Community sources disagree on rarity (Common vs. Uncommon). Until an official note clarifies it, we list it as Unconfirmed. Gameplay effect is consistent across sources.
Unstable Transfusion introduces the Bloodmark status. Each hit has a 27% chance to add a stack; more stacks = faster melts on elites and bosses. It’s especially potent in builds that hit rapidly or constantly apply contact damage.
Unlocked by default. No quest or shrine requirement—this item is in your pool from the start.
Also applies Bloodmark (and boosts on-hit odds). Together they ramp stacks quickly on bosses.
Pair Bloodmark stacking with sustain so you can stay aggressive while face-tanking crowds.
Prevents chip damage from ending your streaks as you farm stacks.
Once stacks are rolling, swap to heavier single-target damage (or keep stacking) to finish bosses quickly.
Recent updates around v1.0.12 (Oct 2025) curbed extreme execute/black-hole metas. There’s no direct note of Unstable Transfusion being changed in major coverage; its role as a stacker remains intact. Keep an eye on official notes for any future tuning.
27% per hit.
Yes. More stacks = faster kills, especially on elites/bosses.
It’s available by default.