Puncture

PunctureAttack, Projectile, Duration, Melee, Strike, Physical, Bow
Level: (1-20)
Cost: 6 Mana
Attack Speed: 70% of base
Attack Damage: (134-164)% of base
Effectiveness of Added Damage: (135-165)%Requires Level 4Punctures enemies, causing a bleeding debuff, which will be affected by modifiers to skill duration. Puncture works with bows, daggers, claws or swords.Base duration is 8 seconds
(3-75) to (4-113) Added Attack Physical Damage
Causes Bleeding
(30-49)% more Damage with Bleeding

Additional Effects per 1% Quality:
Bleeding inflicted by this Skill deals Damage 0.5% fasterProjectiles Pierce 0.1 additional TargetsMelee Strikes target 0.1 additional nearby Enemies0.5% chance to Maim on HitPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket.Acquisition
Drop level: 5Vendor Offer
1x Scroll FragmentMetadata
Item class: Skill Gem
Metadata ID: Metadata/Items/Gems/SkillGemPuncture

Puncture is an attack skill that applies the Bleed ailment to enemies it hits, causing them to take physical damage over time that increases while the target is moving. Bleed applied with this skill deals more damage than usual.

Mechanics

Unlike other sources of bleed, Puncture's bleed ailment lasts 8 seconds and is affected by % increased Skill Effect Duration modifier, including the Increased Duration SupportIncreased Duration SupportSupport, Duration
Icon: D
Level: (1-20)
Cost & Reservation Multiplier: 130%Requires Level 31Supports any skill with a duration.Supported Skills have (45-64)% increased Skill Effect Duration

Additional Effects per 1% Quality:
Supported Skills have 0.5% increased 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 Active Skill Gem you wish to augment. Right click to remove from a socket. support gem.

For mechanics of the bleed effect itself, see Bleed.

Gem level progression

Level				Damage Effectiveness	Attack Damage	Physical Damage	Bleeding Damage	Exp.	Total Exp.
1	4	0	0	135%	134.74%	3 to 4	30%	0	0
2	6	0	0	136%	136.28%	3 to 5	31%	841	841
3	9	17	0	138%	137.82%	4 to 7	32%	3099	3940
4	12	21	14	140%	139.45%	5 to 8	33%	7433	11373
5	16	26	18	141%	140.99%	7 to 11	34%	22895	34268
6	20	31	22	142%	142.54%	9 to 13	35%	49725	83993
7	24	37	25	144%	144.16%	11 to 17	36%	95714	179707
8	28	42	29	146%	145.71%	14 to 20	37%	169595	349302
9	32	47	33	147%	147.25%	16 to 25	38%	283759	633061
10	36	52	36	149%	148.88%	20 to 30	39%	453996	1087057
11	40	58	40	151%	150.42%	24 to 35	40%	703128	1790185
12	44	63	44	152%	151.96%	28 to 42	41%	1061223	2851408
13	48	68	48	153%	153.59%	33 to 49	42%	2065870	4917278
14	52	74	51	155%	155.14%	39 to 58	43%	2507110	7424388
15	55	78	54	157%	156.68%	43 to 65	44%	2573731	9998119
16	58	82	57	159%	158.31%	49 to 73	45%	7611351	17609470
17	61	86	60	160%	159.85%	54 to 82	46%	13437908	31047378
18	64	90	62	161%	161.39%	61 to 91	47%	25052147	56099525
19	67	94	65	163%	163.02%	68 to 102	48%	43869436	99968961
20	70	98	68	165%	164.56%	75 to 113	49%	242081178	342050139
21	72	100	70	166%	166.11%	81 to 122	50%	N/A	N/A
22	74	N/A	N/A	168%	167.73%	87 to 130	51%	N/A	N/A
23	76	N/A	N/A	170%	169.28%	93 to 140	52%	N/A	N/A
24	78	N/A	N/A	171%	170.82%	100 to 150	53%	N/A	N/A
25	80	N/A	N/A	172%	172.45%	107 to 160	54%	N/A	N/A
26	82	N/A	N/A	174%	173.99%	114 to 172	55%	N/A	N/A
27	84	N/A	N/A	176%	175.53%	123 to 184	56%	N/A	N/A
28	86	N/A	N/A	177%	177.16%	131 to 197	57%	N/A	N/A
29	88	N/A	N/A	179%	178.71%	140 to 210	58%	N/A	N/A
30	90	N/A	N/A	180%	180.25%	150 to 224	59%	N/A	N/A
31	91	N/A	N/A	181%	181.11%	155 to 232	60%	N/A	N/A
32	92	N/A	N/A	182%	181.88%	160 to 240	61%	N/A	N/A
33	93	N/A	N/A	183%	182.65%	165 to 248	62%	N/A	N/A
34	94	N/A	N/A	183%	183.42%	171 to 256	63%	N/A	N/A
35	95	N/A	N/A	184%	184.19%	176 to 265	64%	N/A	N/A
36	96	N/A	N/A	185%	184.96%	182 to 273	65%	N/A	N/A
37	97	N/A	N/A	186%	185.82%	188 to 282	66%	N/A	N/A
38	98	N/A	N/A	187%	186.59%	194 to 292	67%	N/A	N/A
39	99	N/A	N/A	188%	187.36%	201 to 301	68%	N/A	N/A
40	100	N/A	N/A	189%	188.13%	207 to 311	69%	N/A	N/A

Gem quality

Type	Stats (per 1% quality)	Weight
Superior	Bleeding inflicted by this Skill deals Damage 0.5% faster	50
Anomalous	Projectiles Pierce 0.1 additional Targets	20
Divergent	Melee Strikes target 0.1 additional nearby Enemies	20
Phantasmal	0.5% chance to Maim on Hit	50

Item acquisition

Puncture can drop anywhere.

Recipes

Puncture can be created from the following recipes:

Amount	Part	Description	Meta
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
8	Dying AnguishDying Anguish8Level 19 Gem Alternate 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.	Random level 19 gem with 19% alternative quality	A
8	The HookThe Hook8Level 21 Gem Alternate Quality: +23% CorruptedEvery obsession began with a single, innocent taste.	Random corrupted level 21 gem with 23% alternative quality	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. Shift click to unstack.	Random gem with 1–20% quality	A
1	The VoidThe Void1Reach into the Void and claim your prize.	Random divination card set exchange	A

Usage in recipes

Puncture is used in the following recipes:

Result	Amount	Part	Notes	Description	Meta
Block Chance Reduction SupportBlock Chance Reduction SupportSupport, Duration Icon: B Level: (1-20)Requires Level 18Supports any skill that hits enemies.Overpowered applies -5% chance to Block Attack and Spell Damage Supported Skills inflict Overpowered for 4 seconds when Blocked Enemies have -(10-20)% chance to Block Attack or Spell Damage from Supported Skills Additional Effects per 1% Quality: Supported Skills have 0.25% reduced Enemy Block ChanceThis 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 Active Skill Gem you wish to augment. Right click to remove from a socket.	1	PuncturePunctureAttack, Projectile, Duration, Melee, Strike, Physical, Bow Level: (1-20) Cost: 6 Mana Attack Speed: 70% of base Attack Damage: (134-164)% of base Effectiveness of Added Damage: (135-165)%Requires Level 4Punctures enemies, causing a bleeding debuff, which will be affected by modifiers to skill duration. Puncture works with bows, daggers, claws or swords.Base duration is 8 seconds (3-75) to (4-113) Added Attack Physical Damage Causes Bleeding (30-49)% more Damage with Bleeding Additional Effects per 1% Quality: Bleeding inflicted by this Skill deals Damage 0.5% fasterPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket.	plus any dexterity shield with 20% quality	vendor recipe	M

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 Puncture.

Name		Labyrinth	Stats	Spawn Weighting
Enchantment Puncture Damage 1	66	Merciless Labyrinth	25% increased Puncture Damage	helmet 100
Enchantment Puncture Damage 2	75	Eternal Labyrinth	40% increased Puncture Damage	helmet 100
Enchantment Puncture Duration 1	66	Merciless Labyrinth	30% increased Puncture Duration	helmet 100
Enchantment Puncture Duration 2	75	Eternal Labyrinth	45% increased Puncture Duration	helmet 100
Enchantment Puncture Maim On Hit Percent Chance 1	66	Merciless Labyrinth	20% Chance for Puncture to Maim on hit	helmet 100
Enchantment Puncture Maim On Hit Percent Chance 2	75	Eternal Labyrinth	30% Chance for Puncture to Maim on hit	helmet 100

Alternate skill effects

Puncture has the following alternate skill effects:

Item	Effect(s)
Stygian Puncture EffectStygian Puncture EffectSkill Gem EffectYour Puncture becomes a Stygian Effect.	Your Puncture becomes a Stygian Effect.

Version history

Version	Changes
3.16.0	The following Skills no longer have “+0-2 to Melee Strike Range”: Dominating BlowDominating BlowAttack, Minion, Duration, Melee, Strike Level: (1-20) Cost: 8 Mana Attack Damage: (165-238)% of base Effectiveness of Added Damage: (165-238)%Requires Level 28Attacks enemies with a melee strike, applying a debuff for a short duration. If a non-unique enemy dies while affected by the debuff, the enemy's corpse will be consumed and a Sentinel of Dominance with the same rarity, prefix and suffix modifiers will be summoned for a longer secondary duration.Base duration is 1 seconds Base secondary duration is 20 seconds Maximum 9 Summoned Normal Sentinels of Dominance Maximum 3 Summoned Magic Sentinels of Dominance Maximum 1 Summoned Rare Sentinel of Dominance 25% Chance to Summon a Normal Sentinel of Dominance on Hitting a Unique Monster Additional Effects per 1% Quality: Minions deal 1% increased DamagePlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., Double StrikeDouble StrikeAttack, Melee, Strike, Physical Level: (1-20) Cost: 5 Mana Attack Speed: 80% of base Attack Damage: (91-140)% of base Effectiveness of Added Damage: (91-140)%Performs two fast strikes with a melee weapon.25% chance to cause Bleeding Adds (3-113) to (5-169) Physical Damage against Bleeding Enemies Additional Effects per 1% Quality: 0.5% increased Attack SpeedPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., Vaal Double StrikeVaal Double StrikeAttack, Melee, Strike, Duration, Vaal, Physical Level: (1-20) Souls Per Use: 30 Can Store 2 Use(s) Soul Gain Prevention: 8 sec Attack Damage: (28-41)% of base Effectiveness of Added Damage: (28-41)%Performs two fast strikes with a melee weapon, each of which summons a double of you for a duration to continuously attack monsters in this fashion.Base duration is 6 seconds Modifiers to Skill Effect Duration also apply to this Skill's Soul Gain Prevention Doubles have (0-57)% increased Movement Speed Can't be Evaded 25% chance to cause Bleeding Adds (3-113) to (5-169) Physical Damage against Bleeding Enemies Maximum 8 Summoned Doubles Additional Effects per 1% Quality: 0.5% increased Attack SpeedCorruptedPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., Dual StrikeDual StrikeCritical, Attack, Melee, Strike Level: (1-20) Cost: 5 Mana Attack Speed: 70% of base Attack Damage: (125-244)% of base Effectiveness of Added Damage: (125-244)%Attacks with both weapons, dealing the damage of both in one strike. Dual wield only. Does not work with wands.(50-107)% increased Critical Strike Chance 100% more Critical Strike Chance against Enemies that are on Full Life 30% more Damage with Hits and Ailments against Enemies that are on Full Life Additional Effects per 1% Quality: 1% increased Critical Strike Chance +0.5% to Critical Strike MultiplierPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., Elemental HitElemental HitAttack, Projectile, Melee, Strike, Fire, Cold, Lightning, AoE, Prismatic, Bow Level: (1-20) Cost: (7-11) Mana AoE Radius: 10Requires Level 12Each attack with this skill will choose an element at random, and will only be able to deal damage of that element. If the attack hits an enemy, it will also deal damage in an area around them, with the radius being larger if that enemy is suffering from an ailment of the chosen element. It will avoid choosing the same element twice in a row.(18-391) to (33-726) Added Cold Damage (22-480) to (40-891) Added Fire Damage (3-75) to (67-1467) Added Lightning Damage Only Deals Damage of the chosen Element Deals no Damage of other Damage Types (30-49)% chance to Freeze, Shock and Ignite 80% more Area Radius against Enemies affected by an Ailment of the chosen Element 10% more Damage per Elemental Ailment on the Enemy Additional Effects per 1% Quality: 1% increased Elemental DamagePlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., FrenzyFrenzyAttack, Projectile, Melee, Strike, Bow Level: (1-20) Cost: 10 Mana Attack Damage: (115-135)% of base Effectiveness of Added Damage: (115-135)%Requires Level 16Performs an attack that gives the character a frenzy charge if it hits. Frenzy charges increase your attack speed.5% more Attack Damage per Frenzy Charge 5% more Attack Speed per Frenzy Charge Additional Effects per 1% Quality: 0.5% increased Attack SpeedPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., Infernal BlowInfernal BlowAttack, AoE, Melee, Strike, Fire, Duration Level: (1-20) Cost: 6 Mana Attack Damage: (104-166)% of base Effectiveness of Added Damage: (104-166)% AoE Radius: 15Requires Level 12Attacks with your weapon, applying a charged debuff to enemies hit by your strike, and an uncharged debuff to any other enemies hit. Upon reaching 6 charges, expiring, or the enemy's death, the charged debuff is removed, and it deals damage to that and other nearby enemies. Enemies with either debuff explode when they die, damaging other nearby enemies. Damage from this explosion cannot be reflected. Requires a Sword, Axe, Mace, Sceptre, Staff or Unarmed.Base duration is 0.8 seconds (5-75) to (8-113) Added Fire Damage Explosion deals base Fire Damage equal to 6% of the corpse's Maximum Life 60% of Physical Damage Converted to Fire Damage Debuff deals 66% of Damage per Charge Additional Effects per 1% Quality: 0.5% increased Area of EffectPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., Pestilent StrikePestilent StrikeAttack, Melee, Strike, AoE, Duration, Chaos Level: (1-20) Cost: 6 Mana Attack Damage: (125-160)% of base Effectiveness of Added Damage: (125-160)%Requires Level 28Attacks with your weapon, inflicting a debuff on enemies hit by the strike. If a debuffed enemy dies while poisoned, Pestilent Strike inflicts a secondary chaos damage over time debuff on enemies around them, based on the poisons on the slain enemy. This damage is not affected by your damage modifiers. Requires a Claw or Dagger.Base duration is 1 seconds Base secondary duration is 1 seconds (20-113) to (30-169) Added Chaos Damage 60% of Physical Damage Converted to Chaos Damage 60% chance to Poison on Hit 30% more Poison Duration Secondary Debuff deals 50% of the total remaining Expected Poison Damage of all Poisons on the dying Enemy per second as Chaos Damage Additional Effects per 1% Quality: +0.5% to Damage over Time Multiplier for PoisonPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., Puncture, RiposteRiposteTrigger, Attack, Melee, Strike, Physical Level: (1-20) Cooldown Time: 0.80 sec Can Store 1 Use(s) Attack Damage: (160-230)% of base Effectiveness of Added Damage: (160-230)%Requires Level 4Perform a deadly counter-attack when you block. Uses both weapons while you're dual wielding.(2-56) to (3-85) Added Attack Physical Damage Trigger this Skill when you Block You cannot use this Attack directly Additional Effects per 1% Quality: 1% increased DamagePlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., Static StrikeStatic StrikeAttack, Melee, Strike, AoE, Duration, Lightning, Chaining Level: (1-20) Cost: 6 Mana Attack Damage: (110-188)% of base Effectiveness of Added Damage: (110-188)% AoE Radius: 19Requires Level 12Attack with a melee weapon, gaining static energy for a duration if you hit an enemy. While you have static energy, you'll frequently hit a number of nearby enemies with beams, dealing attack damage.50% of Physical Damage Converted to Lightning Damage Base duration is 3 seconds Beams Hit Enemies every (0.4-0.32) seconds Chains +1 Times Beams deal 40% less Damage (4-6) maximum Beam Targets Additional Effects per 1% Quality: 1% increased Skill Effect DurationPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., SmiteSmiteLightning, Attack, AoE, Duration, Melee, Strike, Aura Level: (1-20) Cost: 6 Mana Attack Speed: 85% of base Attack Damage: (196-273)% of base Effectiveness of Added Damage: (196-273)%Performs a melee attack, and causes lightning to strike a targeted location or nearby enemy, dealing damage in an area. Each target can only be hit once by this skill. Hitting an enemy grants an aura, giving you and your allies additional lightning damage for a duration. Requires a Sword, Axe, Mace, Sceptre, Staff or Unarmed.50% of Physical Damage Converted to Lightning Damage Base duration is 4 seconds +(0-6) to radius (30-20)% less Area Damage Lightning strikes 1 target Aura grants (1-12) to (4-220) added Lightning Damage Aura grants (10-19)% chance to Shock Additional Effects per 1% Quality: 0.5% increased Area of EffectPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., Viper StrikeViper StrikeAttack, Duration, Melee, Strike, Chaos Level: (1-20) Cost: 5 Mana Attack Damage: (90-154)% of base Effectiveness of Added Damage: (90-154)%Hits enemies, converting some of your physical damage to chaos damage and inflicting poison which will be affected by modifiers to skill duration. If dual wielding, will strike with both weapons. Requires a claw, dagger or sword.30% less Attack Speed if Dual Wielding Each Weapon Hits separately if Dual Wielding, dealing 20% less Damage Base duration is 4 seconds (5-169) to (7-254) Added Chaos Damage 60% of Physical Damage Converted to Chaos Damage 60% chance to Poison on Hit Additional Effects per 1% Quality: 0.5% increased Attack Speed 0.5% increased Poison DurationPlace into an item socket of the right colour to gain this skill. Right click to remove from a socket., and Wild StrikeWild StrikeAttack, Melee, Strike, Lightning, Cold, Fire, Projectile, AoE, Chaining, Prismatic Level: (1-20) Cost: 6 Mana Attack Damage: (160-231)% of base Effectiveness of Added Damage: (160-231)% Projectile Speed: 1800Requires Level 28Your melee weapon strikes enemies, converting physical damage to a random element. Then, depending on the element chosen, it releases a fiery explosion, an arcing bolt of lightning, or an icy wave. It will avoid choosing the same element twice in a row.Projectiles Pierce all Targets Beams Chain (4-7) Times (0-19)% increased Area of Effect Fires 2 additional Projectiles 100% of Physical Damage Converted to Fire, Cold or Lightning Damage Additional Effects per 1% Quality: 1% increased Elemental DamagePlace into an item socket of the right colour to gain this skill. Right click to remove from a socket..
3.7.0	Now deals base damage equal to, and has an added damage effectiveness of, 135% at gem level 1 (from 100%), up to 165% at gem level 20 (from 123%). Now adds 3 to 4 physical damage to attacks at gem level 1, up to 75 to 113 at gem level 20. Now deals 30% more damage with bleeding at gem level 1, up to 49% more at gem level 20. Now has an attack speed multiplier of 70%. Now causes bleeding inflicted by the skill to deal damage 0.5% faster per 1% gem quality (previously gained 1% increased skill duration per 1% gem quality).
3.4.0	Now gain additional melee weapon range every 7 levels, up to +2 at level 20 (and +3 at level 21)
3.0.0	Puncture's description has been updated. Puncture now applies Bleeding for 8 seconds.
2.0.0	Now grants 1% increased skill effect duration per 1% quality (was 1.5% per 1% quality).
1.3.0	Puncture now bleeds for 10% of hit damage at all levels and 50% of hit damage while moving.
1.2.0	Fixed a bug where Puncture did not benefit from Increased Item Rarity or Increased Item Quantity.
1.0.2	Generic modifiers to damage dealt will now apply to damage over time that your character causes. Damage over time is not spell damage, nor attack damage, so modifiers specific to those types will not apply. Non-specific "increased damage" modifiers will apply to damage over time. Type-specific modifiers will apply as well.
1.0.0d	Fixed a bug where monster deaths from Puncture were not awarded as kills correctly.
0.10.8	Increased damage at high levels and Physical Damage % added to it that increases each level, to match other similar skills. May now be used with Two Handed Swords.
0.10.0	Increases to physical damage taken now apply correctly to physical degeneration (such as damage from Puncture).
0.9.13	Puncture is now scaled to start much stronger with a flatter progression to match other melee skills that scale weapon damage.
0.9.11j	Fixed Puncture's quality bonus so that it now works.
0.9.11	Fixed a bad interaction between on-drink flask effects and Puncture.
0.9.10	Fixed a rare bug that would cause you to take damage from Puncture indefinitely until you left the instance. Fixed a bug where being punctured multiple times would cause incorrect behaviour.
0.9.7b	Removed the 1% pierce chance.
0.9.7	Puncture has been added to the game.