Blood and Sand - Path of Exile

Blood and Sand is an active skill gem.

Casts a buff that grants different bonuses to melee skills depending on your stance. Using the skill again alternates between Blood Stance and Sand Stance.

Spell, Stance. Level: 1–6. Reservation: 10% Mana. Cooldown Time: 2.00 sec. Cast Time: Instant. Requires Level 4.

Melee Skills deal (10–15)% more Area Damage while in Blood Stance
Melee Skills have 5% less Area of Effect while in Blood Stance
Melee Skills have (10–15)% more Area of Effect while in Sand Stance
Melee Skills deal 5% less Area Damage while in Sand Stance
(0–50)% increased Cooldown Recovery Rate

Place into an item socket of the right colour to gain this skill. Right click to remove from a socket.

Name	Additional Effects From Quality	Weight
Blood and Sand	(0–10)% increased Cooldown Recovery Rate	50

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Related Gems

Name	Additional Effects From Quality	Weight
Blood and Sand	(0–10)% increased Cooldown Recovery Rate	50
Anomalous Blood and Sand	(0–20)% increased Projectile Attack Damage while in Blood Stance (0–20)% increased Projectile Speed while in Sand Stance	100
Divergent Blood and Sand	Spells deal (0–20)% increased Area Damage while in Blood Stance Spells have (0–10)% increased Area of Effect while in Sand Stance	100

Level Effect

Level	Requires Level	Strength	Dexterity	#% increased Cooldown Recovery Rate	Melee Skills deal 10% more Area Damage while in Blood Stance	Melee Skills have 10% more Area of Effect while in Sand Stance	Experience
1	4	10	7		10	10	16,154
2	12	21	14	10	11	11	631,116
3	28	42	29	20	12	12	5,714,441
4	44	63	44	30	13	13	33,587,544
5	58	82	57	40	14	14	489,216,748
6	70	98	68	50	15	15
7	72	100	70	60	16	16
8	74	103	72	70	17	17
9	76	106	73	80	18	18
10	78	108	75	90	19	19
11	80	111	77	100	20	20
12	82	113	79	110	21	21
13	84	116	81	120	22	22
14	86	119	83	130	23	23
15	88	121	85	140	24	24
16	90	124	86	150	25	25
17	91	125	87	160	25	25
18	92	127	88	170	26	26
19	93	128	89	180	26	26
20	94	129	90	190	27	27
21	95			200	27	27
22	96			210	28	28
23	97			220	28	28
24	98			230	29	29
25	99			240	29	29
26	100			250	30	30

Blood and Sand reserves mana to activate Blood Stance and Sand Stance. In Sand Stance, you have more area of effect, but less area damage. In Blood Stance, you have more area damage, but less area of effect. Activating the skill while it's toggled on will alternate between stances. Certain skills also behave differently based on the stance you are currently on.

Skill functions and interactions

Stance setting is shared with Flesh and Stone and toggling one will toggle both.

The gem max level is 6. Thus, not able to use the GCP vendor recipe on this gem to obtain level 1 20% quality Blood and Sand.

Item acquisition

Blood and Sand can drop anywhere. Drop level: 5.

Recipes

Blood and Sand can be created from the following recipes:

Amount	Part	Description
3	Gemcutter's Promise	Random gem with 20% quality
1	Gemcutter's Incubator	Random gem with 1–20% quality
1	The Void	Random divination card set exchange

Quest reward

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

Class →	Witch	Shadow	Ranger	Duelist	Marauder	Templar	Scion
Quest ↓	Witch	Shadow	Ranger	Duelist	Marauder	Templar	Scion
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 ↓	Witch	Shadow	Ranger	Duelist	Marauder	Templar	Scion
Breaking Some Eggs Act 1 Nessa	✗	✗	✓	✓	✓	✗	✓
A Fixture of Fate Act 3 Siosa	✓
Fallen from Grace Act 6 Lilly Roth	✓

Threshold jewels

The following threshold jewels augment Blood and Sand:

Item	Limit	Radius	Stats

Related helmet enchantments

The following helmet enchantments affect Blood and Sand.

Name	Level	Labyrinth	Stats	Spawn Weighting
Enchantment Blood and Sand Buff Effect 1	66	Merciless Labyrinth	Blood and Sand has 25% increased Buff Effect	helmet 100 default 0
Enchantment Blood and Sand Buff Effect 2	75	Eternal Labyrinth	Blood and Sand has 40% increased Buff Effect	helmet 100 default 0

Related skills

Gem	Level
Bladestorm	28
Lacerate	12
Perforate	1

Related unique items

The following unique items are related to Blood Stance and Sand Stance:

Item	Base Item	Level	Stats
Scorpion's Call	Heavy Arrow Quiver	61	Adds (12-15) to (24-27) Physical Damage to Attacks+(20-40) to Dexterity (150-200) Life Regenerated per Second while in Blood Stance (40-60)% increased Projectile Damage while in Blood Stance +(700-1000) to Evasion Rating while in Sand Stance (20-30)% increased Area of Effect while in Sand Stance (25-30)% increased Attack Speed if you've changed Stance Recently

Related passive skills

Passive skills

The following passive skills are related to Blood Stance and Sand Stance: No results found for the given query.

Ascendancy passive skills

The following Ascendancy passive skills are related to Blood Stance and Sand Stance:

Ascendancy Class	Name	Stats
Gladiator	Arena Challenger	+10 to Maximum Challenger Charges 25% chance to gain a Challenger Charge when you Hit a Rare or Unique Enemy while in Blood Stance Gain a Challenger Charge when you Kill an Enemy while in Sand Stance 2% more Attack and Movement Speed per Challenger Charge

Alternate skill effects

Blood and Sand has the following alternate skill effects:

Item	Effect(s)
Celestial Blood and Sand Stance Effect	Your Blood and Sand or Flesh and Stone becomes a Celestial Effect.
Polaris Blood and Sand Effect	Your Blood and Sand and Flesh and Stone becomes a Black and White Effect.
Sunrise Blood and Sand Effect	Your Blood and Sand and Flesh and Stone becomes a Sunrise Effect.