Updated 7 Sep 2026
Affixes/Blood Damage

Blood Damage is a prefix that turns up on Main Hand, Off Hand and Ring. It gives Blood Damage: +3% to +4% at its lowest step, +62% to +84% at its best — and you need item level 116 before the best one can appear at all.

It comes up at weight 6 when the game rolls affixes, never doubles up with another affix that does the same job (affinity_damage), and it is what puts Bloodied, Crimson, Gory, Sanguine and Bloodthirsty in an item's name — so you might pick up a Bloodied Wand.

7 Uniques lock it to a fixed number: The Final Bow, Invitation to the Banquet, Rosethorn Cadence, The Late Waltz, Crimson Communion and The Belfry and 1 more.

Every step

10 steps · lowest to best
TierNeeds item levelGivesPrefix wordReads as
T11+3% to +4%BloodiedBloodied Wand
T26+5% to +7%BloodiedBloodied Wand
T314+8% to +10%CrimsonCrimson Wand
T424+11% to +13%CrimsonCrimson Wand
T536+14% to +17%GoryGory Wand
T655+18% to +24%GoryGory Wand
T775+25% to +32%SanguineSanguine Wand
T892+33% to +44%SanguineSanguine Wand
T9105+45% to +61%BloodthirstyBloodthirsty Wand
T10116+62% to +84%BloodthirstyBloodthirsty Wand

Where you will see it

388 bases it can land on

Uniques that lock it in

all 7 →