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Carnage Heart is a unique amulet in Path of Exile 2, built on the Amber Amulet base and usable from character level 8. The amulet slot holds a single item, and a unique there tends to define a build's theme.
| Item class | Amulets |
|---|---|
| Base type | Amber Amulet |
| Requirements | Level 8 |
| Implicit modifiers | +(10-15) to Strength |
| Modifiers | 20% reduced maximum Life | +(10-20) to all Attributes | +(10-20)% to all Elemental Resistances | (100-200)% increased amount of Life Leeched | (25-50)% increased Damage while Leeching |
| Added in version | 0.1.0 |
| Patch history | Changes recorded in versions 0.3.0, 0.4.0, 0.5.0 |
| Leagues running now | Forbidden Rites (patch 0.5.5, since September 2026) and Runes of Aldur (patch 0.5, since May 2026) |
| Patch changes | 0.5.0: Carnage Heart now has 25-50% increased Damage while Leeching | 0.4.0: Carnage Heart now has "100-200% Increased Amount of Life Leeched" (previously 100%) |
| League | Current League, Standard |
| Platforms | PC, PlayStation, Xbox |
| Difficulty | Softcore, Hardcore |
| Number of items | 1 to 15 |
Carnage Heart is a unique Amber Amulet for level 8. Its base adds +10-15 to Strength.
Two patches shaped it: 0.4.0 raised the Life Leech line to 100-200% (it was 100%), and 0.5.0 set the Damage while Leeching line to 25-50%. You pick Softcore or Hardcore and the quantity, up to 15, and the team trades the amulet to your character in game once the details are confirmed in live chat or on Discord.
Work on your order usually starts within 30 minutes after the details are confirmed with our manager.
More answers: FAQ
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