Blood and Sand

Blood and SandSpell, Stance
Level: (1-6)
Reservation: 10% Mana
Cooldown Time: 2.00 sec
Can Store 1 Use(s)
Cast Time: InstantRequires Level 4Casts a buff that grants different bonuses to melee skills depending on your stance. Using the skill again alternates between Blood Stance and Sand Stance.Melee Skills deal (10-15)% more Area Damage while in Blood Stance
Melee Skills have 5% less Area of Effect while in Blood Stance
Melee Skills have (10-15)% more Area of Effect while in Sand Stance
Melee Skills deal 5% less Area Damage while in Sand Stance
(0-50)% increased Cooldown Recovery Rate

Additional Effects From 1-20% Quality:
(0.5-10)% increased Cooldown Recovery RatePlace into an item socket of the right colour to gain this skill. Right click to remove from a socket.

Acquisition
Drop level: 5Metadata
Item class: Skill Gem
Metadata ID: Metadata/Items/Gems/SkillGemBloodAndSand

Blood and Sand reserves mana to activate Blood Stance and Sand Stance. In Sand Stance, your melee skills have more area of effect, but less area damage. In Blood Stance, your melee skills have more area damage, but less area of effect. Activating the skill while it's toggled on will alternate between stances. Certain skills also behave differently based on the stance you are currently on.

Skill functions and interactions

Stance setting is shared with Flesh and StoneFlesh and StoneSpell, Aura, AoE, Stance, Physical
Level: (1-20)
Reservation: 25% Mana
Cooldown Time: 2.00 sec
Can Store 1 Use(s)
Cast Time: InstantRequires Level 16Buffs you, and affects nearby enemies with an aura, differently depending on your stance. Both stances are more impactful against enemies closer to you. Using the skill again alternates between Blood Stance and Sand Stance.Base Aura radius is 2.8 metres
(0-50)% increased Cooldown Recovery Rate
While in Blood Stance, Aura makes Enemies take up to (10-20)% more Physical Damage from Hits
While in Sand Stance, Buff makes you take up to (10-19)% less Damage from Enemies in Aura

Additional Effects From 1-20% Quality:
(0.5-10)% increased Cooldown Recovery RatePlace into an item socket of the right colour to gain this skill. Right click to remove from a socket. and toggling one will toggle both.

The cooldown recovery rate from gem quality only affect the cooldown for toggling between blood and sand stance.

The gem max level is 6.

Gem level progression

Level				Blood Stance Area Damage	Sand Stance Area of Effect	Cooldown Recovery Rate	Exp.	Total Exp.
1	4	0	0	10%	10%	—	0	0
2	12	14	21	11%	11%	10%	16154	16154
3	28	29	42	12%	12%	20%	631116	647270
4	44	44	63	13%	13%	30%	5714441	6361711
5	58	57	82	14%	14%	40%	33587544	39949255
6	70	68	98	15%	15%	50%	489216748	529166003
7	72	70	100	16%	16%	60%	—	—
8	74	—	—	17%	17%	70%	—	—
9	76	—	—	18%	18%	80%	—	—
10	78	—	—	19%	19%	90%	—	—
11	80	—	—	20%	20%	100%	—	—
12	82	—	—	21%	21%	110%	—	—
13	84	—	—	22%	22%	120%	—	—
14	86	—	—	23%	23%	130%	—	—
15	88	—	—	24%	24%	140%	—	—
16	90	—	—	25%	25%	150%	—	—
17	91	—	—	25%	25%	160%	—	—
18	92	—	—	26%	26%	170%	—	—
19	93	—	—	26%	26%	180%	—	—
20	94	—	—	27%	27%	190%	—	—
21	95	—	—	27%	27%	200%	—	—
22	96	—	—	28%	28%	210%	—	—
23	97	—	—	28%	28%	220%	—	—
24	98	—	—	29%	29%	230%	—	—
25	99	—	—	29%	29%	240%	—	—
26	100	—	—	30%	30%	250%	—	—

Item acquisition

Blood and Sand can drop anywhere.

Recipes

Blood and Sand can be created from the following recipes:

Amount	Part	Description	Meta
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:

Class →	Witch	Shadow	Ranger	Duelist	Marauder	Templar	Scion
Quest ↓
Breaking Some Eggs Act 1

Vendor reward

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

Class →	Witch	Shadow	Ranger	Duelist	Marauder	Templar	Scion
Quest ↓
Breaking Some Eggs Act 1 Nessa
A Fixture of Fate Act 3 Siosa
Fallen from Grace Act 6 Lilly Roth

Related helmet enchantments

The following helmet enchantments affect Blood and Sand.

Note that helmet enchantments are no longer obtainable since version 3.23.0 and can only be obtained in permanent leagues as already enchanted items from before this patch.

Name		Labyrinth	Stats	Spawn Weighting
Enchantment Blood and Sand Buff Effect 1	66	Merciless Labyrinth	Blood and Sand has 25% increased Buff Effect	helmet 100
Enchantment Blood and Sand Buff Effect 2	75	Eternal Labyrinth	Blood and Sand has 40% increased Buff Effect	helmet 100

Related skills

Gem
BladestormBladestormAttack, AoE, Duration, Melee Level: (1-20) Cost: (10-14) Mana Attack Speed: 70% of base Attack Damage: (159-291)% of base Effectiveness of Added Damage: (159-291)%Requires Level 28Perform a spinning attack, damaging enemies around you and creating a bladestorm matching your stance. The bladestorm repeatedly damages enemies, based on your weapon damage and attack time, for a duration. Blood bladestorms are stationary and cause Bleeding, while Sand bladestorms move slowly forwards and Blind enemies. Requires a Sword or Axe. You are in Blood Stance by default.Base duration is 3.00 seconds (70-108)% more Damage with Bleeding while in Blood Stance (10-12)% more Attack Speed while you're in a Blood Bladestorm Maximum of 3 Bladestorms at a time Sand Bladestorms grant (30-38)% increased Movement Speed to you Bladestorm deals 50% less Damage with Hits and Ailments Additional Effects From 1-20% Quality: +(0.05-1) to Maximum number of Bladestorms at a timePlace into an item socket of the right colour to gain this skill. Right click to remove from a socket.	28
LacerateLacerateAttack, AoE, Physical, Melee Level: (1-20) Cost: (10-17) Mana Attack Speed: 60% of base Attack Damage: (171-393)% of base Effectiveness of Added Damage: (171-393)% AoE Radius: 38Requires Level 12Slashes twice, releasing waves of force that damage enemies they hit. Enemies in the middle of the slashes can be hit by both. The slashes will have a chance to inflict bleeding in Blood Stance, or have a wider angle in Sand Stance. Can be used with Axes and Swords. You are in Blood Stance by default.+(0-0.9) metres to radius (50-88)% more Damage with Bleeding while in Blood Stance 25% chance to cause Bleeding while in Blood Stance 50% increased angle while in Sand Stance Additional Effects From 1-20% Quality: (1-20)% increased Attack Speed if you've changed Stance RecentlyPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket.	12
PerforatePerforateAttack, AoE, Slam, Melee Level: (1-20) Cost: (7-13) Mana Attack Speed: 80% of base Attack Damage: (218-622)% of base Effectiveness of Added Damage: (218-622)%Smash the ground to bring forth multiple spears to damage enemies. When in Blood Stance, multiple spikes burst from the ground in sequence, able to hit enemies multiple times. In Sand Stance, the spikes are thrust outwards. Requires a Sword or Axe. You are in Blood Stance by default.Creates 7 Spikes 75% less Damage while in Blood Stance (0-76)% more Area of Effect while in Sand Stance Additional Effects From 1-20% Quality: Creates +(0.1-2) SpikesPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket.	1
Perforate of DualityPerforate of DualityAttack, AoE, Slam, Melee Level: (1-20) Cost: (7-13) Mana Attack Speed: 80% of base Attack Damage: (218-622)% of base Effectiveness of Added Damage: (218-622)%Smash the ground to bring forth multiple spears to damage enemies. When in Blood Stance, multiple spikes burst from the ground in sequence, able to hit enemies multiple times. In Sand Stance, the spikes are thrust outwards. Requires a Sword or Axe. You are in Blood Stance by default.Creates 10 additional Spikes if you've changed Stance Recently Creates 3 Spikes 75% less Damage while in Blood Stance (0-76)% more Area of Effect while in Sand Stance Additional Effects From 1-20% Quality: Creates +(0.1-2) SpikesPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket.	1

Related unique items

The following unique items are related to Blood Stance and Sand Stance:

Item	Base item		Stats
Scorpion's CallScorpion's Call Heavy Arrow QuiverRequires Level 61Adds (12-15) to (24-27) Physical Damage to Attacks+(20-40) to Dexterity Regenerate (150-200) Life per Second while in Blood Stance (40-60)% increased Projectile Damage while in Blood Stance +(700-1000) to Evasion Rating while in Sand Stance (20-30)% increased Area of Effect while in Sand Stance (25-30)% increased Attack Speed if you've changed Stance RecentlyClaws open, brace for a bite. Stinger raised, dodge or die.	Heavy Arrow Quiver	61	Adds (12-15) to (24-27) Physical Damage to Attacks+(20-40) to Dexterity Regenerate (150-200) Life per Second while in Blood Stance (40-60)% increased Projectile Damage while in Blood Stance +(700-1000) to Evasion Rating while in Sand Stance (20-30)% increased Area of Effect while in Sand Stance (25-30)% increased Attack Speed if you've changed Stance Recently

Related passive skills

Passive skills

The following passive skills are related to Blood Stance and Sand Stance:

Name	Stats
Attack Damage in Blood Stance	20% increased Attack Damage while in Blood Stance [1]
Attack Speed in Sand Stance	6% increased Attack Speed while in Sand Stance [1]
Stance Reservation Efficiency	10% increased Mana Reservation Efficiency of Stance Skills [1]
Stance Skill Cooldown Recovery	10% increased Cooldown Recovery Rate for Stance Skills [1] [2] [3]
Seasoned Swordplay	50% increased Mana Reservation Efficiency of Stance Skills [1]

Ascendancy passive skills

The following Ascendancy passive skills are related to Blood Stance and Sand Stance: No results found for the given query.

Alternate skill effects

Blood and Sand has the following alternate skill effects:

Item	Description
Celestial Blood and Sand Stance EffectCelestial Blood and Sand Stance EffectSkill Gem EffectYour Blood and Sand or Flesh and Stone becomes a Celestial Effect.	Your Blood and Sand or Flesh and Stone becomes a Celestial Effect.
Polaris Blood and Sand EffectPolaris Blood and Sand EffectSkill Gem EffectYour Blood and Sand and Flesh and Stone becomes a Black and White Effect.	Your Blood and Sand and Flesh and Stone becomes a Black and White Effect.
Sunrise Blood and Sand EffectSunrise Blood and Sand EffectSkill Gem EffectYour Blood and Sand and Flesh and Stone becomes a Sunrise Effect.	Your Blood and Sand and Flesh and Stone becomes a Sunrise Effect.

See also

• Flesh and StoneFlesh and StoneSpell, Aura, AoE, Stance, Physical
  Level: (1-20)
  Reservation: 25% Mana
  Cooldown Time: 2.00 sec
  Can Store 1 Use(s)
  Cast Time: InstantRequires Level 16Buffs you, and affects nearby enemies with an aura, differently depending on your stance. Both stances are more impactful against enemies closer to you. Using the skill again alternates between Blood Stance and Sand Stance.Base Aura radius is 2.8 metres
  (0-50)% increased Cooldown Recovery Rate
  While in Blood Stance, Aura makes Enemies take up to (10-20)% more Physical Damage from Hits
  While in Sand Stance, Buff makes you take up to (10-19)% less Damage from Enemies in Aura
  
  Additional Effects From 1-20% Quality:
  (0.5-10)% increased Cooldown Recovery RatePlace into an item socket of the right colour to gain this skill. Right click to remove from a socket.

Version history

Version	Changes
3.11.0	Gained the Stance gem tag
3.7.4	Added Labyrinth Enchantments
3.7.0	Blood and Sand has been added to the game.