Carnage Heart Onyx AmuletRequires Level 20+(10-16) to all Attributes+(20-40) to all Attributes +(10-20)% to all Elemental Resistances (1.2-2)% of Physical Attack Damage Leeched as Life 50% increased total Recovery per second from LifeLeech (30-40)% increased Damage while LeechingForged from the blood of countless wars, its thirst has only begun.
Carnage Heart is a uniqueOnyx AmuletOnyx AmuletRequires Level 20+(10-16) to all Attributes.
Contents
1 Mechanics
2 Item acquisition
2.1 Recipes
3 Legacy variants
4 Alternate art variants
5 Design attribution
6 Version history
7 Notes
8 References
Mechanics
Extra goreExtraGore Intrinsic Extra gore: Carnage Heart has the Extra GoreExtra GoreWeapon Added EffectYour Physical Damage and Critical Strikes cause excessive gore effect applied to it. This is purely cosmetic.
Item acquisition
Carnage Heart can drop anywhere. It can be chanced.
Recipes
Carnage Heart can be created from the following recipes:
Amount
Part
Description
Meta
6
The CacheThe Cache6JewelleryVintage or crafted, Glittering and shiny Dusty or glittering, huge or tiny Secured within a chest or unearthed from your mining Find jewellery everywhere, no need for divining! So why is it so hard to figure out which one to wear? This one makes me stronger, but does it match my hair?
Random jewellery
A
7
PrejudicePrejudice7Item Influenced ItemOne who is blinded by their past may only see a sliver of the present.
Random influenced item
A
6
Costly CurioCostly Curio6Item Double-Influenced Item"Oh no, I couldn't possibly afford this fine artefact. I'm... just looking."
Random double-influenced item
A
8
Arrogance of the VaalArrogance of the Vaal8Item Two-Implicit CorruptedDiscovery can lead to beauty, or it can lead to ruin.
Random two-implicit corrupteditem
A
4
Jack in the BoxJack in the Box4ItemTurn the crank, close your eyes, and pray to the gods for a pleasant surprise.
Random item
A
1
Singular IncubatorSingular IncubatorStack Size: 10Adds an incubated Unique item to an equippable item Item drops after killing {0} monstersRight click this item then left click an item to apply it. The Incubated item drops after killing a specific number of monsters.
Random item
A
1
The VoidThe Void1Reach into the Void and claim your prize.
Random divination card set exchange
A
Legacy variants
Carnage Heart has legacy variants.
Version discontinued
Stats Compare each legacy variant to the current variant.
Stat line – Same as current variant
Stat line – Different from current variant
2.6.0
+(10-16) to all Attributes
+(20-40) to all Attributes
25(0)% reduced maximum Life[a]
25(0)% reduced maximum Energy Shield[a]
+(10-20)% to all Elemental Resistances
(1.2-2)% of Physical Attack Damage Leeched as Life
Extra Gore
2.0.0
+(10-16) to all Attributes
+(20-40) to all Attributes
25(0)% reduced maximum Life[a]
25(0)% reduced maximum Energy Shield[a]
+(10-20)% to all Elemental Resistances
(1.2-2)% of Physical Attack Damage Leeched as Life[b]
Extra Gore
0.11.6d
+(10-20) to all Attributes
+(20-40) to all Attributes
25(0)% reduced maximum Life[a]
25(0)% reduced maximum Energy Shield[a]
+(10-20)% to all Elemental Resistances
(1.2-2)% of Physical Attack Damage Leeched as Life[b]
Extra Gore
Alternate art variants
Race Season Two prize for reaching 200 RP.
Using the /convertracerewardchat command, this item can be transformed into an amulet skin, Alternate Art Carnage HeartAlternate Art Carnage Heart. Be aware that the skin cannot be traded to other players or turned back into the original item.
Design attribution
Carnage Heart was created by an anonymous supporter.[1][better source needed]
Version history
Version
Changes
2.6.0
No longer has Reduced Life or Reduced Energy Shield. Existing versions keep these modifiers, but will lose them if a Divine Orb is used.[a]
The following changes cannot be obtained by rerolling the item's mods with a Divine OrbDivine OrbStack Size: 20Randomises the values of the random modifiers on an itemRight click this item then left click a magic, rare or unique item to apply it.:
Now has 30-40% Increased Damage While Leeching.
Now has Increased Life Leech Rate of 50%.
2.0.0
Multiple leech effects now stack. A single hit against multiple targets grants multiple effects, as do multiple hits against a single target.[b]
All existing values of leech have been substantially reduced, including values on existing items. (6-10% to 1.2-2%)
0.11.6d
Reduced the All Attributes implicit mod on Onyx Amulets. It can now roll between 10 and 16 to all attributes.
0.11.0
These items will not drop in the Anarchy or Onslaught leagues: Prismatic RingPrismatic RingRequires Level 30+(8-10)% to all Elemental Resistances, Onyx Amulet, Thief's TormentThief's Torment Prismatic RingRequires Level 30+(8-10)% to all Elemental Resistances(20-30)% increased Rarity of Items Found Can't use other Rings +(25-40)% to all Elemental Resistances Gain (40-60) Life per Enemy Hit with Attacks Gain 30 Mana per Enemy Hit with Attacks 50% reduced Effect of Curses on youThe ring I stole, My finger they took, A shrouded mind, Cut their curses short, As I drained their spirit And stole their soul. A blessing is often a curse., Lori's LanternLori's Lantern Prismatic RingRequires Level 30+(8-10)% to all Elemental Resistances+10% to all Elemental Resistances (6-8)% increased Movement Speed when on Low Life 31% increased Light Radius +(20-25)% to Chaos Resistance when on Low Life Damage of Enemies Hitting you is Unlucky while you are on Low LifeBy its light, Lori led her young charges to safety and bound up their wounds. Her sword arm was iron, yet her heart gentle and proof against hate., AstramentisAstramentis Onyx AmuletRequires Level 20+(10-16) to all Attributes+(80-100) to all Attributes -4 Physical Damage taken from AttackHitsMindless rage will shake the world, Cunning lies will bend it. Reckless haste will break the world, And into darkness send it., Carnage Heart, Eye of ChayulaEye of Chayula Onyx AmuletRequires Level 20+(10-16) to all Attributes20% reduced maximum Life 30% increased Rarity of Items found Cannot be StunnedNever blinking, always watching.
This item can be transformed with a Blessing of Chayula
and Kaom's HeartKaom's Heart Glorious PlateArmour: (776-892)Requires Level 68, 191 StrHas no Sockets +1000 to maximum LifeThe warrior who fears will fall..
0.9.11g
Introduced to the game.
Notes
↑ 1.01.11.21.31.41.51.6Using a Divine OrbDivine OrbStack Size: 20Randomises the values of the random modifiers on an itemRight click this item then left click a magic, rare or unique item to apply it. on a legacy Carnage Heart with the explicit modifiers 25% reduced maximum Life and 25% reduced maximum Energy Shield will set the value of those modifiers to 0%, effectively removing them.[2] The version 2.6.0 patch notes seem to incorrectly state that these modifiers cannot be removed using a Divine Orb, even though they can in the current version of the game.
↑ 2.02.12.2The changes to leech in version 2.0.0 necessitated new leech modifiers. The legacy variants from before version 2.0.0 have the modifier LifeLeechUniqueAmulet9LifeLeechUniqueAmulet9 Intrinsic (1.2-2)% of Physical Attack Damage Leeched as Life, rather than LifeLeechPermyriadUniqueAmulet9LifeLeechPermyriadUniqueAmulet9 Intrinsic (1.2-2)% of Physical Attack Damage Leeched as Life.
References
↑Chris (August 9, 2012). "0.9.11g Patch Notes". Official Path of Exile Forums. Retrieved January 1, 2023.
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Onyx AmuletOnyx AmuletRequires Level 20+(10-16) to all Attributes
.
Extra GoreExtra GoreWeapon Added EffectYour Physical Damage and Critical Strikes cause excessive gore
effect applied to it. This is purely cosmetic.
The Cache
The Cache6JewelleryVintage or crafted, Glittering and shiny
Prejudice7Item
Costly Curio6Item
Arrogance of the Vaal8Item
Jack in the Box4ItemTurn the crank, 
Singular IncubatorSingular IncubatorStack Size: 10Adds an incubated Unique item to an equippable item
The Void1Reach into the Void and claim your prize.
Compare each legacy variant to the current variant.
Divine OrbDivine OrbStack Size: 20Randomises the values of the random modifiers on an itemRight click this item then left click a magic, rare or unique item to apply it.