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The Malignant Body Parts are the four items that once summoned the Echo of Varshan in the Malignant Burrow beneath the Tree of Whispers: the Gurgling Head, the Blackened Femur, the Trembling Hand and the Malignant Heart. The boss system has changed since, and with Lord of Hatred his Hoard opens with a shared Lair Key, so three of the four parts are legacy items and the Malignant Heart lives on as his Boss Trophy.
| Boss | Echo of Varshan, an Initiate Lair Boss in the Malignant Burrow near the Tree of Whispers, Hawezar |
|---|---|
| Difficulty | Torment I or higher |
| Hoard cost (Season 15) | 1 Lair Key; summoning is free |
| Hoard drops | Loot from his table plus a Greater Lair Key; a Superior Lair Key on rare occasions |
| Malignant Heart today | Varshan's Boss Trophy: 5 of them amalgamate in the Horadric Cube into a random Unique from his table, with a small Mythic chance; also found in Nightmare Dungeons, from World Bosses and Mercenary bartering, in Torment only |
| Old summoning set | Gurgling Head, Blackened Femur, Trembling Hand and Malignant Heart, assembled in the Malignant Burrow to summon the Echo of Varshan |
| Season 8 change (patch 2.2.0, 29 April 2025) | Lair Bosses free to summon; boss materials became Hoard keys, 12 for an Initiate boss |
| Lord of Hatred change | Per-boss keys merged into the Lair Key; Gurgling Head, Blackened Femur and Trembling Hand are legacy items that "lost their connection" |
| Alchemist | Alchemists no longer offer boss material transmutation (Lord of Hatred); on Eternal realms they turn pre-expansion boss materials into Lair Keys |
Note: on a Season 15 character only the Malignant Heart has a use, as a Boss Trophy for the Horadric Cube; the other three parts belong to the old summoning system.
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