Blood Lance Endgame Necromancer Build for Diablo 4 (Season 1)

Impale your enemies with blood as you unleash your powers on Sanctuary.




Minion Overlord

Updated: Posted:

Blood LanceBone StormDecrepifyCorpse TendrilsHemorrhageBlood Mist

Build Introduction

The Blood Lance Necromancer build, also known as a “Bloodmancer”, is a collaboration guide made between content creators Ghazzy and Garm. It provides a sturdy, resilient and high damage dealing character for you to start your adventures in Diablo 4 with. Thanks to the massive amount of Life and Fortify we have on this build, the damage dealt by Overpower on our skills skyrockets, as Overpower provides bonus damage based on the sum of your current Life and Fortify.

This build is entirely designed around Blood LanceBlood Lance, for both clearing packs of enemies and single-target. Our defensive layers come in the form of Fortifying our massive Life pool and having access to Blood Orbs, which will heal us when picked up. Enemies should be cursed with DecrepifyDecrepify to lower their damage dealt. Through HemorrhageHemorrhage we can recover Essence very smoothly while clearing Nightmare Dungeons.

You are able to level with this build, however, we would strongly recommend checking out the Necromancer Leveling guide for the smoothest experience going through the campaign before switching to this build.

Video Guide

Video guide is not updated yet, we will add a new video once it’s updated and ready.

Strengths and Weaknesses

  • Very tanky
  • High Overpower damage
  • Consistent performance
  • Relies on gear to perform in the end-game
  • Early game requires a lot of usage from your Basic Skill
  • Unable to kill Uber Lilith

To see how this build compares to the other builds on our site, you can check out our build tier lists.

Season of the Malignant

Season 1 Patch Updates

The following list details the changes in the Season 1 Patch Update that are specific to this build. Check the Changelog for all the other guide updates.

Patch 1.1

  • Aspect of Disobedience maximum stacks reduced from 100 to 60, reducing maximum Bonus Armor % from 25%-50% to 15%-30%.
  • Abhorrent Iron Maiden healing increased from 5% to 7% of Maximum Life.
  • Drain Vitality Lucky Hit Chance increased from 25% to 30%.
  • Amplify Damage increased from 3/6/9% to 4/8/12%.
  • New Aspect: Gore Quills (Offensive Aspect): 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.

Patch 1.1.1

  • Fixed an issue where guaranteed Overpower attacks from the Rathma’s Vigor key passive were not benefiting from the Paragon Legendary Node Bloodbath.
  • Fixed an issue where the Necromancer’s Imperfectly Balanced passive could only have 1 point allocated to it.

Besides a generic armor nerf from the Aspect of DisobedienceAspect of Disobedience, we have received a lot of damage increase from this patch! This makes the build more reliable than ever.

The 1.1.1 patch fixed the Imperfectly BalancedImperfectly Balanced bug, which prevented us from placing 3 points into it. It also fixed the Overpower damage scaling from our guaranteed Overpower coming from Rathma's VigorRathma’s Vigor.

Malignant Hearts

The Season 1 theme introduces Malignant Hearts that provide build-altering bonuses. The Hearts are divided into 4 categories, each with a color that needs to be socketed in the corresponding colored Malignant Socket on equipped jewelry. Wrathful Hearts are a special case due to their rarity, and can be placed in any Socket. 

Listed below are the Malignant Hearts that are useful for this build, ranked by importance. Stats displayed reflect what a Level 20 character would receive as a drop.

  • Caged Heart of the SacrilegiousCaged Heart of the Sacrilegious (Vicious, Offensive): Walking near a Corpse automatically activates an equipped Corpse Skill every second, dealing 40-30% reduced damage.
  • Caged Heart of The BarberCaged Heart of The Barber (Wrathful, Super-World Tier III): Critical Strikes and all subsequent damage within 2.0-4.0 seconds is absorbed by your target. Then, the absorbed damage erupts onto surrounding enemies. Stored damage is increased by 10% per second.
  • Caged Heart of RevengeCaged Heart of Revenge (Brutal, Defensive-World Tier III): 10-20% of incoming damage is instead suppressed. When you use a Defensive, Subterfuge or a Macabre skill, all suppressed damage is amplified by 250% and explodes, dealing up to 1360-2040 Fire damage to Nearby enemies.

Skill Tree Points

Blood Lance Necromancer Recommended Skill Bar (order does not matter)
Blood Lance Blood Lance Hemorrhage Hemorrhage Blood Mist Blood Mist Decrepify Decrepify Corpse Tendrils Corpse Tendrils Bone Storm Bone Storm

The following tables show the full allocation of Skill Points for the Blood Lance Necromancer build. The first table has the most important 48 points to start the build. The second table has the remaining 10 points that are allocated once you obtain all Skill Points from Renown.

Priority SkillsCluster
HemorrhageHemorrhage Level 5, Enhanced HemorrhageEnhanced Hemorrhage, Acolyte's HemorrhageAcolyte’s HemorrhageBasic SkillBasic Skill
Blood LanceBlood Lance Level 5, Enhanced Blood LanceEnhanced Blood Lance, Supernatural Blood LanceSupernatural Blood Lance, Hewed FleshHewed Flesh Level 3Core SkillCore Skill
Blood MistBlood Mist, Enhanced Blood MistEnhanced Blood Mist, Ghastly Blood MistGhastly Blood MistCurse SkillCurse Skill
DecrepifyDecrepify, Enhanced DecrepifyEnhanced Decrepify, Abhorrent DecrepifyAbhorrent Decrepify, Amplify DamageAmplify Damage Level 3, Death's EmbraceDeath’s Embrace Level 3Summoning SkillSummoning Skill
Corpse TendrilsCorpse Tendrils, Enhanced Corpse TendrilsEnhanced Corpse Tendrils, Blighted Corpse TendrilsBlighted Corpse Tendrils, Gruesome MendingGruesome Mending, Coalesced BloodCoalesced Blood Level 3, Tides of BloodTides of Blood Level 3, Drain VitalityDrain Vitality Level 3Corpse & Macabre SkillCorpse & Macabre Skill
Inspiring LeaderInspiring Leader, Stand AloneStand Alone, Memento MoriMemento Mori Level 3Ultimate SkillUltimate Skill
Rathma's VigorRathma’s VigorKey PassivesKey Passives
Remaining Renown PointsCluster
Unliving EnergyUnliving Energy, Imperfectly BalancedImperfectly Balanced Level 3Core SkillCore Skill
Bone StormBone Storm, Prime Bone StormPrime Bone Storm, Supreme Bone StormSupreme Bone Storm, Stand AloneStand Alone Level 3, Inspiring LeaderInspiring Leader Level 2Ultimate SkillUltimate Skill

Book of the Dead

The Blood Lance Necromancer is designed to be able to take hits from enemies consistently. Using minions with this playstyle is a waste and can cause problems when you want to use Blood LanceBlood Lance if enemies are scattered across your screen, hitting your minions rather than moving towards you. Therefore, we will be sacrificing all of them.

  • Melee Skeletons: sacrifice the Skirmisher, as this provides us with increased critical strike chance.
  • Mage Skeletons: Bone Mages will be sacrificed in the name of Lilith to provide a huge increase to Overpower Damage.
  • Golem: Blood Golem will also be sacrificed, as this buff provides a massive increase of Life.

Paragon Board

The Paragon progression system unlocks at Level 50 and provides a vast amount of character power. On the Paragon Board, bonuses range from minor stats on Magic Nodes to more powerful Rare Glyphs and Legendary Nodes.

As you path towards Glyph Sockets and Legendary Nodes, you should prioritize Damage, Intelligence, Resistance, and Life for Normal and Magic Nodes. Glyph radius increases as you level them up. Therefore, if you cannot fulfill Additional Bonus requirements early on, skip allocating extra nodes for now. It’s also important to point out that you might not have the Glyph you want when you reach your first socket; if that’s the case, simply slot in any Glyph providing any beneficial stats for you until you get the correct one.

Listed below are images of the pathing you should take along with the locations of the Glyphs and order you should choose your Paragon Boards past the initial Starting board.

Starting Board

Necromancer Paragon Board D4

Since most Nodes from our Paragon Tree do not actually scale our Overpower damage output, we will be focusing on picking up a lot of Rare and Magic Nodes that provide Life. We rush the socket on this initial board, in which we’ll place the Blood-drinkerBlood-drinker Glyph. Only take the extra attributes within range of the Glyph which will increase when you level the Glyph up via Nightmare Dungeons. Once done, we’ll grab the Rare and Magic Nodes, then move out north to our second board, Blood Begets Blood.

Blood Begets Blood (2nd Board)

Necromancer Paragon Board D4

Blood Begets Blood will act as a crossroads, as we will be coming back to this one to head out on all sides in the end. We’ll start by rushing up on the left-hand side of the board and grab the socket, in which we use the AmplifyAmplify Glyph. Similar to our starting board, we only take the attributes within radius if the Glyph level allows us to enable the bonus modifier from it. We want the Overpower damage increasing Magic Nodes just to the right of the socket, but no further. Head out on the left-hand side for our third board, Bloodbath.

Bloodbath (3rd Board)

Necromancer Paragon Board D4

Start by rushing the socket in which we’ll use the ControlControl Glyph. Again, only grab the extra Nodes for attributes if the Glyph radius/level allows to enable the bonus modifier. Otherwise, we are picking up every single Rare and Magic as shown in the image above, don’t forget the Bloodbath Legendary Node! Once this is done, we’ll circle back to Blood Begets Blood (2nd board) and rush up on the north side.

Scent of Death (4th Board)

Necromancer Paragon Board D4

This is a straight forward board. Rush the socket node and use the DominateDominate Glyph. Yet again, we will only take the extra Nodes within radius if the level of the Glyph allows. We also want to grab the Scent of Death Legendary Node and it’s surrounding Rare and Magic Nodes before we leave this one. Once done we will, yet again, go back to Blood Begets Blood (2nd board) and this time head out on the right-hand side, picking any missed Rare and Magic Nodes according to the image for that board as seen further up in this guide.

Bone Graft (5th Board)

Necromancer Paragon Board D4

We are closing in on the highest levels the game has to offer as we enter this board. Therefore, we will rush the Glyph Socket and use TerritorialTerritorial Glyph here. Again, only take extra attributes to help enable the bonus modifier if the level of the Glyph has increased the radius enough to allow for it. We also want to grab the Rare and Magic Nodes north of the Glpyh Socket before we finalize the build.

Wither (6th Board)

Necromancer Paragon Board D4

We access this board via Bloodbath (3rd board) by heading north. The Wither board is only here to throw us some extra Life Nodes, as the Paragon system has a very limited set of scaling powers for Overpower.

Paragon board images courtesy of d4builds.gg.

Mechanics and Playstyle

The order of which you’ll want to use your skills is very simple with this build. Anytime you ever run out of Essence, you will resort to using HemorrhageHemorrhage. Outside of that, Blood LanceBlood Lance will be our main source of damage and should be spammed. Make sure enemies are cursed by using DecrepifyDecrepify before attacking. For bigger targets and/or bosses, you’ll use Bone StormBone Storm for added Critical Strike Chance and added Damage Reduction.

Corpse TendrilsCorpse Tendrils should be manually used when needed to group enemies up and generate Blood Orbs, which helps our Blood LanceBlood Lance via the Gore Quills Aspect. This is automatically triggered via our Malignant Heart, Caged Heart of the SacrilegiousCaged Heart of the Sacrilegious.

Should you find yourself in harms way and need a panic button, good old Blood MistBlood Mist is there to save your day!

Gear Choice and Stat Priority

Prioritize a higher total damage output when it comes to your weapon, as the higher it is, the better. It should be kept in mind that if you find a higher Item Power 1-Handed weapon, it could very well be better than a 2-Handed weapon if coupled with an Off-hand or even a shield, as Shields scale your main-hand weapon by 80%!

Listed below are the Affixes to prioritize on gear for Blood LanceBlood Lance Necromancers. Affixes for each gear slot are listed in order of importance. Bolded stats are the most important and sometimes vital for the build to function properly.

Gear SlotImportant Affixes
Helm+ Life
+ Armor
+ Basic Skill Attack Speed
+ All Attributes
Chest+ Life
+ Armor
+ Damage Reduction
+ Damage Reduction from Close Enemies
Gloves+ Overpower Damage
+ Attack Speed
+ Lucky Hit Chance
+ Critical Strike Chance
Pants+ Life
+ Armor
+ Damage Reduction
+ Damage Reduction from Close Enemies
Boots+ Movement Speed
+ Damage Reduction While Injured
+ Dodge Chance
+ Dodge Chance Against Distant Enemies
Amulet+ Ranks of Tides of Blood
+ Essence Cost Reduction
+ Armor
+ Damage Reduction
Rings+ Life
+ Overpower Damage
+ Lucky Hit Chance
+ Critical Strike Chance
1H Wand+ Overpower Damage
+ All Stats
+ Any other stat is fine here as nothing else scales our Overpower Damage
Off-hand (Shield)+ Life
+ Basic Skill Attack Speed
+ Damage Reduction from Close Enemies
+ Damage Reduction from Distant Enemies

Aspects, Powers and Uniques

We are focusing on making Blood LanceBlood Lance more effective for clearing, then focusing on ramping up our defensive layers so we can reliably tank endgame bosses. Listed below are the best-in-slot Aspects found on Legendary Items that are important for the Bloodmancer build.

Aspects from the Codex of Power can be used if you cannot find the proper Legendary drops, but they have weaker effects. Extract Aspects from the lower level Legendary Items and imprint them onto better Rare Items with Preferred stats. This does not require any changes to your skill-tree.

Gear SlotAspect NameAspect Power
HelmAspect of DisobedienceAspect of DisobedienceYou gain 0.25-0.5% increased armor for 4 seconds when you deal any form of damage, stacking up to 25-50%.
ChestAspect of MightAspect of MightBasic Skills grant 20% Damage Reduction for 2-6 seconds.
PantsAspect of the EmbalmerAspect of the EmbalmerConsuming a Corpse has a 20-30% chance to spawn a Blood Orb.
BootsWind Striker AspectWind Striker AspectCritical Strikes grant 8-16% Movement Speed for 1 second, up to 6 seconds.
1H WeaponAspect of Grasping VeinsAspect of Grasping VeinsGain 10-20% increased Critical Strike Chance for 6 seconds when you cast Corpse Tendrils. You deal 20-40% bonus Critical Strike Damage to enemies damaged by Corpse Tendrils.
GloveAspect of Hungry BloodAspect of Hungry BloodEach cast of Blood Lance will launch an additional Blood Lance at a Nearby enemy when it first hits an enemy that is already lanced, dealing 38-48% of normal damage.
Amulet (50% scaling)Sacrificial AspectSacrificial AspectYour sacrifice bonuses are increased by 15-25%.
RingAspect of Rathma's ChosenAspect of Rathma’s ChosenWhenever your Blood Skills Overpower you gain 20-50% Attack Speed for 4 seconds.
RingGore Quills AspectBlood 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.
Off-hand (shield)Protecting AspectProtecting AspectWhen hit while not Healthy, a magical bubble is summoned around you for 3-5 seconds. While standing in the bubble players are Immune. Can only occur once every 90 seconds.

Unique Items

The Windstriker Aspect on our boots can easily be replaced by a common Unique Item such as Penitent GreavesPenitent Greaves, but using a Legendary pair of boots would still be recommended.


Listed below are the best Gems to socket into gear for each slot type.

  • Weapon: Royal RubyRoyal Ruby for +#% Increased overpower damage.
  • Armor: Royal RubyRoyal Ruby for +#% Maximum Life.
  • Jewelry: Royal SkullRoyal Skull for increased armor to help mitigate damage taken.

Elixirs and Health Potions

To gain an edge in your adventures, head to the Alchemist and craft Elixirs that enhance your stats and experience gain for 30 minutes. Remember to gather the necessary crafting materials by foraging plants. Select an Elixir that provides the resistance you need most, or try the Assault ElixirAssault Elixir to boost your Attack Speed.

Return to the Alchemist again when you reach Level 20, 30, 45, 60, 70, 80 and 90, to upgrade your potion. The extra healing is essential to survival.


  • August 7th, 2023: Guide added.
ARPG Vault Logo

Have feedback or questions about our guides? Join our ARPG Discord community and let us know!