ExsanguinateSpell, Chaining, Physical, Duration Level: (1-20) Cost: (16-46) Life Cast Time: 0.80 sec Critical Strike Chance: 6.00% Effectiveness of Added Damage: (150-270)%Requires Level 12Releases several tendrils of blood from your character, targeting enemies in a narrow angle in front of you. The beams deal physical damage and inflict a physical damage over time debuff to enemies, which can stack up to 3 times. Effects which allow skills to chain can apply to these tendrils.Deals (17-1193) to (25-1789) Physical Damage Deals (23.4-1121) Base Physical Damage per second Base duration is 1.00 seconds Modifiers to Spell Damage apply to this Skill's Damage Over Time effect Fires tendrils at up to (7-9) Targets
Additional Effects From 1-20% Quality: Base duration is (0.075-1.5) secondsPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket.
Exsanguinate is a physicalspell that shoots out blood tendrils in a cone that deal physical damage and deal physical damage over time on hit, which can stack up to three times. Tendrils can be supported by chain modifiers to hit more enemies.
Likewise, using Trap SupportTrap SupportSupport, Trap Icon: T Level: (1-20) Cost & Reservation Multiplier: 120%Requires Level 8Supports spells, or attacks that use bows or wands. Instead of using that skill, you will throw a trap that will use the skill for you when an enemy walks near it. Traps cannot use channelling skills.Supported Attack Skills cannot be used with Melee Weapons Trap lasts 4 seconds Supported Skills deal (20-6)% less Trap Damage Supported Skills have (0-19)% increased Trap Throwing Speed
Additional Effects From 1-20% Quality: Supported Skills deal (0.5-10)% increased Trap 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. or Blastchain Mine SupportBlastchain Mine SupportSupport, Mine Icon: Y Level: (1-20) Cost & Reservation Multiplier: 50%Requires Level 8Supports spells, or attacks that use bows or wands. Instead of using that skill, you will throw a mine that will use the skill for you when you detonate it. Mines cannot use channelling skills.Supported Attack Skills cannot be used with Melee Weapons Supported Skills deal (59-53)% less Damage Mine lasts 5 seconds Supported Skills have a Base Mine Detonation Time of 0.25 seconds Supported Skills gain a Base Reservation equal to Base Mana and Life Cost Supported Skills deal 5% more Damage for each prior Mine in Detonation Sequence
Additional Effects From 1-20% Quality: (0.5-10)% increased Mine 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.High-Impact Mine SupportHigh-Impact Mine SupportMine, Support, AoE, Aura Icon: Y Level: (1-20) Cost & Reservation Multiplier: 50%Requires Level 31Supports spells, or attacks that use bows or wands. Instead of using that skill, you will throw a mine that will use the skill for you when you detonate it. Mines cannot use channelling skills.Supported Attack Skills cannot be used with Melee Weapons Mine lasts 5 seconds Supported Skills gain a Base Reservation equal to Base Mana and Life Cost Supported Skills have a Base Mine Detonation Time of 0.25 seconds Supported Skills deal (56-50)% less Damage Each Mine from Supported Skills applies 2% chance to deal Double Damage to Hits against Enemies near it, up to a maximum of 100%
Additional Effects From 1-20% Quality: (0.5-10)% increased Mine 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 cause them to use life instead mana.
Each debuff applied by this skill has its own duration. Applying a second or third instance of the debuff does not refresh the duration of the previous ones.
Tendrils are not projectiles but they can be affected by chain (e.g. Chain SupportChain SupportSupport, Chaining, Projectile Icon: c Level: (1-20) Cost & Reservation Multiplier: 150%Requires Level 38Supports projectile skills, and any other skills that chain.Supported Skills Chain +2 times Supported Skills deal (30-11)% less Damage with Hits
Additional Effects From 1-20% Quality: Supported Skills have (0.5-10)% increased Chaining rangeThis 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.).
Gem level progression
Level
Life Cost
Damage Effectiveness
Physical Damage
Physical DPS
Tendril targets
Exp.
Total Exp.
1
12
21
14
16
150%
17 to 25
23.4
7
0
0
2
15
25
17
18
150%
22 to 33
30.4
7
15249
15249
3
19
30
21
21
160%
32 to 47
42.2
7
41517
56766
4
23
35
24
23
170%
44 to 66
57.4
7
81983
138749
5
27
41
28
25
170%
61 to 91
76.9
7
147968
286717
6
31
46
32
26
180%
83 to 124
101.8
7
250557
537274
7
35
51
36
28
190%
112 to 168
133.5
7
405086
942360
8
38
55
38
30
190%
139 to 208
162.7
8
447718
1390078
9
41
59
41
32
200%
172 to 258
197.4
8
615318
2005396
10
44
63
44
33
210%
213 to 319
238.8
8
834639
2840035
11
47
67
47
34
210%
262 to 393
288
8
1570760
4410795
12
50
71
49
35
220%
321 to 482
346.3
8
1633987
6044782
13
53
75
52
37
230%
393 to 590
415.4
8
2151030
8195812
14
56
79
55
39
230%
481 to 721
497.1
8
2812189
11008001
15
59
83
58
40
240%
586 to 879
593.7
9
5099360
16107361
16
62
87
60
42
250%
713 to 1069
707.6
9
9400731
25508092
17
64
90
62
43
250%
812 to 1217
794.7
9
15273366
40781458
18
66
92
64
44
260%
923 to 1385
891.9
9
26286582
67068040
19
68
95
66
45
260%
1050 to 1575
1000.2
9
62890590
129958630
20
70
98
68
46
270%
1193 to 1789
1121
9
212046017
342004647
21
72
100
70
47
270%
1355 to 2032
1255.6
9
N/A
N/A
22
74
N/A
N/A
48
270%
1537 to 2306
1405.5
10
N/A
N/A
23
76
N/A
N/A
49
270%
1744 to 2615
1572.4
10
N/A
N/A
24
78
N/A
N/A
50
270%
1977 to 2965
1758.1
10
N/A
N/A
25
80
N/A
N/A
51
270%
2239 to 3359
1964.8
10
N/A
N/A
26
82
N/A
N/A
52
270%
2536 to 3804
2194.6
10
N/A
N/A
27
84
N/A
N/A
53
270%
2870 to 4306
2450.3
10
N/A
N/A
28
86
N/A
N/A
54
270%
3248 to 4871
2734.3
10
N/A
N/A
29
88
N/A
N/A
55
270%
3673 to 5509
3050.1
11
N/A
N/A
30
90
N/A
N/A
56
270%
4152 to 6227
3400.9
11
N/A
N/A
31
91
N/A
N/A
57
270%
4413 to 6620
3590.5
11
N/A
N/A
32
92
N/A
N/A
58
270%
4691 to 7037
3790.4
11
N/A
N/A
33
93
N/A
N/A
58
270%
4986 to 7479
4001.1
11
N/A
N/A
34
94
N/A
N/A
59
270%
5299 to 7948
4223.1
11
N/A
N/A
35
95
N/A
N/A
59
270%
5631 to 8446
4456.9
11
N/A
N/A
36
96
N/A
N/A
60
270%
5983 to 8974
4703.2
11
N/A
N/A
37
97
N/A
N/A
60
270%
6357 to 9535
4962.8
11
N/A
N/A
38
98
N/A
N/A
60
270%
6753 to 10129
5236.1
11
N/A
N/A
39
99
N/A
N/A
61
270%
7173 to 10760
5524
11
N/A
N/A
40
100
N/A
N/A
61
270%
7619 to 11429
5827.5
11
N/A
N/A
Item acquisition
Exsanguinate can drop anywhere.
Recipes
Exsanguinate can be created from the following recipes:
Amount
Part
Description
Meta
13
The CataclysmThe Cataclysm13Level 21 Spell Gem CorruptedThe mighty warriors traded in blows, the nimble archers in arrows, yet it was the brazen thaumaturgists who would bring catastrophe to all.
Random corruptedlevel 21 Spell gem
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:
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.
Trap SupportTrap SupportSupport, Trap
or 
Blastchain Mine SupportBlastchain Mine SupportSupport, Mine
High-Impact Mine SupportHigh-Impact Mine SupportMine, Support, AoE, Aura
will also cause them to use life instead mana.
Chain SupportChain SupportSupport, Chaining, Projectile
).
The Cataclysm
The Cataclysm
13Level 21 Spell Gem
The Fox
6Level 20 Gem"Masters of wit, strength and cunning. To survive the harsh winters, you must be like the fox."
Gemcutter's Promise
3Gem
Gemcutter's IncubatorGemcutter's IncubatorStack Size: 10Adds an incubated Quality Gem item to an equippable item
The Void
1Reach into the Void and claim your prize.
Mercurial Exsanguinate EffectSkill Gem EffectYour Exsanguinate becomes a Mercurial Effect.
Transcendence Exsanguinate EffectSkill Gem EffectYour Exsanguinate becomes a Transcendence Effect.