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Hemorrhage is a Necromancer skill from the Basic skill tree. Its features are:

Creates Condition Exploits Condition
Physical Dmg Blood Orbs
Blood Orbs

'Creates Condition' means this skill creates this condition i.e it could make a target Vulnerable that other skills can take advantage of. 'Exploits Condition' means this skill takes advantage of a condition, not necessarily of its own making. So for example another skill might Stun and this skill could take advantage of that.

Hemorrhage Details and Upgrades

Hamorrhage Skill


Burst an enemy's blood, dealing 27% damage. Hemorrhage has 20% chance to form a Blood Orb.

Damage: Physical

Generates: 9 Essence

Lucky Hit Chance: 35%

Tags: Basic, Blood


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Enhanced Hemorrhage

After picking up a Blood Orb, your next Hemorrhage also deals damage to enemies around your target and grants 2 additional Essence per enemy hit

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Acolyte's Hemorrhage

Hemorrhage generates an additional + 20% Attack Speed while Healthy.

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Initiate's Hemorrhage

Hemorrhage grants 1.6% of your Maximum life as Fortify each time it hits an enemy, and has a 1.5% chance per enemy hit to Fortify you for 100% of your Maximum Life.

* Healthy is a Status Effect that means above 80% of their Life.

Other Skills that work with Hemorrhage

The following skills either:

  • Create a condition Hemorrhage can exploit
  • Exploit a condition Hemorrhage creates
Hemorrhage Creates Skills that Exploit This Condition
Blood Orb Rathma's Vigor (p)
Fortifies Supernatural Blood Surge
Blood Skill Transfusion (p) | Coalesced Blood (p) | Drain Vitality (p) | Tides of Blood (p) | Rathma's Vigor (p)
Hemorrhage Exploits Skills that Create This Condition
Blood Orbs Supernatural Blood Lance | Blighted Corpse Tendrils | Transfusion (p) | Supreme Blood Wave

Items that work with Hemorrhage

The following items either:

  • Grant a bonus when using Hemorrhage
  • Create a condition Hemorrhage can exploit
  • Exploit a condition Hemorrhage creates

Legendary Aspects

Aspect of Might
Defensive Basic Skills grant 20% Damage Reduction for 2 - 6 seconds.

Helm, Chest, Pants, Shield, Amulet (+50%)

Dark Ravine
Dry Steppes All
Aspect of Potent Blood
Resource While Healthy, Blood Orbs grant 10 - 20 Essence.


Betrayer's Row
Dry Steppes Necromancer
Aspect of Rathma's Chosen
Offensive Whenever your Blood Skills Overpower you gain 20 - 50% Attack Speed for 4 seconds.

Gloves, Offhand, 1H Weapon, 2H Weapon (+100%), Ring, Amulet (+50%)

N/A Extraction Necromancer
Aspect of the Expectant
Offensive After Attacking enemies with a Basic skill, increase the damage of your next Core skill cast within 5 seconds by x 5 - 10%, up to x 30%.

Gloves, Offhand, 1H Weapon, 2H Weapon (+100%), Ring, Amulet (+50%)

Codex of Power All
Fastblood Aspect
Resource Blood Orbs reduce your Ultimate Cooldown by 1 - 1.5 seconds.


Iron Hold
Hawezar Necromancer
Gore Quills Aspect
Offensive Blood Lance will consume Blood Orbs to also conjure lances from them. Each additional Blood Lance deals 20 - 50% of normal damage and prioritizes targeting un-lanced enemies.

Gloves, Offhand, 1H Weapon, 2H Weapon (+100%), Ring, Amulet (+50%)

N/A Extraction Necromancer
Rapid Aspect
Offensive Basic skills gain + 15 - 30% Attack Speed.

Gloves, Offhand, 1H Weapon, 2H Weapon (+100%), Ring, Amulet (+50%)

Buried Halls
Dry Steppes All

Unique Items


Blood Artisan's Cuirass

"The infamous Necromancer Gaza-Thul's mastery over blood magic was indisputable. Many suspect that upon his death, his skin was used to fashion this eldritch armor." - Barrett's Book of Implements

Type: Chest Armor
Class: Necromancer

Description: When you pick up 5 - 10 Blood Orbs, a free Bone Spirit is spawned, dealing bonus damage based on your current Life percent.


  • + % Blood Orb Healing
  • + % Damage for 4 secs after picking up a Blood Orb
  • + # Maximum Life
  • + # Ranks of Bone Spirit

Deathspeaker's Pendant

Once a sanctum for Rathma's studies, the Temple of the Deathspeaker became a proving grounds for potential leaders of his priesthood. Its halls are filled with the corpses of those who failed.

Type: Amulet
Class: Necromancer

Description: Blood Surge casts a mini nova on your Minions, dealing # damage. Damage is increased by 10.0% per target drained by the initial cast, up to 50.0%.

  • % Resistance to All Elements


  • % Resistance to All Elements
  • + % Blood Skill Damage
  • + % Summoning Skill Damage
  • + # Ranks to Coalesced Blood Passive Skill
  • % Essence Cost Reduction


Paingorger's Gauntlets

Crafted from fragments of Duriel's carapace, wearing these gloves, or being struck by them, causes an agonizing sensation akin to pushing one's hands through a thousand shards of glass.

Type: Gloves
Class: All

Description: Damaging enemies with a cast Non–Basic Skill marks them for 3 seconds. When a Basic Skill first hits a marked enemy, the Basic Skill’s damage is echoed to all marked enemies, dealing x 100 – 200% increased damage.


Paragon Glyphs



Magic: Barbarian / Druid / Necromancer


  • For every 5 Willpower (Barb/Necro) / Intelligence (Druid) purchased within range, you gain + 0.8% increased damage while Fortified.



Rare: Necromancer


  • Grants + 30% (lvl 1) - 150% (lvl 21) bonus to all Magic nodes within range.

Additional Bonus:

Requirements: 40 Intelligence (in radius range)



Rare: Barbarian / Druid / Necromancer


  • For every 5 Willpower (Barb, Necro) / Intelligence (Druid) purchased within range, you deal + 2% (lvl 1) - 10% (lvl 21) increased damage while Fortified.

Additional Bonus:

  • You gain 10% Damage Reduction the more Fortify you have.

Requirements: 25 Willpower (Barb, Necro) / Intelligence (Druid) (in radius range)

Item Affixes

The following Affixes are particularly useful with Hemorrhage

Attribute Amulet Ring Helm Chest Legs Boots Weap 1H Weap 2H Off-Hand Shield
Physical Damage
[10.5 - 17.5%]
Basic Skill Damage
[18.5 - 39.5%]
Basic Skill Damage
[37 - 79%]
Blood Skill Damage
[10.5 - 17.5%]
Damage for 4 seconds after
picking up a Blood Orb
[7 - 14%]
Blood Orb Healing
[10.5 - 17.5%]
Healing Received
[7 - 14%]
Basic Skill Attack Speed
[4.4 - 10%]
Damage Reduction while Fortified
[4.9 - 10.5%]
Attribute Amulet Ring Helm Chest Legs Boots Weap 1H Weap 2H Off-Hand Shield

Changes to Hemorrhage

Patch 1.2.0, October 17, 2023

Patch 1.0.3, June 27, 2023

  • Base damage increased from 25% to 27%.
  • Essence generated increased from 8 to 9.