You can use the Malignant Heart to summon the Echo of Varshan in Diablo 4 (D4). Read on to learn more about the Malignant Heart, how to get it and farm, how to use it, and so much more.
| Malignant Body Parts |
| Gurgling Head | Trembling Hand | Blackened Femur | Malignant Heart |
List of Contents
- How to Get
- How to Use
- Overview
- Season 1
- Related Guides
How to Get Malignant Hearts
| How to Get Malignant Hearts |
|---|
Whispers of the Dead Caches Kill Treasure Goblins and Helltide Elites Elites on Nightmare Dungeon Complete Legion and World Boss Events Season Journey Reward Caches |
Whispers of the Dead Caches
You can obtain the Malignant Heart by completing the Whispers of the Dead quest and opening the cache reward from the Tree of Whispers.
How to Complete the Tree of Whispers
Kill Treasure Goblins, Hellborne, and Blood Maiden
Killing a Treasure Goblins, Hellborne, and Blood Maiden has a chance to drop a random Malignant Body Part. You can easily find them in areas with Grim Favor rewards and Helltide Events. This means you can grind for these Elite enemies while completing your Whispers of the Dead quest.
Helltide Event Guide
Elites on Nightmare Dungeon
Elites found inside Ancestral Nightmare Dungeons have a chance to drop Malignant Heart. Try to clear the entire dungeon of any events that spawns a lot of Elites to make the most out of your runs.
Nightmare Dungeon Guide
Complete Legion and World Boss Events
Malignant Heart can be acquired as rewards upon completing Legion and World Boss events in World Tier 4. The drop rate for Malignant Heart is quite high, but the downside is that the events are time-gated.
| World Boss Timer | Legion Event Timer |
Season Journey Reward Caches
You can also receive a variety of boss summoning materials by opening the Cache Rewards from completing the Season Journey. This will give you a ton of materials, so make sure not to skip this, as it can help you obtain the necessary uniques you need to progress your character as you prepare for the endgame.
How to Complete Season Journey and Rewards
Transfers to Your Stash
If you miss a Malignant Heart drop, it will automatically be transferred to your stash. Be sure to check the Missed Equipment tab in your stash periodically.
How to Use Malignant Hearts
Summons Echo of Varshan
Malignant Heart is used to summon the Echo of Varshan inside the Malignant Burrow, located in The Writhing Mire beside the Tree of Whispers in the Hawezar region. Do note that as of Season 5 (Season of the Infernal Horde), the Malignant Heart is the only required item for summoning the Echo of Varshan.
Echo of Varshan Location and Unique Drops
Malignant Heart Overview
| Malignant Heart Overview |
| Type | Consumable - Summoning |
| Sell Value | 30,000 Gold |
| Description | Assembled beneath The Tree of Whispers within Malignant Burrow to summon a powerful enemy. Collected from Whisper caches.
Drops randomly from Elites, Local Events, Treasure Goblins, Hellborne, and Blood Maiden. |
Malignant Body Parts
Season 1 Malignant Hearts
Seasonal Mechanic That Grants Abilities
Back in Season 1, Malignant Hearts were items dropped by infected enemies to be used in equipment with Infested Sockets. These granted new abilities and unique effects, and there were a total of 32 Malignant Hearts in Season 1.
Drops From Malignant Enemies
| Malignant Enemy Types |
|---|
Vicious Malignant |
Brutal Malignant |
Devious Malignant |
Wrathful Malignant |
There were four types of Malignant Enemies: Vicious, Brutal, Devious, and Wrathful monsters. They are tougher than the average enemy and have different abilities. They are identifiable by their colors and drop a specific type of Malignant Heart.
Season 1 Release Time and What We Know
Crafting and Salvaging Hearts in Season 1
In season 1, you can visit Cormond's wagon to salvage unwanted Malignant Hearts for Ichor. Ichor is a resource used in crafting Malignant Hearts. Salvaging a Vicious, Brutal, or Devious Heart will yield 5-15 Ichor, while salvaging a Wrathful Heart will yield 2-5 Ichor, as with all other Heart types.
To craft a random Heart of a specific type, you would need 35 Ichor of the other Heart types. For example, if you want to craft a random Brutal heart, you would need 35 Vicious Ichor and 35 Devious Ichor. This means that on average, you will need to salvage ~7 Hearts to craft 1 new Heart.
Diablo 4 Related Guides
List of All Bosses
All Bosses By Type
| Main Quest Bosses | Stronghold Bosses |
| Dungeon Bosses | Uber Bosses |
All Uber Bosses and Required Materials
| Uber Boss | Required Materials | | Lord Zir | ・Exquisite Blood |
| Echo of Varshan | ・Malignant Heart |
| Grigoire | ・Living Steel |
| Duriel | ・Mucus-Slick Egg
・Shard of Agony |
| The Beast in the Ice | ・Distilled Fear |
| Echo of Andariel | ・Sandscorched Shackles
・Pincushioned Doll |
| Uber Lilith | None |
All Bosses Per Region
| Fractured Peaks | Scosglen | Dry Steppes |
| Kehjistan | Hawezar |
FAQs
The best method for obtaining Malignant Hearts is by fighting within the Helltide. By defeating enemies, your Threat level will increase and after the bar in the top right of the screen maxes out, powerful Hellbrone enemies will spawn to try and kill the player.
Where do you get Malignant Hearts in Diablo 4? ›
You can find Malignant Hearts by killing Malignant enemies throughout the overworld, you can salvage old hearts and use the materials to craft new ones at Cormond's wagon, or you can head into the Malignant Tunnel dungeons.
Can you add malignant sockets in Diablo 4? ›
Should your piece of jewelry not have a socket, you can add one from a major town's jeweler vendor. Adding a socket this way gives you a random Malignant Socket color. These socket colors cannot be changed.
How to do malignant burrow in Diablo 4? ›
Simply head into the Malignant Burrow by the Tree of Whispers and fight through a few corridors to find the arena and the Malignant Altar. Deposit your materials to start the boss. If you were playing during the Season of the Malignant, Varshan hasn't changed all that much.
Where is the best place to get a malignant heart? ›
The best place to get Malignant Hearts is by looking for the Malignant Tunnels, a new type of replayable dungeon. These tunnels contain lots of Malignant Creatures, including Varshan the Consumed, a new Boss.
What drops Malignant Hearts? ›
The malignant hearts do drop from whisper caches, but they are the only one of Varshan's body parts that will only drop on World Tier 4. If you aren't completing whispers on tier 4, you need to work up to that. If you are, then you just need to keep getting those caches until you get one.
Can you remove Malignant Hearts in Diablo 4? ›
However, Wrathful Hearts can be placed within an Infested Socket of any color. Once a Heart has been added to a piece of gear, it cannot be removed - only replaced, meaning it will be destroyed in the process.
Will Malignant Hearts carry over? ›
At the end of the season, your character(s) and all items (including stash) will be transferred into the Eternal Realm. You'll still have access to playing these characters as much as you like, though any seasonal exclusive bonuses won't transfer over. In the case of Season 1, that includes the Malignant Hearts.
What is the highest level of Malignant Hearts? ›
Hearts go from Level 0 to Level 5, and this counts towards all types of Malignant Hearts. Whether the hearts are Brutal, Wrathful, or anything else, they can drop between Level 0 and Level 5. Level 5 Malignant Hearts are so rare, some players don't believe they even exist — well they do.
Can you use more than one Malignant Heart in Diablo 4? ›
You can only benefit from one wrathful caged heart at a time. Trying to equip more than one Wrathful Heart leads you to this disappointing message: That being said, the power of these Hearts cannot be overstated. Take a look at the General Wrathful Malignant Hearts that any class can use!
These are a more powerful version of the elite mobs and will spawn randomly on the map. By defeating them, you will get a chance to obtain a random Malignant Heart which you can put in your armor's Infested Socket. However, you will be able to upgrade your Malignant Hearts into Caged Hearts in Diablo 4.
What do I do with caged hearts d4? ›
The captured Malignant Hearts, now Caged Hearts, can be socketed into specially designed slots known as Infested Sockets. These sockets, exclusive to Jewelry (Rings, Amulets), can house a matching category of Caged Heart.
Who is the malignant boss in Diablo 4? ›
Varshan is responsible for the Malignant corruption spreading throughout Sanctuary and will be a particularly challenging encounter for seasonal players. He can be found somewhere within the new Malignant Tunnel dungeons and will feature several new mechanics tied to the season's theme.
Which dungeon to farm Diablo 4? ›
Guulrahn Canals & Blind Burrows are great for quick XP farming with minimal backtracking & possible boss skipping. Maulwood is ideal for area-of-effect builds, while Sunken Ruins offers more exploration with elite mobs for XP.
How to farm hearts in Diablo? ›
Like other hearts, Wrathful Hearts are obtained by defeating Malignant monsters. Players will know what kind of heart an enemy of this type will drop by checking the modifiers list below the monster's health bar. Elites inside Malignant Tunnels are always Malignant, making these the perfect spots to farm.
How to get baneful hearts in Diablo 4? ›
Baneful Hearts are a type of item in Diablo IV, introduced in Season 4. Baneful Hearts can be earned by opening Tortured Gifts throughout Helltides and by defeating Hellborn enemies. Three hearts are required to initiate an Accursed Ritual.
How to get level 5 hearts d4? ›
Because Level 5 hearts are so rare, hunting for a specific Level 5 heart is going to be extremely difficult. Play on World Tier 4 and complete Malignant Tunnels. Use Invokers on the mass of flesh at the end of the tunnel. The higher the item level of the heart, the more likely it will be Level 5.
Malignant Heart
