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Blood Wave – Necromancer Build for Diablo 4 (Season 15)

Blood Wave classic reimagined in the Lord of Hatred expansion!

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GhazzyTV

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Minion Overlord

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Co-Authored

Garm Z

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Updated: S-Tier Build

Blood WaveBone PrisonBlood MistSeverReapDecrepify


Build Introduction

This Blood WaveBlood Wave build relies on HematolagniaHematolagnia upgrade to make Ultimate skills spammable. This brings the most natural and potent synergy between Overpower scaling and the Berú of the Blood BinderBerú of the Blood Binder talisman set bonuses. It’s a nice throwback to Season 7 (Season of Witchcraft) where we used to spam our Ultimate skills.

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Curious how this build fares in various content types? Take a look at our build tier lists.


Strengths and Weaknesses

Strengths
  • Extremely high damage output when fully online
  • Potent crowd control
  • Great AoE coverage
  • Great at speed farming
Weaknesses
  • Extremely harsh Essence management
  • Have to be close to the enemies
  • Very gear dependent

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

Build Requirements

Required Uniques
  • ~20+ Essence per Second
  • ~20%+ Resource Cost Reduction
  • 3 x Lucky Hit: Up to a 15% Chance to Restore 12+ Primary Resource tempers

Quick Navigation

Want to skip ahead? Use the table below to jump to the sections you are looking for.

Gear, Stats, Gems and RunesParagon Board
Rotation and PlaystyleSeason Updates

Skill Bar and Skill Tree Points

Suggested Skill Bar
Blood WaveBlood WaveReapReapDecrepifyDecrepifyBlood MistBlood MistBone PrisonBone PrisonSeverSever

Use the Skill Tree above to complete the 83-point build. 69 skill points are gained by leveling, and 14 skill points are locked behind the Season Rank System or Renown for Seasonal or Eternal characters, respectively.

Iron MaidenIron Maiden is applied through TebTeb Runeword, so it is not present on the Skills Bar. Also, DecrepifyDecrepify is the lowest priority skill and only the last Skill Points are used to level it above 1/15.

The new Lord of Hatred expansion Skill Tree unlocks in stages, permanently unlocking new skill clusters. For example, Necromancer Curses unlock at level 13, so from level 13 it is possible to refund all previously allocated skill points and start leveling skills starting from the Curses cluster right away (or anywhere above it).

Skill points from the Season Rank System or Renown do not affect Skill Tree progress and can be allocated to skill ranks you already unlocked.

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Class Mechanic – Book of the Dead

This build is sacrificing all minions for Book of the Dead powers.

  • Raise SkeletonSkeletal Warriors: Reaper [Sacrifice] – You deal 15%[x] increased damage, but the amount of Reapers you can Summon is reduced by 50%.
  • Raise SkeletonSkeletal Mages: Bone [Sacrifice] – You deal x20% increased damage while you have a stack of Overpower.
  • Golem (Iron)Golem: Iron [Sacrifice] – You deal x15% increased Critical Strike Damage but your Golem does x50% less damage.

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Gear, Stats, Gems and Runes

The following sections cover the essential itemization to improve the power of your character in the endgame of Diablo 4.

For the dedicated page on Gear Systems and Itemization Overview, check the guide here.

Legendary Aspects

Each aspect is listed with its matching gear slot. Do your best to keep each aspect in the assigned slot. Aspects placement is planned with potential Unique and Mythic Unique gear upgrades in mind for the easiest and cheapest transition.

The Purveyor of Curiosities is another excellent way to obtain specific slot Legendary Aspects, and even Uniques – by gambling with Murmuring ObolsMurmuring Obols you farmed in your journey.

Multiple Legendary Aspects and Uniques options are ordered in descending priority order :

Gear SlotSocketsAspect / UniqueDescription
HelmAbyssal Splinter of AnguishSplinter or Royal Topaz
1. Leoric's CrownLeoric’s Crown
2. Exploiter's AspectExploiter’s Aspect
This item counts as Jewelry and increases the effect of any gem socketed into the helm by 50%[x]
ChestIgni
Runeword
1. StealthStealth
2. EnigmaEnigma
3. Aspect of Glynn's AnvilAspect of Glynn’s Anvil
Your maximum Resolve is increased by 2 and you gain [3 – 4%] Damage Reduction per Resolve.
Glovesn/aCrushing AspectCrushing AspectWhile Fortified, you deal 65%[x] [45 – 65]% increased damage.
PantsIgni
Runeword
Kessime's LegacyKessime’s Legacy
Blood Wave now forms a wave on each side of you. Both waves converge at your feet, Pulling In surrounding enemies and exploding for x damage.
Bootsn/aEmbattled AspectEmbattled AspectFortify’s Drain Rate is increased by 150%[+] [100 – 150]%.
Weapon 1HRoyal Skull1. Aspect of Thickened BloodAspect of Thickened Blood
2. Aspect of Coalesced BloodAspect of Coalesced Blood
Blood Skills deal up to x [60 – 90%] increased damage based on how Fortified you are.
Offhand (Shield)Royal Topaz1.Aspect of Untimely DeathAspect of Untimely Death (if can keep uptime)
2. Aspect of Coalesced BloodAspect of Coalesced Blood
Every 10% of your Maximum Life Healed grants you grants you x [60 – 90%] increased Blood Skill damage for 4 seconds.
Weapon 2HRoyal SkullInsightInsight
Amulet (150% Scaling)Abyssal Splinter of AnguishSplinterTransfigured: Tidal AspectTidal Aspect
1. Banished Lord's TalismanBanished Lord’s Talisman
2. Red BlessingRed Blessing
3. Aspect of Thickened BloodAspect of Thickened Blood
After you spend 275 of your Primary Resource, gain 4 stacks of Overpower. Consuming Overpower increases your Critical Strike damage by 130-150%[x] for 8 seconds.
RingRoyal Topazor Abyssal Splinter of AnguishSplinter1. Ring of Starless SkiesRing of Starless Skies
2. Aspect of DelugeAspect of Deluge
Spending your Primary Resource reduces the Resource cost of your Skills and increases your damage by x10% for 3 seconds, up to x50%.
RingRoyal Rubyor Abyssal Splinter of AnguishSplinterTides of Blood AspectTides of Blood AspectBlood Skills deal 35%[x] [25 – 35]% increased damage while you have a stack of Overpower. This bonus is doubled while you are Healthy.

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Stat Priority and Tempering Affixes

Be sure to check our Tempering and Masterworking guides for more details about these mechanics.

For the dedicated page on Gear Systems and Itemization Overview, check the guide here.

Gear affixes are ordered by descending priority for acquiring, Greater Affix and masterworking crit desirability.

SlotAffixesTempering Affixes
Helm 1. Essence per Second
2. Maximum Life
3. Resource Cost Reduction
4. Armor
5. Intelligence / Maximum Resource
Defensive – Maximum Life
Helm
Leoric's CrownLeoric’s Crown
1. Essence per Second
2. [Guaranteed Modifier] Attack Speed
3. Resource Cost Reduction
4. Maximum Life
5. Armor
6. Intelligence / Maximum Resource
Defensive – Maximum Life
Chest
EnigmaEnigma
1. Maximum Life %
2. Damage Reduction
3. +Ranks to All Skill
Defensive – Maximum Life
Chest
StealthStealth
1. Attack Speed
2. Damage Reduction
3. Resource Generation
4. Maximum Life
Defensive – Maximum Life
Chest 1. Essence per Second
2. Resource Cost Reduction
3. Maximum Life
4. Armor
5. Intelligence / Maximum Resource
Defensive – Maximum Life
Gloves 1. Critical Strike Chance
2. x% Critical Strike Damage Multiplier
3. Attack Speed
4. x% Vulnerable Damage Multiplier
5. x% Physical / All Damage Multiplier
6. Intelligence
if have Red BlessingRed Blessing and Tidal AspectTidal Aspect then
Offensive – Damage per Overpower Stack
else
Offensive – Physical Damage
Pants
Kessime's LegacyKessime’s Legacy
1. Essence per Second
2. Maximum Life
3. Armor
4. [Guaranteed Modifier] Intelligence
5. Resistance to All Elements

99. [Guaranteed Modifier] Cooldown Reduction
Defensive – Maximum Life
Boots 1. Essence per Second
2. Movement Speed
3. Maximum Life
4. Armor
5. Intelligence
Mobility – Movement Speed
Amulet
Banished Lord's TalismanBanished Lord’s Talisman
1. Critical Strike Chance
2. [Guaranteed Modifier] x% Critical Strike Damage Multiplier
3. x% Vulnerable Damage Multiplier
4. x% Physical / All Damage Multiplier
5. Attack Speed

99. [Guaranteed Modifier] Intelligence
Resource – Lucky Hit: % Chance to restore Essence
Amulet
Red BlessingRed Blessing
1. Critical Strike Chance
2. x% Critical Strike Damage Multiplier
3. x% Vulnerable Damage Multiplier
4. [Guaranteed Modifier] +Ranks to Blood Skills
5. x% Physical / All Damage Multiplier

99. [Guaranteed Modifier] Intelligence
Resource – Lucky Hit: % Chance to restore Essence
Ring
Ring of Starless SkiesRing of Starless Skies
1. Critical Strike Chance
2. x% Critical Strike Damage Multiplier
3. x% Vulnerable Damage Multiplier
4. [Guaranteed Modifier] Attack Speed
5. x% Physical / All Damage Multiplier

99. [Guaranteed Modifier] Intelligence
Resource – Lucky Hit: % Chance to restore Essencee
1-2 x Ring1. Critical Strike Chance
2. Resource Cost Reduction
3. x% Critical Strike Damage Multiplier
4. x% Vulnerable Damage Multiplier
5. Attack Speed
6. x% Physical / All Damage Multiplier

99. [Guaranteed Modifier] Intelligence
Resource – Lucky Hit Restore Essence
Weapon 1H 1. Weapon Damage
2. x% Critical Strike Damage Multiplier
3. x% Physical / All Damage Multiplier
4. Maximum Life
5. Intelligence
Weapons – Critical Strike Chance
Shield
1. Critical Strike Chance
2. Damage Reduction
3. Armor
4. Life on Hit
5. Intelligence
Weapons – Critical Strike Chance
Weapon 2H
InsightInsight
1. x% Critical Strike Damage Multiplier
2. Critical Strike Chance
3. Attack Speed
4. Weapon Damage
5. All Stats
Weapons – Critical Strike Chance

Desired Transfigured outcomes:

  • Gem Strength in this item (for Leoric's CrownLeoric’s Crown only)
  • Relevant damage type multipliers (see Affixes table above)
  • Critical Strike Chance
  • Attack Speed
  • Item Quality
  • Resource Cost Reduction (until essence management solved)

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Ancestral and Mythic Uniques

See below for information on useful Uniques and how they integrate into this build:

UniqueCategorySynergySource (highest chance)
Banished Lord's TalismanBanished Lord’s TalismanBest in Slot
Highest priority for Mythic quality
REQUIRES imprinted Tidal AspectTidal Aspect using Kullean Tuning Prisms with the Horadric Cube (or have the aspect temporarily on boots till you get this imprinted)
– Used in pair with Red BlessingRed Blessing to further scale its efficiency
– Enables overpower scaling
All bosses (Global Drop)
Red BlessingRed BlessingBest in Slot
Highest priority for Mythic quality
– Used in pair with Banished Lord's TalismanBanished Lord’s Talisman to further scale its efficiency
– Enables overpower Scaling
The Butcher
Leoric's CrownLeoric’s CrownBest in Slot
High priority for Mythic quality
– Allows to slot and scale Abyssal Splinter of AnguishSoul SplintersAll bosses (Global Drop)
Ring of Starless SkiesRing of Starless SkiesBest in Slot– Solves most resource management issues
– Decent damage multiplier
How to Farm Mythic Uniques guide
Kessime's LegacyKessime’s LegacyRequired
Lowest priority for Mythic quality
– Turns your Blood WaveBlood Wave into a power-house converging from your feet pulling surrounding enemies in and exploding them.Andariel
EnigmaEnigmaOptional– Massive Maximum Life multiplier
– Teleport ability and Movement Speed
JahJah + IthIth + IthBer
StealthStealthBest in Slot– Massive Attack Speed roll
– Teleport ability and Movement Speed
– Resource Generation to help with Essence Management
EthTal + EthEth
InsightInsightBest in Slot Early, Optional Late– Godlike Critical Strike Chance multiplier
– Massive Critical Strike Damage multiplier
– Massive Attack Speed roll
– All Stats help with Paragon stats thresholds
RalRal + TirTir + RalTal + SolSol

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Gems and Runewords

See below for a more detailed explanation of the best Gems and Runewords to socket into your gear.

Weapon GemsArmor GemsJewelry Gems
Royal SkullRoyal SkullIgniRunewordAbyssal Splinter of AnguishSplinter
Royal TopazRoyal TopazRoyal TopazRoyal Topaz
Abyssal Splinter of AnguishSplinter (Leoric's CrownLeoric’s Crown)Royal RubyRoyal Ruby
Increased %[x] Physical Damage.Increased or Intelligence. Seasonal Mechanics.Resistances against Lightning and Fire Enchanted Elites. Seasonal Mechanics.

RunewordRoleEffect
PocPoc + GarGarTemporary10% Critical Strike Chance.
PocPoc / ZanZan / CirCir + WatWatTemporary or LazyInvokes the Necromancer’s DecrepifyDecrepify for automating cooldown reduction procs, Life TapLife Tap healing and Resolve stack generation.
ZanZan + QueQueImportantInvokes the Druid’s Earthen BulwarkEarthen Bulwark to maintain Barrier.
IgniIgni + TebTebRequiredInvoke the Necromancer’s Iron MaidenIron Maiden to apply Vulnerable, generate and pick up Blood Orbs and help with essence management

Soul SplinterSlot preferenceEffect
Abyssal Splinter of PainAbyssal Splinter of PainLeoric's CrownLeoric’s Crown or worse prioritized Jewelry (Greater or better)You gain 25% Damage Reduction, but you lose 30% Movement Speed.
Abyssal Splinter of the Black SoulstoneAbyssal Splinter of the Black SoulstoneLeoric's CrownLeoric’s Crown or worse prioritized JewelryKilling enemies absorbs a soul for 15 seconds. Each soul increases your damage by x2.5% but increases your damage taken by 0.5%. This effect stacks, but does not refresh.
Abyssal Splinter of HellfireAbyssal Splinter of HellfireAvoidYou deal x50% increased damage, but lose 100% Critical Strike Chance.
Abyssal Splinter of the MotherAbyssal Splinter of the MotherAvoidYou are Unhindered. Touching enemies makes them Vulnerable for 10 seconds. After touching 250 enemies, you are Stunned for 4 seconds.
Abyssal Splinter of AnguishAbyssal Splinter of AnguishJewelry (if Essence costs are manageable)You gain +20% Attack Speed and Critical Strike Chance, but your Primary Resource Costs are increased by 30%.
Abyssal Splinter of LiesAbyssal Splinter of LiesOptional Jewelry (speedfarming)You gain 100% increased Gold Drop Rate, Crafting Material Drop Rate, and 25% Bonus Experience, but you are always Weakened and Vulnerable.
Abyssal Splinter of SinAbyssal Splinter of SinAvoidYou gain x50% Maximum Life, but your Maximum Primary Resource is reduced by 30%.
Abyssal Splinter of DamnationAbyssal Splinter of DamnationOptional Jewelry (speedfarming)Killing an Elite Pack increases Monster Power by 1 for 25 Seconds

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Paragon Board

Board attachment order and pathways:

  1. Starter Board – Glyph Slot SacrificialSacrificial
  2. Frailty – Legendary Node (Skip Resistance Clusters for now)
  3. Blood Begets Blood – Legendary Node
  4. Bloodbath – Legendary Node
  5. Flesh-Eater – Legendary Node
  6. Blood Begets Blood – Glyph Slot Blood-drinkerBlood-drinker
  7. Frailty – Glyph Slot DominateDominate
  8. Flesh-Eater – Glyph Slot ControlControl
  9. Pick up Resistance Clusters from the Frailty board
  10. Bloodbath – Glyph Slot EssenceEssence
  11. Use the Paragon 300 tree to swap Glyphs and positions
  12. Take all the magic and rare Resistance and Maximum life clusters on all boards
  13. Fill the Dexterity nodes around EssenceEssence on Bloodbath board
  14. Take all magic and rare Additive Damage clusters on all boards
  15. Fill the Willpower around DominateDominate on the Frailty board
  16. Fill the Intelligence nodes around EliminatorEliminator on Flesh-eater board
  17. Grab the last remaining easily accessible Intelligence nodes of the tree

It is imperative to level up all Glyphs to level 25 first to increase their activation radius, and then to level 51 to unlock the secondary damage multiplier. For more information about Paragon Glyphs and how to level them, see here.

Some paragon points are locked behind the Season Rank System. The remaining Paragon points are used to take all Intelligence nodes you can reach and any Magic nodes you may find useful.

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Season Mechanics

Splinters of Evil

In Season of Hell’s Legacy, one of seasonal powers will consist of the three Splinter of TerrorSplinters of Prime Evil, acquired by completing seasonal questline and defeating echoes of Diablo beneath Tristram Cathedral, Baal at Arreat Summit, and Mephisto within the Durance of Hate. Splinter of Evil trigger iconic Prime Evil area of effect damage abilities and alter actitivies associated with the Prime Evil.

Main consideration for first Splinter of Evil choice is expected to be in activity modifiers. Only one Splinter of TerrorSplinter of Prime Evil can be used at a time, but there is a mechanism to change. Due to Helltide being the most common early progression activity, it is recommended to use Splinter of TerrorSplinter of Terror first.

Duplicitous Soul Splinters

The second layer of seasonal powers consists of Duplicitous Soul Splinters gems, like Abyssal Splinter of HellfireAbyssal Splinter of Hellfire, to be slotted into jewelry and the newly introduced Leoric's CrownLeoric’s Crown helm. You can equip up to three Abyssal Splinter of AnguishSoul Splinters among available Jewelry slots.

Duplicitous Soul Splinters gems provide sizeable buffs to some stats at the price of heavy penalties to others. One should be careful at making choices to either ignore the penalty – Damage over Time builds do not care about losing Critical Strike Chance, or compensate it – Minion builds often have an abundance of Critical Strike Chance from Pact of BonePact of Bone, Litany of DeathLitany of Death, Roll The BonesRoll The Bones etc.

Recommended Duplicitous Soul Splinters setup to can be looked up in Gems and Runewords.

Diablo II Runewords Gear

In Season 15 some Diablo II runes, like RalRal or IthIth were reintroduced for the season, as the cherry on top. While being not impressive on their own – they can be used to craft new Unique gear piece by combining certain runewords and Normal “white” item base inside Horadric Cube. There are few the most impressive outcomes, like EnigmaEnigma (Jah Ith Ber), SpiritSpirit (Tal Thul Ort Amn), GriefGrief (Eth Tir Lo Mal Ral) or InfinityInfinity (Ber Mal Ber Ist). Ancestral version of item base will produce the Ancestral version of Unique.

For a complete overview of the current Season, its mechanics and theme, new leveling activities, and other changes, please take a look at our comprehensive season hub here.

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Talismans

The Lord of Hatred expansion introduces Talismans as a new character progression and itemization layer. Find, equip, and fill a suitable Horadric Seal with a variety of Charms. These grant everything from plain stats similar to any gear piece to powerful set effects, doubling down on and elevating Necromancer archetypes to new heights.

This builds Talisman goalposts would be:

  • Legendary Seal with +1 Charm Slot affix, to unlock 6 Charm slots as soon as possible.
  • Full Berú of the Blood BinderBerú of the Blood Binder Set of any quality. 5-set takes priority over any other Charms.
  • Charms replacements with better versions of themselves, including affixes like:
    • + to Blood Skills (highest priority on Charms)
    • +% Critical Strike Chance (highest priority on Seal)
    • +% Attack Speed (only on Seal)
    • +% Damage Multiplier (only on Seal)
    • +% Critical Strike Damage (only on Seal)
  • Chase Unique Charms:
  • Noteworthy Unique Charms:
    • The GrandfatherThe Grandfather – massive damage multiplier with no downsides, if Critical Strike Chance is high
    • Blood-Mad IdolBlood-Mad Idol – massive damage multiplier at the cost of survivability
    • Blood Moon BreechesBlood Moon Breeches – high damage multiplier, if Critical Strike Chance is high
    • Will of RathmaWill of Rathma – mediocre, but easy, temporary damage multiplier with no downsides
    • Tibault's WillTibault’s Will – mediocre, but easy, temporary damage multiplier with massive Essence gain boost
    • Endurant FaithEndurant Faith – extreme survivability by spreading incoming damage over time; very useful for early Mephisto or Echo of Lilith kills
  • Seal of the Diamond MindSeal of the Diamond Mind and Seal of the Golden EpiphanySeal of the Golden Epiphany do not unlock any noteworthy Talisman combinations, so consider only affixes worth.

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Mercenaries

During the Vessel of Hatred campaign, you will unlock Mercenaries to assist you. While you can choose freely early on, we recommend Subo as your mid-game merc to help with Essence management and single target damage:

When every essence management issue is resolved, Varyana is recommended to scale damage and survivability further:

For the reinforcement, stick with Raheir, utilizing BastionBastion when you become injured.

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Rotation and Build Mechanics

The build is a straightforward Blood WaveBlood Wave Ultimate spam, enabled by HematolagniaHematolagnia, while other skills are covering essence management, survivability and buff/debuff uptimes.

Rotation and Playstyle

  1. Cast SeverSever to close distance to enemies and generate a Corpse. If needed, use SeverSever to disengage while Blood MistBlood Mist is on cooldown.
  2. Consume Corpse with Blood MistBlood Mist to activate Critical Strike Chance buff, Flesh-eaterFlesh-eater multiplier and Unstoppable status. Keep using Blood MistBlood Mist on cooldown. If no Corpses are available, use SeverSever to generate one.
  3. Cast DecrepifyDecrepify on nearby enemies to Weaken, manage Bone PrisonBone Prison and Blood MistBlood Mist cooldowns, generate Resolve stacks and have massive health restoration every second.
  4. Cast Bone PrisonBone Prison and manage to stay inside of it for massive Essence generation and Cast Speed buffs, at the cost of drained Maximum Life. You can track the duration under the skill-button and only re-cast it when it completely expires or you need to place it in the new spot, it will cancel the current one.
  5. Spam Blood WaveBlood Wave, but only when enemies are in range, otherwise Essence management will falter or halt entirely.
  6. To recover from Essence depletion and be able to spam again – use a few ReapReap swings on clustered enemies.
  7. Repeat.

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Season Updates

Below you’ll find the most noteworthy changes for Season 15 Hell’s Legacy:

For a complete overview of the current Season, its mechanics and theme, new leveling activities, and other changes, please take a look at our comprehensive season hub here.

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Changelog

  • September 15th, 2026: Guide updated for Season 15.
  • June 27th, 2026: Guide updated for Season 14.
  • May 15th, 2026: Guide optimized by turning to Overpower stacking.
  • April 26th, 2026: Guide updated for the Lord of Hatred expansion.
  • March 7th, 2026: Guide updated for Season 12.
  • December 17th, 2025: Added Bloodless Scream recommendation for late game
  • December 13th, 2025: Added Blood Mist to the build after difficulty testing. Visuals, navlinks fixes.
  • December 8th, 2025: Guide updated for Season 11, Divine Intervention
  • September 18th, 2025: Guide updated for Season 10. Build has received a massive rework from the ground up. Main change is playstyle is moving away from the set-up play-style in to a literal Blood Wave spam-machine!
  • July 3rd, 2025: Minor skill-tree optimization.
  • June 29th, 2025: Guide updated for Season 9.
  • May 5th, 2025: Optimized and updated post launch for Season 8.
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