PoE Ref
Gem
Skill

Active

Exsanguinate

Overview

Releases several tendrils of blood from your character, 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 apply to these tendrils.

Properties

Gem type
Active
Colour
Red
Attribute
Strength
Drop level
12
Cast time
0.8 sec

Quest reward sources

These are reward options. Availability can depend on your class and quest choices. A blank class restriction remains unspecified.

QuestClassesAmountReward item level
The Siren's CadenceScion11

Compare gem levels and variants

Choose levels and quality to see which recorded properties and effects change. Additional skill effects remain in their separate progression tables.

Mechanics at a glance

  • Base duration is 1 second
  • Modifiers to Spell Damage apply to this Skill's Damage Over Time effect
  • Fires tendrils at up to +7 Targets
  • Deals 17 to 25 Physical Damage
  • Deals 26.75 Base Physical Damage per second
At 20% quality

+1.5 seconds to Base duration

Acquisition

Related gem versions 1

Regular, transfigured, Vaal, and awakened versions are joined from the game records.

Compatibility inputs

Skill types
Spell, Damage, Trappable, Totemable, Mineable, Chains, Multicastable, Triggerable, Physical, Can Rapid Fire, Damage Over Time, Duration
Granted minion skill types
None recorded
Can be supported
Yes

Support compatibility is evaluated against these recorded types. A support is omitted when its allowed expression does not match, its excluded expression matches, or this skill is marked as unable to be supported.

Compatible support gems 95

Compatibility is derived from the game skill-type constraints.

Added Fire Damage SupportAdded Cold Damage SupportAdded Lightning Damage SupportInspiration SupportIncreased Critical Strikes SupportIncreased Critical Damage SupportKnockback SupportLife Leech SupportAdded Chaos Damage SupportStun SupportTrap SupportItem Rarity SupportFaster Casting SupportMore Duration SupportCold to Fire SupportCombustion SupportElemental Proliferation SupportCulling Strike SupportIron Will SupportSpell Totem SupportBlastchain Mine SupportChance to Flee SupportBlind SupportFire Penetration SupportCold Penetration SupportLightning Penetration SupportChain SupportSpell Echo SupportPower Charge On Critical SupportBurning Damage SupportHextouch SupportLess Duration SupportCast on Death SupportCast when Damage Taken SupportCast when Stunned SupportPhysical to Lightning SupportIce Bite SupportHypothermia SupportInnervate SupportCritical Strike Affliction SupportVoid Manipulation SupportControlled Destruction SupportSwift Affliction SupportElemental Focus SupportIgnite Proliferation SupportChance to Poison SupportDeadly Ailments SupportDecay SupportEfficacy SupportVile Toxins SupportImmolate SupportUnbound Ailments SupportBrutality SupportArcane Surge SupportSummon Phantasm SupportBonechill SupportEnergy Leech SupportUnleash SupportHigh-Impact Mine SupportAwakened Added Fire Damage SupportAwakened Brutality SupportAwakened Burning Damage SupportAwakened Fire Penetration SupportAwakened Added Cold Damage SupportAwakened Chain SupportAwakened Cold Penetration SupportAwakened Deadly Ailments SupportAwakened Swift Affliction SupportAwakened Void Manipulation SupportAwakened Added Chaos Damage SupportAwakened Added Lightning Damage SupportAwakened Controlled Destruction SupportAwakened Hextouch SupportAwakened Elemental Focus SupportAwakened Lightning Penetration SupportAwakened Spell Echo SupportAwakened Unbound Ailments SupportAwakened Unleash SupportArchmage SupportTrinity SupportCruelty SupportLifetap SupportOvercharge SupportSpellblade SupportDevour SupportSacrifice SupportSadism SupportGreater Spell Echo SupportCull the Weak SupportGreater Chain SupportFrostmage SupportGreater Devour SupportGreater Unleash SupportUnholy Trinity SupportLiving Lightning Support

Gem progression 20 standard levels

Gem levelRequired levelCostCrit. chanceDamage effectivenessEffectsExp. to nextTotal exp.
11216 Life6%150%Fires tendrils at up to +7 Targets Deals 17 to 25 Physical Damage Deals 26.75 Base Physical Damage per second15,2490
21518 Life6%150%Fires tendrils at up to +7 Targets Deals 22 to 33 Physical Damage Deals 35.48 Base Physical Damage per second41,51715,249
31921 Life6%160%Fires tendrils at up to +7 Targets Deals 32 to 47 Physical Damage Deals 50.57 Base Physical Damage per second81,98356,766
42323 Life6%170%Fires tendrils at up to +7 Targets Deals 44 to 66 Physical Damage Deals 70.68 Base Physical Damage per second147,968138,749
52725 Life6%170%Fires tendrils at up to +7 Targets Deals 61 to 91 Physical Damage Deals 97.32 Base Physical Damage per second250,557286,717
63126 Life6%180%Fires tendrils at up to +7 Targets Deals 83 to 124 Physical Damage Deals 132.42 Base Physical Damage per second405,086537,274
73528 Life6%190%Fires tendrils at up to +7 Targets Deals 112 to 168 Physical Damage Deals 178.42 Base Physical Damage per second447,718942,360
83830 Life6%190%Fires tendrils at up to +8 Targets Deals 139 to 208 Physical Damage Deals 221.95 Base Physical Damage per second615,3181,390,078
94132 Life6%200%Fires tendrils at up to +8 Targets Deals 172 to 258 Physical Damage Deals 275.03 Base Physical Damage per second834,6392,005,396
104433 Life6%210%Fires tendrils at up to +8 Targets Deals 213 to 319 Physical Damage Deals 339.6 Base Physical Damage per second1,570,7602,840,035
114734 Life6%210%Fires tendrils at up to +8 Targets Deals 262 to 393 Physical Damage Deals 418.03 Base Physical Damage per second1,633,9874,410,795
125035 Life6%220%Fires tendrils at up to +8 Targets Deals 321 to 482 Physical Damage Deals 513.13 Base Physical Damage per second2,151,0306,044,782
135337 Life6%230%Fires tendrils at up to +8 Targets Deals 393 to 590 Physical Damage Deals 628.28 Base Physical Damage per second2,812,1898,195,812
145639 Life6%230%Fires tendrils at up to +8 Targets Deals 481 to 721 Physical Damage Deals 767.53 Base Physical Damage per second5,099,36011,008,001
155940 Life6%240%Fires tendrils at up to +9 Targets Deals 586 to 879 Physical Damage Deals 935.68 Base Physical Damage per second9,400,73116,107,361
166242 Life6%250%Fires tendrils at up to +9 Targets Deals 713 to 1069 Physical Damage Deals 1138.52 Base Physical Damage per second15,273,36625,508,092
176443 Life6%250%Fires tendrils at up to +9 Targets Deals 812 to 1217 Physical Damage Deals 1296.33 Base Physical Damage per second26,286,58240,781,458
186644 Life6%260%Fires tendrils at up to +9 Targets Deals 923 to 1385 Physical Damage Deals 1474.93 Base Physical Damage per second62,890,59067,068,040
196845 Life6%260%Fires tendrils at up to +9 Targets Deals 1050 to 1575 Physical Damage Deals 1677 Base Physical Damage per second212,046,017129,958,630
207046 Life6%270%Fires tendrils at up to +9 Targets Deals 1193 to 1789 Physical Damage Deals 1905.47 Base Physical Damage per second—342,004,647
Show extended levels 21–40
Gem levelRequired levelCostCrit. chanceDamage effectivenessEffectsExp. to nextTotal exp.
217247 Life6%270%Fires tendrils at up to +9 Targets Deals 1355 to 2032 Physical Damage Deals 2163.7 Base Physical Damage per second——
227448 Life6%270%Fires tendrils at up to +10 Targets Deals 1537 to 2306 Physical Damage Deals 2455.47 Base Physical Damage per second——
237649 Life6%270%Fires tendrils at up to +10 Targets Deals 1744 to 2615 Physical Damage Deals 2784.98 Base Physical Damage per second——
247850 Life6%270%Fires tendrils at up to +10 Targets Deals 1977 to 2965 Physical Damage Deals 3157.02 Base Physical Damage per second——
258051 Life6%270%Fires tendrils at up to +10 Targets Deals 2239 to 3359 Physical Damage Deals 3576.88 Base Physical Damage per second——
268252 Life6%270%Fires tendrils at up to +10 Targets Deals 2536 to 3804 Physical Damage Deals 4050.58 Base Physical Damage per second——
278453 Life6%270%Fires tendrils at up to +10 Targets Deals 2870 to 4306 Physical Damage Deals 4584.82 Base Physical Damage per second——
288654 Life6%270%Fires tendrils at up to +10 Targets Deals 3248 to 4871 Physical Damage Deals 5187.18 Base Physical Damage per second——
298855 Life6%270%Fires tendrils at up to +11 Targets Deals 3673 to 5509 Physical Damage Deals 5866.1 Base Physical Damage per second——
309056 Life6%270%Fires tendrils at up to +11 Targets Deals 4152 to 6227 Physical Damage Deals 6631.13 Base Physical Damage per second——
319157 Life6%270%Fires tendrils at up to +11 Targets Deals 4413 to 6620 Physical Damage Deals 7049.2 Base Physical Damage per second——
329258 Life6%270%Fires tendrils at up to +11 Targets Deals 4691 to 7037 Physical Damage Deals 7492.9 Base Physical Damage per second——
339358 Life6%270%Fires tendrils at up to +11 Targets Deals 4986 to 7479 Physical Damage Deals 7963.75 Base Physical Damage per second——
349459 Life6%270%Fires tendrils at up to +11 Targets Deals 5299 to 7948 Physical Damage Deals 8463.4 Base Physical Damage per second——
359559 Life6%270%Fires tendrils at up to +11 Targets Deals 5631 to 8446 Physical Damage Deals 8993.57 Base Physical Damage per second——
369660 Life6%270%Fires tendrils at up to +11 Targets Deals 5983 to 8974 Physical Damage Deals 9556.05 Base Physical Damage per second——
379760 Life6%270%Fires tendrils at up to +11 Targets Deals 6357 to 9535 Physical Damage Deals 10152.83 Base Physical Damage per second——
389860 Life6%270%Fires tendrils at up to +11 Targets Deals 6753 to 10129 Physical Damage Deals 10785.92 Base Physical Damage per second——
399961 Life6%270%Fires tendrils at up to +11 Targets Deals 7173 to 10760 Physical Damage Deals 11457.5 Base Physical Damage per second——
4010061 Life6%270%Fires tendrils at up to +11 Targets Deals 7619 to 11429 Physical Damage Deals 12169.87 Base Physical Damage per second——

Quality progression

Quality bonuses are separate from level progression. Values above 20 require a way to reach that quality.

QualityEffects
0%No quality bonus
5%+0.38 seconds to Base duration
10%+0.75 seconds to Base duration
15%+1.13 seconds to Base duration
20%+1.5 seconds to Base duration
23%+1.73 seconds to Base duration
30%+2.25 seconds to Base duration

Alternate effects 2

Transcendence Exsanguinate Effect

Your Exsanguinate becomes a Transcendence Effect.

Mercurial Exsanguinate Effect

Your Exsanguinate becomes a Mercurial Effect.

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