased Fire Damage
(5-10)% increased Cast Speed
10% chance to Ignite
40% less Burning Damage
You can inflict an additional Ignite on an EnemyLeave the world in flames behind you..

Modifiers to area of effect radius and damage will apply to status ailment auras. But if a skill cannot be supported by AoE gems (such as and ), proliferation effect will not benefit from them either.

Since status ailments (ignite, chill and shock) stay on corpses after death, debuff auras also stay and spread their effects to enemies around these corpses for the ailment's duration, or until the corpses are destroyed (e.g. shattered due to being frozen, detonated or raised).

Ground effects such as burning or chilling ground do not count as status ailments and therefore will not be proliferated.

Sources

• • Doryani's CatalystDoryani's Catalyst
    Vaal SceptreSceptre
    Physical Damage: (102-122) to (170-230)
    Critical Strike Chance: 6.00%
    Attacks per Second: (1.55-1.61)
    Weapon Range: 1.1 metresRequires Level 75, 113 Str, 113 Int32% increased Elemental DamageSocketed Gems are Supported by Level 20 Elemental Proliferation
    Adds (65-85) to (100-160) Physical Damage
    (11-15)% increased Attack Speed
    (6-10)% increased Cast Speed
    (30-40)% increased Global Critical Strike Chance
    0.2% of Elemental Damage Leeched as Life
    (80-100)% increased Elemental DamageThe result of the catalytic reaction would be either immortality for all,
    or death for all. It was a risk Doryani was willing to take.
  • Thousand RibbonsThousand Ribbons
    Simple RobeEvasion: (30-60)
    Energy Shield: (44-80)
    Movement Speed: -3%Requires 17 IntSocketed Gems are Supported by Level 5 Elemental Proliferation
    Adds (2-4) to (5-9) Fire Damage to Spells and Attacks
    Adds (2-4) to (5-9) Cold Damage to Spells and Attacks
    Adds 1 to (4-12) Lightning Damage to Spells and Attacks
    +(30-60) to Evasion Rating
    +(30-60) to maximum Energy Shield
    +(25-50) to maximum Life
    +(25-50) to maximum Mana
    +(15-30)% to Fire Resistance
    +(15-30)% to Cold Resistance
    +(15-30)% to Lightning ResistanceThe night of a thousand ribbons
    To remember the day of a thousand flames
    When Sarn burned
    And was born again
• Elementalist's passive Beacon of Ruin
• Xoph's NurtureXoph's Nurture
  Citadel BowBow
  Physical Damage: (95.4-106.2) to (381.6-424.8)
  Critical Strike Chance: 6.00%
  Attacks per Second: 1.25Requires Level 64, 185 DexSocketed Gems are Supported by Level 20 Ignite Proliferation
  (165-195)% increased Physical Damage
  50% of Physical Damage Converted to Fire Damage
  10% chance to Ignite
  Recover (40-60) Life when you Ignite an EnemyUpon the grey winds his love spreads. (ignite only)

Achievements

Name	Description
Elemental Trinity	Slay an enemy that is simultaneously Ignited, Shocked, and Frozen.