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Hemorrhage

From Diablo 4 Wiki

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


Creates Condition Exploits Condition
Physical Dmg Blood Orbs
Fortifies
Essence
Blood Orbs
Basic
Blood

'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

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Hemorrhage

Generate Essence: 13
Lucky Hit Chance: 50%
Burst an enemy's blood, dealing 40% damage. Hemorrhage has a 20% chance to form a Blood Orb.

Damage: Physical Damage
Tags: Basic, Blood

Upgrades

Upgrade Hub
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

Upgrade Hub
Acolyte's Hemorrhage

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

Initiate's Hemorrhage Upgrade

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 - 10 seconds.

Helm, Chest, Pants, Shield, Amulet (+50%)
Dark Ravine
(Map)
Dry Steppes All
Aspect of Potent Blood
Resource Blood Orbs grant 10 - 30 Essence.

Ring, Amulet (+50%)
Betrayer's Row
(Map)
Dry Steppes Necromancer
Aspect of Rathma's Chosen
Offensive Whenever your Blood Skills Overpower you gain 35 - 55% [+] 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 5 - 12% [x], up to 30% [x].

Gloves, Offhand, 1H Weapon, 2H Weapon (+100%), Ring, Amulet (+50%)
Underroot
(Map)
Scosglen All
Fastblood Aspect
Resource Blood Orbs reduce your Ultimate Cooldown by 1 - 3] seconds.

Ring, Amulet (+50%)
Iron Hold
(Map)
Hawezar Necromancer
Aspect of Gore Quills
Offensive Casting Blood Lance will consume Blood Orbs to also conjure lances from them. Each additional Blood Lance deals 20 - 60% 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 - 35% [+] Attack Speed.

Gloves, Offhand, 1H Weapon, 2H Weapon (+100%), Ring, Amulet (+50%)
Buried Halls
(Map)
Dry Steppes All

Unique Items

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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: Unique Chest Armor
Class: Necromancer

Description: When you pick up [10 - 3] Blood Orbs, a free Bone Spirit is spawned, dealing bonus damage based on your current Life percent.


    Affixes: (Item Power 925)
    • Blood Orbs Restore +[8 - 12] Essence
    • +[103.5 - 135.0]% Damage for 4 Seconds After Picking Up a Blood Orb
    • +[957 - 1,259] Maximum Life
    • +[2 - 3] to Bone Spirit
    2403703921.png

    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: Unique Amulet
    Class: Necromancer

    Description: Blood Surge casts a mini nova on your Minions, dealing [41 - 86] damage. Damage is increased by 10% per target drained by the initial cast, up to 50%.

    • +25.0% Resistance to All Elements

    Affixes: (Item Power 925)
    2820920553.png

    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: Unique Gloves
    Class: All Classes

    Description: Damaging enemies with a Non-Basic Skill cast 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 [100 - 200]%[x] increased damage.


      Affixes: (Item Power 925)
      • +[7.0 - 9.0]% Attack Speed
      • +[2 - 4] to Basic Skills
      • [6.0 - 8.0]% Cooldown Reduction
      • Lucky Hit: Up to a +[13.5 - 22.5]% Chance to Stun (CC) for 2 Seconds


      Paragon Glyphs

      magicglyph.png

      Battle-Hardened

      Magic: Barbarian / Druid / Necromancer

      Bonus:

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


      40int.png

      Blood-Drinker

      Rare: Necromancer

      Bonus:

      • Grants 30% bonus to all Magic nodes within range.

      Additional Bonus:

      Requirements: 40 Intelligence (in radius range)

      25will.png

      Undaunted

      Rare: Barbarian / Druid / Necromancer

      Bonus:

      • 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.