Sadism Support

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Not to be confused with Swift Affliction Support.
Sadism SupportSupport
Icon: X
Level: (1-20)
Cost & Reservation Multiplier: 130%
Requires Level 18Supports any skill that hits enemies.Damaging Ailments inflicted with Supported Skills deal damage (60-79)% faster
80% less Duration of Ailments inflicted with Supported Skills

Additional Effects From 1-20% Quality:
Supported Skills deal (0.5-10)% increased Damage over Time
This 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.
Drop level: 18
Vendor Offer
1x Scroll Fragment
Item class: Support Gem
Metadata ID: Metadata/Items/Gems/SupportGemSadism

Sadism Support is a support gem which causes damaging ailments you inflict to deal damage faster and have less duration.

Skill functions and interactions

Sadism Support greatly modifies ailment duration.

Damaging Ailments inflicted with Supported Skills deal damage #% faster is additive with other modifiers that cause ailments to deal damage faster or slower.

To calculate the new ailment duration after supporting it with Sadism Support, use the following formula:

BaseDuration / (1 + (FasterAilment%)) * 0.2 = ModifiedBaseDuration

Without any other sources of increased ailment duration, damaging ailments have the following modified base durations:

  • Ignite: 4 seconds → 0.45 seconds
  • Bleeding: 5 seconds → 0.56 seconds
  • Poison: 2 seconds → 0.22 seconds

Ignite and Bleeding gain more value from Sadism Support, as they cannot normally stack (and when they do, have a maximum stack amount), causing excessive stacks to be wasted. Modifying its duration to be significantly shorter allows greater efficiency of ailments.

Poison does not inherently have this issue as there is no maximum limit to poison stacks. However, several mechanics may benefit from having short-duration poisons so they expire before the next application, such as the Poison Mastery and stacking Low Tolerance which care about non-poisoned enemies, and Viper Strike of the MambaViper Strike of the MambaAttack, 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, deals the damage of both weapons in one strike. Requires a claw, dagger or sword.Base duration is 2.00 seconds
(5-169) to (7-254) Added Chaos Damage
60% of Physical Damage Converted to Chaos Damage
60% chance to Poison on Hit
200% more Damage with Poison
Cannot inflict Poison on Poisoned Enemies

Additional Effects From 1-20% Quality:
+(2-40)% more Damage with Poison
Place into an item socket of the right colour to gain this skill. Right click to remove from a socket.
, which cannot poison enemies that are already poisoned.

The less duration downside of Sadism Support can also be circumvented with Alchemist's MarkAlchemist's MarkSpell, Curse, Mark, AoE, Duration, Fire, Chaos
Level: (1-20)
Cost: (16-33) Mana
Cast Time: 0.50 sec
Requires Level 24Curses a single enemy, granting flask charges when you hit them and creating Burning Ground under them if your hit Ignites them, and Caustic Ground if it Poisons them. Damage modifiers do not apply to these ground effects. You can only have one Mark at a time.Base duration is 4.00 seconds
Burning Ground deals (20-26)% of the Fire Damage per Second of strongest Ignite on Enemy
Caustic Ground deals (60-79)% of the Chaos Damage per Second of strongest Poison on Enemy
Can create each Ground effect no more than once each second
Gain 1 Flask Charge when you Hit a Cursed Enemy, no more than once every 3 seconds

Additional Effects From 1-20% Quality:
(0.5-10)% increased Effect of Mark
Place into an item socket of the right colour to gain this skill. Right click to remove from a socket.
or Flame SurgeFlame SurgeSpell, AoE, Fire, Duration
Level: (1-20)
Cost: (6-16) Mana
Cast Time: 0.50 sec
Critical Strike Chance: 6.00%
Effectiveness of Added Damage: 190%
AoE Radius: 30
Requires Level 12Strikes enemies in front of you with a surge of flame. Burning enemies are dealt more damage. If you hit an ignited enemy, will create burning ground under them. Your damage modifiers don't apply to this burning ground.Base duration is 4.00 seconds
Deals (26-832) to (40-1247) Fire Damage
(50-88)% more Damage with Hits against Burning enemies
Cannot Ignite
+(0-9) to Area of Effect length
Hits on Ignited Enemies create Burning Ground, no more than once every 2 seconds
Burning Ground deals 25% of Fire Damage per second of Ignite affecting Enemy

Additional Effects From 1-20% Quality:
+(1-20)% more Damage with Hits against Burning enemies
Place into an item socket of the right colour to gain this skill. Right click to remove from a socket.
, which creates a ground effect that deals damage over time based on ailments on the enemy, but lasts a fixed duration which is unaffected by ailment duration.

Gem level progression

LevelRequired LevelRequired DexterityRequired StrengthDamage
Exp.Total Exp.

Gem quality

TypeAdditional Effects per 1-20% QualityWeight
SuperiorSupported Skills deal (0.5-10)% increased Damage over Time1

Item acquisition

Sadism Support can drop anywhere.


Sadism Support can be created from the following recipes:

9Gift of the Gemling QueenGift of the Gemling Queen9Level 20 Support GemOur Lady Dialla,
as a symbol of our progress,
shines greater than all the gems.
Random level 20 support gemA
7Dialla's SubjugationDialla's Subjugation7Support Gem
Quality: +23%
A symbol of beauty and innocence
The gems corrupted her mind
Malachai corrupted her gems
All but a glimmer of
greatness lost in madness
Random corrupted support gem with 23% qualityA
6The 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 gemA
3Gemcutter'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% qualityA
1Gemcutter's IncubatorGemcutter's IncubatorStack Size: 10Adds an incubated Quality Gem item to an equippable item
Item drops after killing {0} monsters
Right 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% qualityA
1The VoidThe Void1Reach into the Void and claim your prize.Random divination card set exchangeA

Quest reward

This item is given as a quest reward for the following quests:

Class →WitchShadowRangerDuelistMarauderTemplarScion
Quest ↓
Sharp and Cruel
Act 2

Vendor reward

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

Class →WitchShadowRangerDuelistMarauderTemplarScion
Quest ↓
Sharp and Cruel
Act 2
A Fixture of Fate
Act 3
Fallen from Grace
Act 6
Lilly Roth

Version history

Version Changes
  • Added to the game.