Puncture - Path of Exile

Puncture is an active skill gem.

Punctures enemies, causing a bleeding debuff, which will be affected by modifiers to skill duration. Puncture works with bows, daggers, claws or swords.

Attack, Projectile, Duration, Melee, Strike, Physical, Bow. Level: 1–20. Cost: 6 Mana. Attack Speed: 70% of base. Attack Damage: 135–165% of base. Effectiveness of Added Damage: 135–165%. Requires Level 4.

Base duration is 8 seconds
(3–75) to (4–113) Added Attack Physical Damage
Causes Bleeding
(30–49)% more Damage with Bleeding

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
Puncture	Bleeding inflicted by this Skill deals Damage (0–10)% faster	50

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Related Gems

Name	Additional Effects From Quality	Weight
Puncture	Bleeding inflicted by this Skill deals Damage (0–10)% faster	50
Anomalous Puncture	Projectiles Pierce (0–2) additional Targets	20
Divergent Puncture	Melee Strikes target (0–2) additional nearby Enemies	20
Phantasmal Puncture	(0–10)% chance to Maim on Hit	50

Level Effect

Level	Requires Level	Dexterity	Intelligence	Base Damage	3 to 4 Added Attack Physical Damage	30% more Damage with Bleeding	Experience
1	4	10	7	134.7%	3, 4	30	841
2	6	13	9	136.3%	3, 5	31	3,099
3	9	17	12	137.8%	4, 7	32	7,433
4	12	21	14	139.5%	5, 8	33	22,895
5	16	26	18	141%	7, 11	34	49,725
6	20	31	22	142.5%	9, 13	35	95,714
7	24	37	25	144.2%	11, 17	36	169,595
8	28	42	29	145.7%	14, 20	37	283,759
9	32	47	33	147.3%	16, 25	38	453,996
10	36	53	36	148.9%	20, 30	39	703,128
11	40	58	40	150.4%	24, 35	40	1,061,223
12	44	63	44	152%	28, 42	41	2,065,870
13	48	68	48	153.6%	33, 49	42	2,507,110
14	52	74	51	155.1%	39, 58	43	2,573,731
15	55	78	54	156.7%	43, 65	44	7,611,351
16	58	82	57	158.3%	49, 73	45	13,437,908
17	61	86	60	159.9%	54, 82	46	25,052,147
18	64	90	62	161.4%	61, 91	47	43,869,436
19	67	94	65	163%	68, 102	48	242,081,178
20	70	98	68	164.6%	75, 113	49
21	72			166.1%	81, 122	50
22	74			167.7%	87, 130	51
23	76			169.3%	93, 140	52
24	78			170.8%	100, 150	53
25	80			172.5%	107, 160	54
26	82			174%	114, 172	55
27	84			175.5%	123, 184	56
28	86			177.2%	131, 197	57
29	88			178.7%	140, 210	58
30	90			180.3%	150, 224	59
31	91			181.1%	155, 232	60
32	92			181.9%	160, 240	61
33	93			182.7%	165, 248	62
34	94			183.4%	171, 256	63
35	95			184.2%	176, 265	64
36	96			185%	182, 273	65
37	97			185.8%	188, 282	66
38	98			186.6%	194, 292	67
39	99			187.4%	201, 301	68
40	100			188.1%	207, 311	69

Puncture is an attack skill that applies the Bleed ailment to enemies it hits, causing them to take physical damage over time that increases while the target is moving. Bleed applied with this skill deals more damage than usual.

Mechanics

Unlike other sources of bleed, Puncture's bleed ailment lasts 8 seconds and is affected by % increased Skill Effect Duration modifier, including the Increased Duration Support support gem.

Item acquisition

Puncture can drop anywhere. Drop level: 5.

Recipes

Puncture can be created from the following recipes:

Amount	Part	Description
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

Usage in recipes

Puncture is used in the following recipes:

Result	Amount	Part	Notes	Description
Block Chance Reduction Support	1	Puncture	plus any dexterity shield with 20% quality	vendor recipe

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	✓

Related helmet enchantments

The following helmet enchantments affect Puncture.

Name	Level	Labyrinth	Stats	Spawn Weighting
Enchantment Puncture Damage 1	66	Merciless Labyrinth	25% increased Puncture Damage	helmet 100 default 0
Enchantment Puncture Damage 2	75	Eternal Labyrinth	40% increased Puncture Damage	helmet 100 default 0
Enchantment Puncture Duration 1	66	Merciless Labyrinth	30% increased Puncture Duration	helmet 100 default 0
Enchantment Puncture Duration 2	75	Eternal Labyrinth	45% increased Puncture Duration	helmet 100 default 0
Enchantment Puncture Maim On Hit Percent Chance 1	66	Merciless Labyrinth	20% Chance for Puncture to Maim on hit	helmet 100 default 0
Enchantment Puncture Maim On Hit Percent Chance 2	75	Eternal Labyrinth	30% Chance for Puncture to Maim on hit	helmet 100 default 0

(30-49)% more Damage with Bleeding

Alternate skill effects

Puncture has the following alternate skill effects:

Item	Effect(s)
Stygian Puncture Effect	Your Puncture becomes a Stygian Effect.