PoE Exsanguinate Build

Exsanguinate is a a new Strength/Intelligence skill gem. It releases 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. Releases 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.You are taking Physical Damage over time. Spell, Chaining, Physical, Duration. Level: 1–20. Cost: 16–46 Life. Cast Time: 0.80 sec. Critical Strike Chance: 6.00%. Effectiveness of Added Damage: 270%. Requires Level 12. Deals (17–1193) to (25–1789) Physical Damage Deals (23.4–1121) Base Physical Damage per second Base duration is 1 seconds Modifiers to Spell Damage apply to this Skill"s Damage Over Time effect Fires tendrils at up to (7–9) Targets 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 Exsanguinate (0–20)% increased Skill Effect Duration 100

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Related Gems

PoE Exsanguinate Build

Exsanguinate Support Gems	Descripton	Tag	Requires	Popularity
Chain Support	Cause any projectiles created by the linked skill to chain when they hit an enemy.	Support, Chaining, Projectile	Level 38	82%
Brutality Support	Grant more physical damage while losing the ability to deal elemental and chaos damage.	Physical, Support	Level 38	60%
Controlled Destruction Support	Increase the damage of linked spells but reduces their critical strike chance.	Spell, Support	Level 18	52%
Trap Support	Supports 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.	Support, Trap	Level 8	44%
Cluster Traps Support	Supports traps skills, making them throw extra traps randomly around the targeted location.	Trap, Support	Level 38	43%
Unleash Support	Supports spell skills, making their effect reoccur when cast. Cannot support skills with cooldowns, triggered skills, Brand skills, Vaal skills, channelling skills, skills with a reservation, or skills used by totems, traps, or mines. Cannot modify the skills of minions.	Spell, Support	Level 38	29%
Efficacy Support	Grant more spell damage, more damage over time, and increased skill effect duration.	Support, Duration	Level 8	28%
Cruelty Support	Supports skills that hit enemies, causing them to deal more damage with hits.	Support, Duration	Level 18	28%

Exsanguinate Build

There is about 2.1% of Path of Exile players use this gem as the main DPS skill. Among those players, 48% are Saboteur, 33% are Deadeye, and 11% are Ascendant.

This is a chaining physical spell gem. The main DPS is Physical damage. For a Level 97 Saboteur, the Average Hit is about 239K. Recommend using these support gems: Chain Support, Brutality Support, Controlled Destruction Support.

There are other skills also recommended for your build: Flame Dash, Pride, Herald of Purity, War Banner, Immortal Call.

For choosing weapons, Dagger / Dagger is the best.

For the Saboteur class, these passives are recommended: Pyromaniac, Acrobatics, Born in the Shadows, Phase Acrobatics, Perfect Crime, Chain Reaction, Wind Dancer, Guerilla Tactics, Iron Breaker.

For the Deadeye class, these passives are recommended: Acrobatics, Wind Dancer, Gathering Winds, Ricochet, Wind Ward, Furious Assault, Focal Point, Phase Acrobatics, Master the Fundamentals.

For attributes and defensive, here is an example of a Level 97 Saboteur character:

Name	Value
Strength	207
Dexterity	249
Intelligence	197
Life	4029
Mana	1019
Energy shield	417
Armour	3789
Evasion rating	546

Exsanguinate Build Example

The Exsanguinate Skill shoots tendrils of blood in front of you, at the cost of life rather than mana. In addition to a strong physical-damage hit, it also applies a physical damage over time debuff which can stack up to three times. You can also support Exsanguinate so that its tendrils chain from one target to the next.

Level Effect

Can increases to "damage with skills that cost life" still apply to skills that do not cost life? For example, triggering Exsanguinate or reducing its life cost by 100%?

Triggering a skill does not change its cost, you just avoid paying that cost. But a skill with a cost of 0 life does not cost life.

Physical damage reduction typically applies to hits e.g. Overwhelm. Poacher's mark, however, applies a debuff that lowers the enemy's physical damage reduction. Does this work with DOTs like Exsanguinate and bleeds?

Armour only gives Physical Damage Reduction against hits, but Physical Damage Reduction in general applies to all physical damage taken. You just need to get it from something other than armour.

[Extra clarification]: Physical Damage Reduction, unlike resistances, cannot go below zero - so the enemy must have some physical damage reduction that applies against DoT (i.e. not from armour which only provides it against hits) in order for Poacher's Mark lowering it to affect a DoT.

Exsanguinate Popularity in Different Classes

Class	Exsanguinate Popularity
Ascendant	48%
Elementalist	24%
Trickster	8%
Gladiator	5%
Saboteur	5%
Inquisitor	2%
Assassin	2%
Occultist	1%
Champion	1%
Hierophant	1%
Chieftain	0.7%
Raider	0.7%
Necromancer	0.7%
Juggernaut	0.4%
Berserker	0.4%
Pathfinder	0.4%
Slayer	0.4%
Guardian	0.4%
Deadeye	0.4%

Exsanguinate & Chain Tag

Exsanguinate, mechanically, can chain.

Because of this, the Chain Support can support it - its supportability text says "Supports projectile skills, and any other skills that chain.", and Exsanguinate is in that second group. The tag has no effect on this.

Because Exsanguinate is a (non-projectile) skill that can chain, it is given the Chaining tag, primarily to make it clear to users that the skill is capable of chaining (I don't think we give out any bonuses to gems based on having the Chaining tag and I hope we never do because then we'd probably have to go back and add it to all the projectile gems that are currently assumed to be able to chain by default).

The supportability and the tag do not affect each other. Both are there because the skill works in a way that allows it to chain. The tag is not needed for supportability, the supportability is not needed for the tag - they are two independant consequences of the mechanics of the skill.

Life-costing Skills Builds 3.14

Low life, Low Mana and Low Energy Shield now all count as being on 50% or below. This new threshold is large enough a value that a player could survive for a long time on Low Life with the help of the new Petrified Blood skill. As a result, certain skills, passives and items have been rebalanced to compensate. For example, the Punishment curse’s effect that causes enemies to take more damage while on low life has been reduced in power as it now takes effect for a larger portion of the monster’s life. It has made similar changes to the Assassin’s “Ambush and Assassinate” passive, Infernal Mantle, and Replica Last Resort.

The Blood Magic Support gem has been split into Arrogance Support and Lifetap Support gems, as the lack of a damage multiplier made it a poor choice for primary skills. Now each of these new supports is balanced for the appropriate use case.

There are a small number of new passive clusters on the Passive Skill Tree for generic physical damage, as well as Physical Damage over Time Multiplier to better support the new skills. Certain sources of Bleeding Damage and Damage over time Multiplier for Bleeding have been changed to Physical Damage over Time to let them apply to Corrupted Blood and the new Reap and Exsanguinate skills. These include The Gladiator’s Gratuitous Violence passive and the Ascendant’s Gladiator notable. Not all bleed related passives and modifiers on items have been changed, so a full Bleed invested build and a build using both Bleeding and Corrupted Blood won’t always look the same.

Corrupted Blood now never counts as Bleeding damage, so reductions to bleeding damage taken no longer affect it. The Staunching flask modifier and Pathfinder’s Master Surgeon notable now state that they apply to both Bleeding and Corrupted Blood. Corrupted Blood’s damage has been rebalanced so it is more consistent between sources, so specific monsters that had very high Corrupted Blood damage will no longer be as strong, while others that dealt almost no damage will be dealing a more noticeable amount.

Bladestorm now has a multiplier to Bleeding damage while in Blood Stance, similar to the multiplier on Lacerate, to enable Bleeding builds on the blood themed skill.The Elder-influenced Weapon modifiers that grant a chance for Poisons or Bleeds inflicted with this Weapon to deal 100% more Damage have been removed. In their place, Elder-influenced Weapons can now roll a new Local Poison or Bleed Damage over Time Multiplier modifier. The double damage chance modifiers were too multiplicatively powerful for these builds, providing power that only the modifier granted, so they’ve been changed to an effect that is additive with other Bleed/Poison damage multipliers.

The way skills specify costs has been refactored. Skills now specify what resource they use. Consequently, stats can specify whether they affect all costs/reservations, or some combination. For example, the Righteous Decree notable on the Templar now reduces Mana Costs of Skills, while the Tireless notable affects all skill costs. Some existing passive skills and items have been updated to affect all costs or reservations, but many effects are now resource specific where appropriate, like the Inspiration Support. These changes also open up new possibilities for alternate costs. For example, the Chainbreaker keystone no longer removes rage on Hit, instead adding a small Rage cost to all skills (which would then be affected by skill cost modifiers). This has allowed us to keep Chainbreaker functional with spells while still losing rage when used alongside skills that don’t hit like Damage over Time spells.

As a major benefit of these changes, reservation skills no longer have an associated cost by default, so you don’t need the current mana available to reserve a skill. Even when your mana is completely depleted, you can still enable an aura, making it much easier to swap out auras or turn one on again if you accidentally disabled it.

Because of this, Mine skills now have both a mana cost and mana reservation. This means that both modifiers to costs and reservation both affect their appropriate parts of mine costs, so Indigon no longer provides spell damage without affecting mine costs at all.

Exsanguinate is a physical spell 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.

Skill functions and interactions

• Casting Exsanguinate costs life instead of mana.
• Likewise, using Trap Support or Blastchain Mine Support High-Impact Mine Support 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 Support).

Item acquisition

Exsanguinate can drop anywhere. Drop level: 12.

Recipes

Exsanguinate can be created from the following recipes:

Amount	Part	Description
13	The Cataclysm	Random corrupted level 21 Spell gem
6	The Fox	Random level 20 gem
8	Dying Anguish	Random level 19 gem with 19% alternative quality
8	The Hook	Random corrupted level 21 gem with 23% alternative quality
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 ↓
The Siren's Cadence 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 ↓
The Siren's Cadence Act 1 Nessa	✓	✓	✗	✗	✓	✓	✓
A Fixture of Fate Act 3 Siosa	✓
Fallen from Grace Act 6 Lilly Roth	✓

Threshold jewels

The following threshold jewels augment Exsanguinate:

Item	Limit	Radius	Stats

Related helmet enchantments

The following helmet enchantments affect Exsanguinate.

Name	Level	Labyrinth	Stats	Spawn Weighting
Enchantment Exsanguinate Additional Chain Chance 1	75	Eternal Labyrinth	Exsanguinate has a 25% chance to Chain an additional time	helmet 100 default 0
Enchantment Exsanguinate Damage 1	66	Merciless Labyrinth	Exsanguinate deals 25% increased Damage	helmet 100 default 0
Enchantment Exsanguinate Damage 2	75	Eternal Labyrinth	Exsanguinate deals 40% increased Damage	helmet 100 default 0
Enchantment Exsanguinate Duration 1	66	Merciless Labyrinth	20% increased Exsanguinate Duration	helmet 100 default 0
Enchantment Exsanguinate Duration 2	75	Eternal Labyrinth	30% increased Exsanguinate Duration	helmet 100 default 0

Alternate skill effects

Exsanguinate has the following alternate skill effects:

Item	Effect(s)
Transcendence Exsanguinate Effect	Your Exsanguinate becomes a Transcendence Effect.