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Malignant Heart on the ground in Diablo 4.
Screenshot by The Escapist.
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How To Get Malignant Hearts in Diablo 4

A debt to Varshan.
Image of Dan Wenerowicz
Dan Wenerowicz
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Published: Jul 19, 2024 05:21 am

If you want to start grinding out battles with Varshan in Diablo 4, you need to start collecting Malignant Hearts. To help you get past this hurdle, our guide will cover where you can get the items and how to use them for summoning.

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Where to Get Malignant Hearts in Diablo 4

Malignant Heart item description in Diablo 4.
Screenshot by The Escapist.

Open Whisper Caches and kill Grotesque Debtors to earn Malignant Hearts. Overall, these Varshan summoning items are tied to Grim Favors. Whether you are relying on caches or the Debtors as spawns, it all starts with competing favors on the map. Each time you fulfill all 10 Grim Favors on the meter, there is a chance for a debtor to appear and you can return to the Tree of Whispwrs.

One of the best ways to take advantage of this system is to grind Helltides or kill World Bosses. Not only do you spawn Grotesque Debtors with 10 Grim Favors fulfilled, but you can also see them appear for other players. Because of all the Grim Favors in Helltide Regions, there is a good chance for you to find Malignant Hearts as passive rewards. 

Related: What is the Armor Cap in Diablo 4 Season 4? Answered

When you kill Works Bosses, there is also a chance for boss summoning items to appear. Each World Boss provides five Grim Favors at a time, so Debtors spawning in a group are also common. However, all of these methods can lead to the other three summoning items for Varshan as well, which is what makes earning the hearts so tedious. And unfortunately, you won’t be able to transfer the body parts for Malignant Hearts at the Alchemist like you can for the other items. So keep on grinding out favors and hoping you can get the right items for your next Varshan summon.

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

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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.