Boneshatter of Complex TraumaAttack, Melee, Strike, AoE, Duration, Physical Level: (1-20) Cost: (9-12) Mana Attack Speed: 85% of base Attack Damage: (231-338)% of base Effectiveness of Added Damage: (231-338)%Requires Level 28Attack enemies with a forceful melee strike that also hurts you. Successive uses will raise the damage dealt both to enemies and you. Stunning an enemy with the strike releases a damaging pulse. Requires a Mace, Sceptre, Axe or Staff.(11-158) to (17-238) Added Attack Physical Damage Lose all Trauma on reaching 10 Trauma Gain 1 Trauma the first time this Attack Hits an Enemy Take (18-582) Physical Damage per Trauma when you gain Trauma Trauma lasts 6.0 seconds (8-15)% more Damage per Trauma, up to 200% Pulse has 15% increased Area of Effect per 0.1s of Stun Duration, up to 400%
Additional Effects From 1-20% Quality: (0.25-5)% more Damage per Trauma, up to 200%Place into an item socket of the right colour to gain this skill. Right click to remove from a socket.
Boneshatter of Complex Trauma is a meleeattackskill and also hurts you. Successive uses will raise the damage dealt both to enemies and you through Trauma stacks which reset after reaching 10 stacks. Stunning an enemy with the strike releases a damaging area of effect pulse.
It is a transfigured version of BoneshatterBoneshatterAttack, Melee, Strike, AoE, Duration, Physical Level: (1-20) Cost: (9-12) Mana Attack Speed: 85% of base Attack Damage: (231-338)% of base Effectiveness of Added Damage: (231-338)%Requires Level 28Attack enemies with a forceful melee strike that also hurts you. Successive uses will raise the damage dealt both to enemies and you. Stunning an enemy with the strike releases a damaging pulse. Requires a Mace, Sceptre, Axe or Staff.(11-158) to (17-238) Added Attack Physical Damage Gain 1 Trauma the first time this Attack Hits an Enemy Take (6-194) Physical Damage per Trauma when you gain Trauma Trauma lasts 6.0 seconds (2-4)% more Damage per Trauma Pulse has 15% increased Area of Effect per 0.1s of Stun Duration, up to 400%
Additional Effects From 1-20% Quality: +(0.05-1)% more Damage per TraumaPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket..
Unlike the original skill, this transfigured version causes you to deal and take more damage from Trauma, while also resetting Trauma once it reaches 10 stacks.
BoneshatterBoneshatterAttack, Melee, Strike, AoE, Duration, Physical Level: (1-20) Cost: (9-12) Mana Attack Speed: 85% of base Attack Damage: (231-338)% of base Effectiveness of Added Damage: (231-338)%Requires Level 28Attack enemies with a forceful melee strike that also hurts you. Successive uses will raise the damage dealt both to enemies and you. Stunning an enemy with the strike releases a damaging pulse. Requires a Mace, Sceptre, Axe or Staff.(11-158) to (17-238) Added Attack Physical Damage Gain 1 Trauma the first time this Attack Hits an Enemy Take (6-194) Physical Damage per Trauma when you gain Trauma Trauma lasts 6.0 seconds (2-4)% more Damage per Trauma Pulse has 15% increased Area of Effect per 0.1s of Stun Duration, up to 400%
Additional Effects From 1-20% Quality: +(0.05-1)% more Damage per TraumaPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket. cannot be supported by Trauma SupportTrauma SupportPhysical, Support, Melee, Attack, Strike, Duration Icon: # Level: (1-20) Cost & Reservation Multiplier: 140%Requires Level 38Supports melee strike skills that do not inherently apply Trauma. Cannot support triggered skills, Vaal skills, or skills used by things other than you. Cannot modify the skills of minions.Supported Skills have (2-10) to (3-17) Added Attack Physical Damage per Trauma Supported Skills have 5% increased Stun Duration per Trauma Gain 1 Trauma the first time a Supported Attack Hits an Enemy Take (13-146) Physical Damage per Trauma when you gain Trauma from Supported Skills Trauma lasts (5.0-6.9) seconds Supported Skills can only be used with Axes, Maces, Sceptres or Staves
Additional Effects From 1-20% Quality: Supported Skills have (0.5-10)% reduced Enemy Stun ThresholdThis 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.. Skills that gain bonuses based on your Trauma stacks do not care about the source of that trauma; for example, if you use BoneshatterBoneshatterAttack, Melee, Strike, AoE, Duration, Physical Level: (1-20) Cost: (9-12) Mana Attack Speed: 85% of base Attack Damage: (231-338)% of base Effectiveness of Added Damage: (231-338)%Requires Level 28Attack enemies with a forceful melee strike that also hurts you. Successive uses will raise the damage dealt both to enemies and you. Stunning an enemy with the strike releases a damaging pulse. Requires a Mace, Sceptre, Axe or Staff.(11-158) to (17-238) Added Attack Physical Damage Gain 1 Trauma the first time this Attack Hits an Enemy Take (6-194) Physical Damage per Trauma when you gain Trauma Trauma lasts 6.0 seconds (2-4)% more Damage per Trauma Pulse has 15% increased Area of Effect per 0.1s of Stun Duration, up to 400%
Additional Effects From 1-20% Quality: +(0.05-1)% more Damage per TraumaPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket. to generate trauma, skills supported by Trauma SupportTrauma SupportPhysical, Support, Melee, Attack, Strike, Duration Icon: # Level: (1-20) Cost & Reservation Multiplier: 140%Requires Level 38Supports melee strike skills that do not inherently apply Trauma. Cannot support triggered skills, Vaal skills, or skills used by things other than you. Cannot modify the skills of minions.Supported Skills have (2-10) to (3-17) Added Attack Physical Damage per Trauma Supported Skills have 5% increased Stun Duration per Trauma Gain 1 Trauma the first time a Supported Attack Hits an Enemy Take (13-146) Physical Damage per Trauma when you gain Trauma from Supported Skills Trauma lasts (5.0-6.9) seconds Supported Skills can only be used with Axes, Maces, Sceptres or Staves
Additional Effects From 1-20% Quality: Supported Skills have (0.5-10)% reduced Enemy Stun ThresholdThis 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. will still be granted added Physical Damage even if they themselves did not generate the trauma.
Gaining Trauma
Hitting an enemy with BoneshatterBoneshatterAttack, Melee, Strike, AoE, Duration, Physical Level: (1-20) Cost: (9-12) Mana Attack Speed: 85% of base Attack Damage: (231-338)% of base Effectiveness of Added Damage: (231-338)%Requires Level 28Attack enemies with a forceful melee strike that also hurts you. Successive uses will raise the damage dealt both to enemies and you. Stunning an enemy with the strike releases a damaging pulse. Requires a Mace, Sceptre, Axe or Staff.(11-158) to (17-238) Added Attack Physical Damage Gain 1 Trauma the first time this Attack Hits an Enemy Take (6-194) Physical Damage per Trauma when you gain Trauma Trauma lasts 6.0 seconds (2-4)% more Damage per Trauma Pulse has 15% increased Area of Effect per 0.1s of Stun Duration, up to 400%
Additional Effects From 1-20% Quality: +(0.05-1)% more Damage per TraumaPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket. or strike skill (other than Boneshatter) supported by Trauma SupportTrauma SupportPhysical, Support, Melee, Attack, Strike, Duration Icon: # Level: (1-20) Cost & Reservation Multiplier: 140%Requires Level 38Supports melee strike skills that do not inherently apply Trauma. Cannot support triggered skills, Vaal skills, or skills used by things other than you. Cannot modify the skills of minions.Supported Skills have (2-10) to (3-17) Added Attack Physical Damage per Trauma Supported Skills have 5% increased Stun Duration per Trauma Gain 1 Trauma the first time a Supported Attack Hits an Enemy Take (13-146) Physical Damage per Trauma when you gain Trauma from Supported Skills Trauma lasts (5.0-6.9) seconds Supported Skills can only be used with Axes, Maces, Sceptres or Staves
Additional Effects From 1-20% Quality: Supported Skills have (0.5-10)% reduced Enemy Stun ThresholdThis 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. will grant you a Trauma stack, giving more Damage or added Physical Damage respectively. However, you will also take Physical Damage per Trauma stack upon gaining a new one. Only one stack can be obtained per attack, regardless of the number of enemies hit. Repeated attacks from Multistrike SupportMultistrike SupportAttack, Melee, Support Icon: 3 Level: (1-20) Cost & Reservation Multiplier: 150%Requires Level 38Supports melee attack skills, making them repeat twice when used, targeting a random enemy each time. Cannot support Vaal skills, channelling skills, travel skills, retaliation skills or triggered skills.Supported Skills Repeat 2 additional times Supported Skills have (35-44)% more Melee Attack Speed Supported Skills deal (30-20)% less Attack Damage First Repeat of Supported Skills deals 22% more Damage Second Repeat of Supported Skills deals 44% more Damage
Additional Effects From 1-20% Quality: Supported Skills deal (0.5-10)% increased Melee DamageThis 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. will also not grant additional Trauma stacks and only inflicts self-damage every 3rd hit. This can be used to reduce the gain and impact of Trauma for builds incapable of tanking high stacks of Trauma.
Each Trauma stack counts as an individual buff, with each Trauma stack having its own duration. The (now drop-disabled) Mantra of FlamesMantra of Flames Crimson JewelLimited to: 1Adds (3-5) to (8-12) Fire Attack Damage per Buff on you Adds (2-3) to (5-8) Fire Spell Damage per Buff on youThe strong grow stronger still.Place into an allocated Jewel Socket on the Passive Skill Tree. Right click to remove from the Socket. Jewel therefore grants a damage bonus for each stack of Trauma. Linking Boneshatter or a Trauma skill with More Duration SupportMore Duration SupportSupport, Duration Icon: D Level: (1-20) Cost & Reservation Multiplier: 130%Requires Level 31Supports any skill with a duration.Supported Skills have (30-39)% more Skill Effect Duration
Additional Effects From 1-20% Quality: Supported Skills have (0.5-10)% more Skill Effect DurationThis 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./Efficacy SupportEfficacy SupportSupport, Duration Icon: a Level: (1-20) Cost & Reservation Multiplier: 130%Requires Level 8Supports any skill that deals damage or has a duration.Supported Skills deal (15-24)% more Damage over Time Supported Skills have (15-24)% increased Skill Effect Duration
Additional Effects From 1-20% Quality: Supported Skills deal (0.5-10)% 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., cursing yourself/being cursed with Temporal ChainsTemporal ChainsSpell, AoE, Duration, Curse, Hex Level: (1-20) Cost: (16-33) Mana Cast Time: 0.50 secRequires Level 24Curses all enemies in an area, lowering their action speed and making other effects on them expire more slowly.Base duration is (5.00-8.80) seconds +(0-1) metre to radius 50% less Effect of Curse against Players Cursed Normal and Magic Enemies have (15-29)% less Action Speed Other effects on Cursed enemies expire 25% slower Cursed Rare and Unique Enemies have (9-18)% less Action Speed
Additional Effects From 1-20% Quality: (1-20)% increased Curse DurationPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., or gaining skill effect duration elsewhere will increase the duration of each Trauma buff stack, reducing the need for high attack speed to maintain high Trauma.
Damage taken from Trauma
With a level 20 gem and N current Trauma stacks, you will take (194(BoneshatterBoneshatterAttack, Melee, Strike, AoE, Duration, Physical Level: (1-20) Cost: (9-12) Mana Attack Speed: 85% of base Attack Damage: (231-338)% of base Effectiveness of Added Damage: (231-338)%Requires Level 28Attack enemies with a forceful melee strike that also hurts you. Successive uses will raise the damage dealt both to enemies and you. Stunning an enemy with the strike releases a damaging pulse. Requires a Mace, Sceptre, Axe or Staff.(11-158) to (17-238) Added Attack Physical Damage Gain 1 Trauma the first time this Attack Hits an Enemy Take (6-194) Physical Damage per Trauma when you gain Trauma Trauma lasts 6.0 seconds (2-4)% more Damage per Trauma Pulse has 15% increased Area of Effect per 0.1s of Stun Duration, up to 400%
Additional Effects From 1-20% Quality: +(0.05-1)% more Damage per TraumaPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket.)/497(Boneshatter of Complex TraumaBoneshatter of Complex TraumaAttack, Melee, Strike, AoE, Duration, Physical Level: (1-20) Cost: (9-12) Mana Attack Speed: 85% of base Attack Damage: (231-338)% of base Effectiveness of Added Damage: (231-338)%Requires Level 28Attack enemies with a forceful melee strike that also hurts you. Successive uses will raise the damage dealt both to enemies and you. Stunning an enemy with the strike releases a damaging pulse. Requires a Mace, Sceptre, Axe or Staff.(11-158) to (17-238) Added Attack Physical Damage Lose all Trauma on reaching 10 Trauma Gain 1 Trauma the first time this Attack Hits an Enemy Take (18-582) Physical Damage per Trauma when you gain Trauma Trauma lasts 6.0 seconds (8-15)% more Damage per Trauma, up to 200% Pulse has 15% increased Area of Effect per 0.1s of Stun Duration, up to 400%
Additional Effects From 1-20% Quality: (0.25-5)% more Damage per Trauma, up to 200%Place into an item socket of the right colour to gain this skill. Right click to remove from a socket.)146(Trauma SupportTrauma SupportPhysical, Support, Melee, Attack, Strike, Duration Icon: # Level: (1-20) Cost & Reservation Multiplier: 140%Requires Level 38Supports melee strike skills that do not inherently apply Trauma. Cannot support triggered skills, Vaal skills, or skills used by things other than you. Cannot modify the skills of minions.Supported Skills have (2-10) to (3-17) Added Attack Physical Damage per Trauma Supported Skills have 5% increased Stun Duration per Trauma Gain 1 Trauma the first time a Supported Attack Hits an Enemy Take (13-146) Physical Damage per Trauma when you gain Trauma from Supported Skills Trauma lasts (5.0-6.9) seconds Supported Skills can only be used with Axes, Maces, Sceptres or Staves
Additional Effects From 1-20% Quality: Supported Skills have (0.5-10)% reduced Enemy Stun ThresholdThis 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.)) *(N+1) physical damage (before damage mitigation) upon your next attack.
The damage taken per Trauma stack hits, enabling when-hit effects and Cast when Damage Taken SupportCast when Damage Taken SupportSupport, Spell, Trigger Icon: ! Level: (1-20) Cost & Reservation Multiplier: 250% Cooldown Time: 0.25 sec Can Store 1 Use(s)Requires Level 38Each supported spell skill will track damage you take, and be triggered when the total damage taken reaches a threshold. Cannot support skills used by totems, traps, or mines. Vaal skills, channelling skills, and skills with a reservation cannot be triggered.This Gem can only Support Skill Gems requiring Level (38-70) or lower Supported Skills deal (65-27)% less Damage Trigger Supported Spells when you take (528-3272) total Damage from Hits
Additional Effects From 1-20% Quality: Supported Skills require (0.5-10)% reduced amount of Damage taken to TriggerThis 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.. It also allows your armour and/or physical damage reduction to prevent some of the physical damage taken. However, the damage cannot be blocked or evaded via evasion rating/dodge. "Avoid damage from hits" effects (e.g. Elusive) do work, however.
Damage conversion modifiers do not affect the damage from Trauma. However, damage taken as modifiers such as #% of Physical Damage from Hits taken as Cold Damage will shift the damage you take, allowing mitigation via elemental resistances. Additionally, it is possible to chill, freeze, or shock yourself this way; it is not possible to self-inflict damaging ailments unless you have a source of All Damage from Hits can Ignite/Poison you such as Mokou's EmbraceMokou's Embrace Ruby RingRequires Level 16+(20-30)% to Fire Resistance+(25-40)% to Cold Resistance (25-40)% increased Attack Speed while Ignited (25-40)% increased Cast Speed while Ignited +25% chance to be Ignited All Damage Taken from Hits can Ignite youFire makes the perfect blossom in the endless night..
Recoup is a valuable stat to have due to the escalating damage quickly exceeding and overpowering other forms of recovery, whereas Recoup will always recover the same percentage of damage received.
Gem level progression
Level
Mana Cost
Damage Effectiveness
Attack Damage
Physical Damage Taken per Trauma
More Damage per Trauma
Added Attack Physical Damage
Exp.
Total Exp.
1
28
67
9
231%
231%
18
8%
11 to 17
0
0
2
31
73
9
236.6%
236.6%
24
8%
14 to 21
199345
199345
3
34
79
9
242.3%
242.3%
31
9%
18 to 26
285815
485160
4
37
85
9
248.1%
248.1%
40
9%
22 to 33
401344
886504
5
40
92
10
253.9%
253.9%
52
9%
27 to 40
554379
1440883
6
42
96
10
259.4%
259.4%
62
10%
30 to 45
477437
1918320
7
44
100
10
264.8%
264.8%
73
10%
34 to 52
583786
2502106
8
46
104
10
270.3%
270.3%
87
11%
39 to 58
710359
3212465
9
48
109
10
275.8%
275.8%
103
11%
44 to 66
1355511
4567976
10
50
113
10
281.3%
281.3%
121
11%
50 to 75
1138877
5706853
11
52
117
10
286.8%
286.8%
142
12%
56 to 84
1368233
7075086
12
54
121
11
292.4%
292.4%
167
12%
63 to 95
1638338
8713424
13
56
125
11
298%
298%
197
12%
71 to 107
1956648
10670072
14
58
130
11
303.7%
303.7%
231
13%
80 to 120
3655184
14325256
15
60
134
11
309.3%
309.3%
270
13%
90 to 135
3017327
17342583
16
62
138
11
315.2%
315.2%
316
14%
101 to 152
7759995
25102578
17
64
142
11
320.9%
320.9%
368
14%
113 to 170
15138193
40240771
18
66
146
12
326.7%
326.7%
429
14%
127 to 190
26083825
66324596
19
68
151
12
332.5%
332.5%
501
15%
142 to 213
62620247
128944843
20
70
155
12
338.3%
338.3%
582
15%
158 to 238
211708088
340652931
21
72
159
12
344.2%
344.2%
676
15%
177 to 265
—
—
22
74
—
12
350%
350%
786
15%
197 to 295
—
—
23
76
—
12
356%
356%
911
15%
219 to 329
—
—
24
78
—
12
361.9%
361.9%
1055
15%
244 to 366
—
—
25
80
—
13
368%
368%
1223
15%
271 to 407
—
—
26
82
—
13
374%
374%
1414
15%
301 to 452
—
—
27
84
—
13
380.1%
380.1%
1632
15%
334 to 501
—
—
28
86
—
13
386.2%
386.2%
1889
15%
370 to 555
—
—
29
88
—
13
392.3%
392.3%
2177
15%
410 to 615
—
—
30
90
—
13
398.4%
398.4%
2508
15%
453 to 680
—
—
31
91
—
13
401.5%
401.5%
2691
15%
477 to 715
—
—
32
92
—
14
404.6%
404.6%
2888
15%
501 to 751
—
—
33
93
—
14
407.7%
407.7%
3106
15%
526 to 789
—
—
34
94
—
14
410.8%
410.8%
3331
15%
553 to 829
—
—
35
95
—
14
413.9%
413.9%
3572
15%
581 to 871
—
—
36
96
—
14
417%
417%
3830
15%
610 to 914
—
—
37
97
—
14
420.2%
420.2%
4106
15%
640 to 960
—
—
38
98
—
14
423.3%
423.3%
4401
15%
671 to 1007
—
—
39
99
—
14
426.6%
426.6%
4728
15%
704 to 1057
—
—
40
100
—
14
429.7%
429.7%
5066
15%
739 to 1108
—
—
Item acquisition
Boneshatter of Complex Trauma has restrictions on where or how it can drop.
This item is a transfigured gem. It can be obtained through the use of the Divine Font in the Lord's Labyrinth.
Recipes
Boneshatter of Complex Trauma can be created from the following recipes:
Amount
Part
Description
Meta
4
The Blessing of MooshThe Blessing of Moosh4Level 21 Transfigured Gem CorruptedWhile the Labyrinth traps have claimed countless adventurers, they were not designed with felines in mind.
Random corruptedlevel 21 transfigured gem
A
8
The HookThe Hook8Level 21 Transfigured Gem Quality:+23% CorruptedEvery obsession began with a single, innocent taste.
Random corruptedlevel 21 transfigured gem with 23% quality
A
3
Doryani's EpiphanyDoryani's Epiphany3Level 21 Transfigured Gem Quality:+20% Corrupted"Virtue gems have facets beyond those that can be seen by the mortal eye. Let us look deeper..."
Random corruptedlevel 21 transfigured gem with 20% quality
A
8
Dying AnguishDying Anguish8Level 19 Transfigured Gem 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.
level 19 transfigured gem with 19% quality
A
1
The VoidThe Void1Reach into the Void and claim your prize.
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.
Trauma stacks which reset after reaching 10 stacks. Stunning an enemy with the strike releases a damaging area of effect pulse.
BoneshatterBoneshatterAttack, Melee, Strike, AoE, Duration, Physical
.
Trauma SupportTrauma SupportPhysical, Support, Melee, Attack, Strike, Duration
. Skills that gain bonuses based on your Trauma stacks do not care about the source of that trauma; for example, if you use 
Multistrike SupportMultistrike SupportAttack, Melee, Support
will also not grant additional Trauma stacks and only inflicts self-damage every 3rd hit. This can be used to reduce the gain and impact of Trauma for builds incapable of tanking high stacks of Trauma.
Mantra of FlamesMantra of Flames
Jewel therefore grants a damage bonus for each stack of Trauma. Linking Boneshatter or a Trauma skill with 
More Duration SupportMore Duration SupportSupport, Duration
/
Efficacy SupportEfficacy SupportSupport, Duration
, cursing yourself/being cursed with 
Temporal ChainsTemporal ChainsSpell, AoE, Duration, Curse, Hex
, or gaining skill effect duration elsewhere will increase the duration of each Trauma buff stack, reducing the need for high attack speed to maintain high Trauma.
Boneshatter of Complex TraumaBoneshatter of Complex TraumaAttack, Melee, Strike, AoE, Duration, Physical
)146(
Cast when Damage Taken SupportCast when Damage Taken SupportSupport, Spell, Trigger
. It also allows your armour and/or physical damage reduction to prevent some of the physical damage taken. However, the damage cannot be blocked or evaded via evasion rating/dodge. "Avoid damage from hits" effects (e.g. 
Elusive) do work, however.
Mokou's EmbraceMokou's Embrace
.
The Blessing of Moosh
The Blessing of Moosh
4Level 21 Transfigured Gem
The Hook
8Level 21 Transfigured Gem
Doryani's Epiphany
3Level 21 Transfigured Gem
Dying Anguish
8Level 19 Transfigured Gem
The Void
1Reach into the Void and claim your prize.
Celestial Boneshatter EffectSkill Gem EffectYour Boneshatter becomes a Celestial Effect.