The Retch Rustic SashRequires Level 44(12-24)% increased Global Physical Damage+(60-80) to maximum Life +(30-40)% to Cold Resistance 0.4% of Physical Attack Damage Leeched as Life 60% increased Flask Effect Duration 30% reduced FlaskCharges gained during any Flask Effect 200% of LifeLeech applies to Enemies as Chaos Damage 15% increased Movement Speed during any Flask EffectBut the grain grew twisted and the water turned dark and those who partook of Mother Gull's gift birthed monsters that fed on the flesh of one another.
#% of Life Leech applies to enemies as Chaos Damage: this modifier causes hits to apply chaos DoT with a DPS and duration based on the recovery and duration of that hit's life leech.
The Retch's DoT is independent of player recovery: hits will inflict it even if the player is on full life and loses their leech immediately, or when the player is unable to recover life due to Strength of Blood. Increases to player recovery, such as % increased Recovery Rate of Life or the more specific % increased total Recovery per second from Life Leech do not affect the Retch’s damage.
Because the DoT is considered reflected damage[1], it is not modified by the attacker’s offensive stats, only by stats on the enemy. Its duration can be extended by 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., dealing the same DPS for a longer duration. Each instance of the DoT can deal damage; damage taken is unaffected by the per-second cap on recovery from leech[2].
Ghost Reaver disables this mod completely. The Retch cannot deal damage in areas with Monsters cannot be Leeched from, or against monsters with Life Cannot Be Leeched. It has no interaction with Damage Taken from Hits is Leeched as Life.
This modifier can be increased by Noxious and Fertile catalysts, up to 240%.
Instant leech
Instant life leech modifiers (such as BloodseekerBloodseeker Hellion's PawClaw Physical Damage: (162-172.8) to (255-272) Critical Strike Chance: 7.00% Attacks per Second: 1.68 Weapon Range: 1.1 metresRequires Level 62, 131 Dex, 95 Int1.6% of Physical Attack Damage Leeched as Life(200-220)% increased Physical Damage Adds 25 to 30 Physical Damage 5% increased Attack Speed 1.2% of Physical Attack Damage Leeched as Life 5% increased Movement Speed LifeLeech from Hits with this Weapon is instant"For the life of the flesh will always be in the blood." - Atalui, Vaal Priestess or Leech Mastery) cause this modifier to hit, dealing damage instantly. This can cause the damage to be mitigated differently, for example through chance to Avoid All Damage from Hits or by exiles wearing The Fourth VowThe Fourth Vow Devout ChainmailArmour: (755-1270) Energy Shield: (155-259) Movement Speed: -5%Requires Level 55, 80 Str, 80 IntPhysical Damage taken bypasses Energy Shield (150-250)% increased Armour and Energy Shield +(17-29)% to Chaos Resistance Regenerate 3% of Life per second Armour also applies to Chaos Damage taken from HitsSeek not to avoid the mortal pains of this world. In flagellation, there lies freedom from temptation.. Instant leech does not result in more total damage, as the Retch’s DoT can stack indefinitely.
Interaction with proxies
Skills used by totems, traps, mines, mirages, and other proxies can inflict Retch DoT in the same way as the player. This uses the player’s stats for all calculations, including maximum life.[3] Because dead objects cannot leech, traps and mines can only leech before finishing their skill's attack or cast time.
DoT is also inflicted by hits that create leech on the player though mechanics like Bone Barrier or Machina MittsMachina Mitts Murder MittsEvasion: (363-486) Energy Shield: (75-98)Requires Level 67, 51 Dex, 51 Int(200-250)% increased Evasion and Energy Shield 1% of Damage dealt by your Mines is Leeched to you as Life (30-20)% reduced Recovery rate of Life and Energy Shield 5% increased Recovery rate of Life and Energy Shield per Power Charge Lose a Power Charge each second if you have not Detonated MinesRecentlyBiology is but a machine, begetting effusion of energies; death is but a curse, that can be given... or reversed..
Kills by Retch DoT from non-player objects are not attributed to the player, unlike most other forms of damage over time. When Retch DoT from no longer existing objects causes monsters to die, those monsters do not grant experience or flask charges, and their loot is unaffected by player item quantity and rarity[4].
Scaling
The Retch's base damage is bottlenecked by Maximum recovery per Life Leech, normally 10% of the player’s maximum life, whether it’s instant or not.[5] Therefore, in order to scale the Retch's damage, the player can increase the maximum duration of leech through % increased Maximum recovery per Life Leech, increase their maximum life, increase their hit rate, slow debuff expiration by cursing the enemy with Temporal Chains, or cause the enemy to take more chaos damage.
Example damage calculation
A character has 8000 maximum life and 100% increased Maximum Recovery per Life Leech, setting the cap for its leech instances at 1600 total life. With 2% damage leeched as life, it caps a leech instance with 80,000 damage per hit, leeching 160 per second for 10 seconds. A 20% quality Retch will cause this hit to also inflict a DoT instance with a base DPS of 160x2.4=384 and the same 10 second duration.
Against an enemy debuffed to -30% chaos resistance and 120% increased damage taken, this DoT deals 384x1.3x2.2=1098.24 DPS for 10 seconds. If the enemy is also debuffed by Temporal Chains, the same DPS will be dealt for 12.5 seconds instead.
In this scenario, each 80,000 damage or higher hit will cause the Retch to deal an additional 13,728 damage (over 12.5 seconds).
Item acquisition
The Retch has restrictions on where or how it can drop. It cannot be chanced.
Recipes
The Retch can be created from the following recipes:
Amount
Part
Notes
Description
Meta
1
FeastbindFeastbind Rustic SashRequires Level 11(12-24)% increased Global Physical DamageAdds 5 to 10 Physical Damage to Attacks +(20-40) to maximum Life 0.2% of Physical Attack Damage Leeched as Life 50% increased FlaskCharges gained during any Flask Effect 50% increased Mana Regeneration Rate during any Flask EffectOur forefathers danced and drank and ate their fill and did not honour the First Ones for their gifts. So the First Ones filled the sky with fire.
Corrupted items cannot be used
Vendor recipe
M
1
FaminebindFaminebind Rustic SashRequires Level 18(12-24)% increased Global Physical Damage+(20-30)% to Cold Resistance 20% increased Projectile Damage 30% reduced FlaskCharges gained 60% increased Flask Effect Duration Deals 50 Chaos Damage per second to nearby EnemiesAfter the Great Fire, the land lay barren and our forefathers grew weak. Mother Gull took pity on them and gave them grain and water.
Corrupted items cannot be used
1
Orb of FusingOrb of FusingStack Size: 20Reforges the links between sockets on an itemRight click this item then left click a socketed item to apply it. The item's quality increases the chances of obtaining more links.
N/A
The Retch itself is not a league-specific item. However, the ingredients of the vendor recipe were tied to Talisman league. There are additional ways to acquire league-restricted items, see the article for the League-specific items for more details. Since version 3.14.0 the ingredients are also included in the core drop table.
Alternate artwork
Foil version from combining foil items from Timeworn Reliquary (the key to the area itself is a version 3.4 exclusive drop)
The Retch in one of the Voidborn foil colors also exist in the trade site. It is not certain that it is acquired from Voidborn Reliquary directly, or via vendor recipe of foil in matching color.
There is no Valdo's Map that award this unique in Celestial foil colors yet.
Fixed a bug where The Retch Unique Belt was not dealing Chaos Damage over Time when you leeched through the Crown of the Pale KingCrown of the Pale King Regicide MaskEvasion: (352-474) Energy Shield: (72-96)Requires Level 52, 58 Dex, 58 Int(150-200)% increased Evasion and Energy Shield +(60-80) to maximum Life (0.4-0.8)% of Physical Attack Damage Leeched as Life Reflects 100 to 150 Physical Damage to Melee Attackers 100% of Damage you Reflect to Enemies when Hit is leeched as LifeA lightless world a silent reign two sightless eyes feed on your pain. Unique Helmet.
The vendor recipe for The Retch now gives a foil version when vendoring a foil version of both FeastbindFeastbind Rustic SashRequires Level 11(12-24)% increased Global Physical DamageAdds 5 to 10 Physical Damage to Attacks +(20-40) to maximum Life 0.2% of Physical Attack Damage Leeched as Life 50% increased FlaskCharges gained during any Flask Effect 50% increased Mana Regeneration Rate during any Flask EffectOur forefathers danced and drank and ate their fill and did not honour the First Ones for their gifts. So the First Ones filled the sky with fire. and FaminebindFaminebind Rustic SashRequires Level 18(12-24)% increased Global Physical Damage+(20-30)% to Cold Resistance 20% increased Projectile Damage 30% reduced FlaskCharges gained 60% increased Flask Effect Duration Deals 50 Chaos Damage per second to nearby EnemiesAfter the Great Fire, the land lay barren and our forefathers grew weak. Mother Gull took pity on them and gave them grain and water..
Fixed various issues with The Retch's property that deals chaos damage. It is now also clearer that the portion of life leech that is dealt as damage is dealt as chaos damage.
Rustic SashRustic Sash(12-24)% increased Global Physical Damage
.
Strength of Blood. Increases to player recovery, such as % increased Recovery Rate of Life or the more specific % increased total Recovery per second from Life Leech do not affect the Retch’s damage.
Temporal ChainsTemporal ChainsSpell, AoE, Duration, Curse, Hex
, dealing the same DPS for a longer duration. Each instance of the DoT can deal damage; damage taken is unaffected by the per-second cap on recovery from leech[2].
Ghost Reaver disables this mod completely. The Retch cannot deal damage in areas with Monsters cannot be Leeched from, or against monsters with Life Cannot Be Leeched. It has no interaction with Damage Taken from Hits is Leeched as Life.
BloodseekerBloodseeker
or Leech Mastery) cause this modifier to hit, dealing damage instantly. This can cause the damage to be mitigated differently, for example through chance to Avoid All Damage from Hits or by exiles wearing 
The Fourth VowThe Fourth Vow
. Instant leech does not result in more total damage, as the Retch’s DoT can stack indefinitely.
Bone Barrier or 
Machina MittsMachina Mitts
.
FeastbindFeastbind
FaminebindFaminebind
Orb of FusingOrb of FusingStack Size: 20Reforges the links between sockets on an itemRight click this item then left click a socketed item to apply it. The item's quality increases the chances of obtaining more links.
