Added a new Strength/Intelligence Skill Gem – Reap: A bloody scythe swipes across a selected area, applying a physical damage over time debuff in addition to hitting enemies with physical damage. If enemies survive, you gain a blood charge, which raises both the damage and cost of the skill.
Added a new Strength/Intelligence Skill Gem – Exsanguinate: Release several tendrils of blood, 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 be applied to these tendrils.
Added a new Strength Skill Gem – Petrified Blood: Apply a buff that protects the lower half of your life, preventing some of the immediate life loss when damaged by hits and applying the loss over time instead. Your life cannot be raised above low life other than by flasks, and while above low life, skills will cost life as well as mana.
Added a new Strength/Intelligence Skill Gem – Corrupting Fever: Draw out your own blood to power a buff for a duration, letting this skill inflict the Corrupting Blood debuff on enemies you hit, dealing physical damage over time for a short secondary duration. The buff’s duration will be refreshed if you spend enough life before it expires.
Added a new Strength Support Gem – Bloodthirst: Supports attack skills, causing them to deal added physical damage with weapons equal to 2% of your maximum life while on low life.
Added a new Strength/Intelligence Support Gem – Cruelty: Supports skills that hit enemies, causing them to deal more damage with hits. You also gain a Cruelty buff, which makes all supported skills deal up to 50% more damage over time, based on the amount of damage of the initial hit.
Blood Magic Support has been removed. Two new Support gems have been added in its place.
Added a new Strength Support Gem – Arrogance: Supports any skill with a reservation. Skills reserve life instead of mana and have increased aura effect. The reservation multiplier decreases as the gem level increases. Any existing Blood Magic Support Gems will be converted to Arrogance Support Gems.
Added a new Strength Support Gem – Lifetap: Supports any skill. Skills cost life instead of mana. If you’ve spent a certain amount of life, you will gain a Lifetap buff which causes supported skills to deal more damage.
Added 13 new Unique Items.
Added 14 new Divination Cards, designed by our supporters.
Added Ritual to the core game, rebalanced around the lower rate of encountering Ritual gameplay. Please read the Ritual Changes section for more information.
Introduced the Vaal Reliquary Key, which can be found as an extremely rare drop throughout the game. When consumed in the Map Device, it grants you access to an ancient vault with a chest that drops a special foil version of a Vaal-themed unique item. Uniques dropped in this way have equal weighting. This is the rarest Reliquary Key yet.
Introduced the Veiled Chaos Orb, a currency item that reforges rare items in a similar way to a regular Chaos Orb, but guarantees the result will have a random veiled modifier. This item can be obtained from Betrayal encounters or found as a rare drop throughout the game.
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Ultimatum Minor Changes 3.14
Added various new league rewards such as Catalysts, Incubators and Scarabs. Please read the Other League Changes section for more information.
Added five new Sextant modifiers which will cause maps in the associated Atlas region to contain Blight, Delirium, Harvest, Heist or Ritual encounters.
Continued to incrementally improve the sound, art, effects and environments.
Reap: A bloody scythe swipes across a selected area, applying a physical damage over time debuff in addition to hitting enemies with physical damage. If enemies survive, you gain a blood charge, which raises both the damage and cost of the skill.
Exsanguinate: Release several tendrils of blood, 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 be applied to these tendrils.
Petrified Blood: Apply a buff that protects the lower half of your life, preventing some of the immediate life loss when damaged by hits and applying the loss over time instead. Your life cannot be raised above low life other than by flasks, and while above low life, skills will cost life as well as mana.
Corrupting Fever: Draw out your own blood to power a buff for a duration, letting this skill inflict the Corrupting Blood debuff on enemies you hit, dealing physical damage over time for a short secondary duration. The buff’s duration will be refreshed if you spend enough life before it expires.
Blood Magic Support has been removed. Two new Support gems have been added in its place.
Arrogance Support Gems.
Vaal Reliquary Key, which can be found as an extremely rare drop throughout the game. When consumed in the Map Device, it grants you access to an ancient vault with a chest that drops a special foil version of a Vaal-themed unique item. Uniques dropped in this way have equal weighting. This is the rarest Reliquary Key yet.
Veiled Chaos Orb, a currency item that reforges rare items in a similar way to a regular 
Chaos Orb, but guarantees the result will have a random veiled modifier. This item can be obtained from Betrayal encounters or found as a rare drop throughout the game.