Hypothermia Support

Hypothermia Support Hypothermia Support is a support gem that grants supported skill gems more damage with hits and ailments against chilled enemies, more cold damage over time against chilled enemies, and a chance to freeze enemies that are already chilled.

Supports any skill that deals damage.

Cold, Support. Level: 1–20. Cost & Reservation Multiplier: 130%. Requires Level 31.

  • Supported Skills have +20% chance to Freeze Enemies which are Chilled
  • Supported Skills deal (20–29)% more Cold Damage Over Time
  • Supported Skills deal (20–29)% more Damage with Hits and Ailments against Chilled Enemies

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 Active Skill Gem you wish to augment. Right click to remove from a socket.

NameAdditional Effects From QualityWeight
Hypothermia SupportSupported Skills have (0–30)% increased Chill Duration on Enemies50
Does Hypothermia's more damage affect Vortex's DoT?

No. Conditional modifiers cannot apply to DoT, because the condition could change during the DoT.

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Hypothermia Support Recipe

Outcome Vendor Recipes Notes
  • 1x Hypothermia Support Hypothermia Support
  • 1x Ice Bite Support Ice Bite Support
  • 1x Cold Penetration Support Cold Penetration Support
  • 1x Mana Leech Support Mana Leech Support
  • 1x Added Cold Damage Support Added Cold Damage Support
  • 1x Inspiration Support Inspiration Support
 1x Bitterdream Bitterdream The resulting Added Cold Damage Gem is level 10, all the others are level 1.

Selling Bitterdream Bitterdream to a vendor in exchange for the following support gems.

Hypothermia Support Recipe

Related Gems

Level Effect

LevelRequires LevelDexteritySupported Skills deal 20% more Damage with Hits and Ailments against Chilled EnemiesSupported Skills deal 20% more Cold Damage Over TimeExperience
131522020285,815
234572020252,595
336602121314,394
438632121388,734
540662222477,437
642692222583,786
744722323710,359
8467523231,355,511
9487824241,138,877
10508124241,368,233
11528425251,638,338
12548725251,956,648
13569026263,655,184
14589326263,017,327
15609627277,720,126
166299272715,058,455
1764102282825,964,218
1866105282862,460,771
19681082929211,508,743
20701112929
21723030
22743030
23763131
24783131
25803232
26823232
27843333
28863333
29883434
30903434
31913434
32923535
33933535
34943535
35953535
36963636
37973636
38983636
39993636
401003737

Skill functions and interactions

Hypothermia only works with hits, damaging ailments, and cold damage over time. This excludes non-ailment damage over time effects from skills like Scorching Ray and Righteous Fire. If applicable, the gem will multiply damage dealt of all types, not just the cold portion.

Since the gem requires the enemy to be in an already-chilled state this means that, in general, the attacker's initial hit will not receive the damage bonus. Only subsequent hits will receive the damage bonus, unless the attacker is able to apply chill prior to the first hit (such as with a ground effect spell like Vortex or Cold Snap, or from minion such as Summon Skitterbots).

Item acquisition

Hypothermia Support can drop anywhere. Drop level: 31.

Recipes

Hypothermia Support can be created from the following recipes:

Amount Part Description
1 Bitterdream level 1 Hypothermia Support and 5 other gems
9 Gift of the Gemling Queen Random level 20 support gem
7 Dialla's Subjugation Random corrupted support gem with 23% quality
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 ↓
A Fixture of Fate
Act 3		 ✗ ✗ ✓ ✓ ✗ ✗ ✗

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 ↓
A Fixture of Fate
Act 3
Clarissa		 ✓ ✓ ✓ ✓ ✗ ✓ ✓
A Fixture of Fate
Act 3
Siosa		 ✓
Fallen from Grace
Act 6
Lilly Roth		 ✓

Unique items

Item Base Item Level Stats
Bitterdream Shadow Sceptre 32 22% increased Elemental DamageSocketed Gems are Supported by Level 15 Bonechill
Socketed Gems are Supported by Level 15 Hypothermia
Socketed Gems are Supported by Level 15 Ice Bite
Socketed Gems are Supported by Level 15 Cold Penetration
Socketed Gems are Supported by Level 15 Added Cold Damage
Socketed Gems are Supported by Level 15 Inspiration
Forbidden Shako Great Crown 68 Socketed Gems are Supported by Level (1-10) <random Support Gem>
Socketed Gems are Supported by Level (25-35) <random Support Gem>
+(25-30) to all Attributes
The Hungry Loop Unset Ring 70 Has 1 SocketConsumes Socketed Uncorrupted Support Gems when they reach Maximum Level
Can Consume 4 Uncorrupted Support Gems
Has not Consumed any Gems
<Consumed support gem modifier>

Mods

Name Level Stats Spawn Weighting
of Shaping 68 (8-12)% increased Effect of Cold Ailments
Socketed Gems are Supported by Level 16 Hypothermia		 helmet_shaper 800
default 0
of Shaping 75 (13-16)% increased Effect of Cold Ailments
Socketed Gems are Supported by Level 18 Hypothermia		 helmet_shaper 800
default 0
of Shaping 80 (17-20)% increased Effect of Cold Ailments
Socketed Gems are Supported by Level 20 Hypothermia		 helmet_shaper 800
default 0

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