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Helltide fight with demons.
Image via Blizzard Entertainment.
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How to Get Baneful Hearts in Diablo 4

Hearts for blood.
Image of Dan Wenerowicz
Dan Wenerowicz
|

Published: May 31, 2024 10:24 pm

The Blood Maiden is the final boss of Helltides Reborn in Diablo 4, and you need a few Baneful Hearts before attempting to destroy her. To help you begin the Accursed Ritual, I’ll outline how you can get the hearts as you take down demons in the Helltide.

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Diablo 4: How to Get Baneful Hearts

Accursed Ritual site in Diablo 4.
Image via Blizzard Entertainment.

Kill Hellborne bosses in Helltide events or open Tortured Gifts of Mysteries to earn Baneful Hearts. The Hellborne were added to the game with Season 4 and are the culmination of the threat level system. Like the Blood Harvests in Season 2, the threat level system is based on killing monsters in the Helltide and opening Tortured Gifts to attract attention. Each new Threat Level brings a higher density of enemies and more frequent ambushes.

  • Open Tortured Gifts in Helltides.
  • Kill Hellborne Bosses.
  • Complete Iron Wolf Board tiers.

If you reach Threat Level 3, you have to fend off even more difficult waves of monsters. Those who survive and triumph against the hordes will earn themselves a fight with a Hellborne. Earning a heart from one of these bosses isn’t guaranteed, but your chances are increased. They can be tough to take down early on, but there’s still one more Helltide boss that’s more difficult, and beating the Hellborne will get you one step closer.

Related: How to Get Shards of Agony in Diablo 4

Technically, one heart can help you get to the Blood Maiden in a group. However, you want to have at least three hearts before you get started on the final Helltide boss.

How to Use Baneful Hearts in Diablo 4

Bring three Baneful Hearts to an Accursed Ritual site in the Helltide to activate the Blood Maiden event. Hordes will appear once three hearts are placed on the stone pillars at each point of the bloody triangle. Remember to put at least one of those hearts in a group to earn any rewards here.

Surviving the onslaught of monsters gives you the chance to fight the Blood Maiden. She is effectively the final boss of the Helltide, and she provides the best rewards for the event. It’s a great way to get better Affixes and earn some Runeshards.

Diablo 4 is available now on PC, Xbox, and PlayStation.

Post Tag:
Diablo IV
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Image of Dan Wenerowicz
Dan Wenerowicz
Dan Wenerowicz is a Staff Writer at The Escapist, where he helps lead the team's guides coverage of FPS and action games such as Call of Duty, Elden Ring, Diablo 4, and Black Myth: Wukong. He has a Bachelor's in Writing and has worked as a video game journalist for four years, having written and edited for such prominent outlets as Prima Games, Screen Rant, Sportskeeda, GINX TV, and Gfinity. His work has been read by millions of people, and his expertise has helped them better understand and complete video games.