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Blood Surge Necromancer Endgame Build Guide

Last Updated: May 14th 2024

Season 4 - LootD-Tier

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The Blood Surge Necromancer is an AoE focused Overpower build that manages to output great DPS and continuous healing. The passive benefit of stacking Maximum Life bonuses and Fortify means we get damage for free, while building an unstoppable tank!

The Blood Surge Necromancer deals most of its damage by making use of the guaranteed Overpower abilities provided by the Blood skills which also offer built-in tankiness through Fortify. Blood Surge is especially effective at applying Overpower damage to the entire screen with its massive AoE potential. This makes the Blood Surge Necromancer incredibly strong in density farming in Helltides, Nightmare Dungeons and some Seasonal content.

While this build focuses on Overpowering as often as possible, learning how to incorporate Critical Strike Chance and Vulnerable status can push your damage ever further and rewards the player for understanding the finer details.

This build is the natural evolution of our Blood Surge Necromancer Leveling Guide. It uses many of the same Aspects, including powerful options from the Codex of Power.

Blood Surge Necromancer Endgame Gear

This build guide assumes you have a Level 50 Character and finished the Campaign. Level up with our Blood Surge Necromancer Leveling Guide. If you are looking for a different Necromancer play style, check out all of our Necromancer Guides


Season 4 - Loot Reborn

In Season 4, the Season Theme revolves around helping out the Iron Wolves. Compared to past themes, this one does not offer any borrowed power as the entire game has been redesigned with new itemization and crafting options, increasing player power substantially across the board. Instead, you can gather reputation similar to the Vampire Bounty Board from Season 2 to unlock rewards that supercharge your leveling journey to 100 with extra items, crafting materials and eventually even a Resplendent Spark to craft an uber unique.

We recommend to follow the seasonal questline until you unlock the reputation system, check which rewards suit you most and then follow your regular leveling path. To learn more, check out our full Season 4 guide for more information.

Skill Tree & Gameplay

  • Corpse Explosion is used as corpse consumption for Grim Harvest, Fueled by Death and Flesh-eater.
  • Blood Mist is your get out of jail free card. While you are Immune, reposition yourself to gain an advantage.
  • Decrepify applies a powerful CC effect that also causes Lucky Hit procs to reduce Cooldowns on your Skills. Prioritize casting this on any new monsters, or when it runs out. This also greatly reduces incoming damage and makes kiting monsters easier.
  • Corpse Tendrils is the best CC option in the game and also spawns a ton of Blood Orbs to trigger various benefits.
  • Bone Storm provides additional Damage Reduction and Crit Chance.
  • Blood Surge has two damage components. The first one hits the entire screen and "drains" the targets, which empowers the second smaller AoE damage "surge" and scales with targets hit by the first damage portion.
Blood Surge Necromancer Endgame Skill Tree


  • Rathma's Vigor gives you another source of Overpower procs when you are able to stay Healthy for 12 seconds. Picking up or consuming Blood Orbs decreases the time between guaranteed Overpower procs. Make sure to use your guaranteed Overpower procs on Blood Surge by keeping track of Rathma's Vigor's timer on your buff bar.
  • Drain Vitality allows you to quickly stack Fortify to increase your Overpower Damage output as well as decrease incoming damage.

Book of the Dead

There are 3 different Minion types you can choose to summon or sacrifice, located in the Book of the Dead. The Blood Surge Necromancer chooses to sacrifice Skirmishers for the Critical Strike Chance bonus, Bone Mages for the massive increase to Overpower Damage and Iron Golem for Critical Strike Damage bonus.

Book of the Dead

Learn more details and how to unlock this class specialization in our full Book of the Dead Guide.

Resource & Cooldown Management

One of the most important parts of your endgame journey is acquiring enough Essence to destroy your enemies. With the introduction of +x Essence per Second in Season 4 the Resource management on the Blood Surge Necromancer has become extremely easy. Make sure you have enough +x Essence per Second on your gear to cover your Blood Surge costs. It is important to finetune your +x Essence per Second and your Resource Cost Reduction to smoothen the gameplay experience.

Decrepify is the most important ability when it comes to recovering your cooldowns quickly outside of raw Cooldown Reduction on your gear. With every proc you reduce every currently active cooldown by 1 second which adds up to quite a lot more uses of all of your abilities, especially over the course of a long fight.

Paragon Board

Carefully check your Paragon Boards to ensure correct board rotation. Glyphs go from a radius of 3 to 4 when they reach level 15!

← Scroll to Level →

Level the Paragon Board by scrolling. Each step optimizes progression.


We need to level up our Glyphs to increase their power and activate their Additional Bonus with surrounding nodes. Glyphs have a radius of 3 by default, this increases to 4 at Glyph level 15. Complete Nightmare Dungeons to obtain Glyph experience.

Glyph Leveling Priorities

Level 15

  1. Corporeal
  2. Exploit
  3. Control
    • NOTE: The three Glyphs above need to be leveled to 15 to be functional and are your priority while progressing in WT3 and WT4.
  4. Dominate
  5. Essence
  6. Sacrificial
  7. Amplify

Level 21

  1. Essence
  2. Control
  3. Dominate
  4. Exploit
  5. Corporeal
  6. Amplify
  7. Sacrificial

Also check out our dedicated in-depth guides to learn more about Paragon Boards and Glyphs.

Endgame Progression & Variants

When you start diving into the Endgame Blood Surge Necromancer build, you don't have all the tools available to achieve the final build versions. Let us guide you through different progression points to give you a smooth transition from our Leveling Guides to the final build version.

Progression Goals

Many of your Skill choices depend on what Legendary Aspects and Unique items are available to you. While we can guarantee that everyone has access to the same Codex of Power Aspects, the progression might be different for everyone!

  1. Unlock the following Aspects from Dungeons:
  2. Find the following Legendary Aspects either as a random drop or by gambling with Obols:
    • Rathma’s Chosen - Gamble Focus.
    • Juggernaut's - Gamble Pants.
    • Hardened Bones - Gamble Pants.
    • Shielding Storm - Gamble Pants.
    • Slaughter - Gamble Boots.
  3. Acquire the following Unique items either as a random drop or by farming specific Boss drops.
    • NOTE: You cannot gamble Unique items with obols!
    • Blood Moon Breeches: Powerful pants with the highest total damage multiplier as well as decent survivability stats. Target farm Duriel or Andariel.
    • Ring of the Sacrilegious Soul: Automates your corpse consumption. Target farm Varshan.
  4. If you're lucky enough to obtain the following Uber Uniques, they're useful for the build:
    • Harlequin Crest - Check the "Endgame & The Pit" variant for how to fit this item into the build.
    • Ring of Starless Skies - Check the "Endgame & The Pit" variant for how to fit this item into the build.

Learn more details and how to farm Legendary Aspects and Uniques in our General Farming Guide.

Progression Setups

to 100
& The Pit

Once you have completed the Leveling Guide, only the Codex of Power Aspects are guaranteed. With this setup you can farm the Legendary Aspects you need for the next progression point.


  • Focus on acquiring +x Essence per Second on your Helm, Chest and Boots slots to solve your Essence management. Supplement with Resource Cost Reduction on your Jewelry.
  • Maximum Life not only helps you survive, but also directly scales your Overpower damage.
  • Grasping Veins provides an increase in Critical Strike Chance and a Damage multiplier.
  • Blood-bathed is an insane damage multiplier because your Blood Surge nova is cast twice, almost doubling the damage of one cast of Blood Surge.
Blood Surge Necromancer Starter Gear


  • Iron Maiden provides a huge amount of Essence on demand, but only per hit uncursed enemy.
  • Raise Skeleton not only provides additional Essence generation through Skeletal Mages - Cold but also functions as your corpse consumption for Grim Harvest and Fueled by Death
  • Corpse Tendrils provides Blood Orbs and collecting them reduces the time between Rathma's Vigor procs.
  • Necrotic Carapace allows you to passively gain Fortify.
Blood Surge Necromancer Starter Skill Tree

Book of the Dead

  • Essence generation will be increased by incorporating Skeletal Mages - Cold. If you have enough Essence generation, sacrifice Skeletal Mages - Bone instead.
Blood Surge Necromancer Starter Book of the Dead

In this setup, you have access to all Legendary Aspects, allowing you to pilot a much stronger version of this build. Additional Legendary Aspects are used to fill slots that may be replaced with Unique items later on.


  • While you keep increasing your +x Essence per Second on your gear you will now also have access to Tempering. You will increase your build's overall strength tremendously by getting accesss to more survivability, utility and damge.
  • Edgemaster’s and Inner Calm provide additional damage for your toolkit.
  • Rathma’s Chosen skyrockets your Attack Speed for four seconds after an Overpower proc which helps you towards the next Overpower proc to keep the endless machine gun Blood Surge cycle going.
  • Juggernaut's will get you Armor capped at 9230.
  • Hardened Bones and Shielding Stormdrastically reduce the amount of damage you take.
Blood Surge Necromancer Leveling to 100 Gear


  • Pick up Corpse Explosion instead of Raise Skeleton as your main corpse consumption and sacrifice Skeletal Mages - Bone.
  • Change Iron Maiden to Decrepify since your Essence generation is handled through your gear now.
Blood Surge Necromancer Leveling to 100 Skill Tree

Book of the Dead

  • You now have enough Essence generation, therefore you can now sacrifice Skeletal Mages - Bone.
Blood Surge Necromancer Leveling to 100 Book of the Dead

In this setup, you have access to all Legendary Aspects and Unique items, unleashing the strongest version of the Blood Surge Necromancer. Be prepared to grind to access some of these highly sought after items!


  • As you continue your character's journey you will now start to focus on acquiring the correct Greater Affixes and correct Masterworking crits on your gear.
  • Focus on getting one greater affix of Maximum Life on most gear pieces, while spreading your Masterworking crits to reach all necessary caps and breakpoints detailled in the "Stat Priorities" section below.
  • Make sure you are now reaching Attack Speed cap during Rathma’s Chosen with a correctly rolled Blood Attack Speed Temper on your weapon.
  • Blood Moon Breeches are crucial for the Blood Surge Necromancer build. Focus on Farming Duriel and Andariel for it.
  • Ring of the Sacrilegious Soul now automates your corpse consumption.
Blood Surge Necromancer Endgame & The Pit Gear


  • Ring of the Sacrilegious Soul grants +2 Ranks of All Corpse Skills which frees up the point in Corpse Explosion. That Skill point moves to Necrotic Carapace.
  • Necrotic Carapace allows you to gain Fortify through generating Corpses with Hewed Flesh and by killing Monsters.
Blood Surge Necromancer Endgame & The Pit Skill Tree

Gear with Uber Uniques

  • If you are lucky enough to acquire a Harlequin Crest, you drop Juggernaut's and incorporate one +x Armor roll and two +x% Total Armor Tempers on your gear to offset the Armor lost.
  • Ring of Starless Skies solves Resource Costs on its own while providing an incredible damage multiplier. Replaces Edgemaster’s.
Blood Surge Necromancer Ubers Gear

In this setup, you have access to all Legendary Aspects and Unique items, unleashing the strongest version of the Blood Surge Necromancer. Be prepared to grind to access some of these highly sought after items!


  • Acquire a Lidless Wall from Lord Zir and start using a Shielding Storm.
  • The effect roll on Lidless Wall does not matter since we are sacrificing all minions, increasing even the lowest roll by +75%.
Blood Surge Necromancer Hardcore Gear

Hardcore Adjustments

Hardcore requires you to build into more defenses. Here are some tips to successfully navigate the Blood Surge Necromancer through potentially dangerous situations:

  • See the gear changes in the "Hardcore" variant above.
  • Swap Golems - Iron for Golems - Blood to maximize your tankiness if absolutely necessary.

Check out our dedicated in-depth guide to learn more survival tricks in Hardcore.

Build Scaling & Stat Priorities

Learn about the important build scaling mechanics and stat weights.

  • Overpower: Reads your current Life, maximum Life and Fortify value to calculate its bonus damage. So stacking Maximum Life and Fortify Generation are keys to outputting your maximum damage, in addition to the additive Overpower Damage on gear and in the Paragon boards.
  • Crowd Control: CC'ing monsters and pulling them with Corpse Tendrils becomes a direct damage scaler. Not only does it maximize our paragon board bonuses, but it also grants us more time to apply more attacks before Overpower procs.
  • Attack Speed: It decreases the length of time before Corpse Tendrils is on the field and how quickly we can spam cast Blood Lance. It's arguably the highest value stat on our gear and Paragon after Maximum Life.
  • Critical Strike/Vulnerable: Activating the base 1.5 and 1.2 multipliers from these sources is already powerful enough. The build also has a few multipliers that rely on meeting these requirements to activate.
  • Don't Get Hit: Make use of your range advantage and hit enemies from afar whenever you are in dangerous situations. By stutter stepping on the edge of your range, you can avoid most projectiles that come your way.
  • Armor: A great deal of defenses comes from your Armor. Disobedience and later Juggernaut's will help you reach the cap of 9230.
  • Resistances: As an Intelligence main stat class, the Necromancer naturally accrues a lot of Elemental Resistances. Make sure to reach the 70% cap in World Tier 4, and use Maximum Resistance buffs against particularly deadly enemies and content.
  • Unstoppable: You only have ‍Blood Mist to gain Unstoppable. Cooldown Reduction helps making this defensive mechanic available more often.
  • Fortify:Necrotic Carapace allows you to gain Fortify through generating Corpses with Hewed Flesh and by killing Monsters.

Our Damage Explained article explains how to scale your Offense.
Learn all you need to know to scale Defense with our Defense Explained Article.

Stat Priorities

To enable your build to perform optimally, you need to reach certain Stat "Breakpoints". Some examples are reaching 100% to Critically Strike, or 20 Resource per second. Since there are many values of these stats on different pieces of gear, read the checklist below and refer to the recommended Tempered Affixes and Masterwork Crits . Desirable Greater Affixes will always be the top three recommended Affixes.

Damage Scaling

  • 100% Critical Strike Chance during Grasping Veins
  • > 100% additional Attack Speed
  • > +2 Ranks to Blood Surge

Defense and Utility

  • > 40,000 Maximum Life
  • Armor Capped: 9,230
  • Resistance Capped: 70%
  • 100% Corpse Tendrils Size
  • 50% Decrepify Size
  • > 50% Resource Cost Reduction
  • > 15 Essence per Second
  • 100% additional Movement Speed
  • Helm: Juggernaut's
    1. Maximum Life
    2. Essence per Second
    3. Intelligence
    4. Cooldown Reduction
    5. Resistance to All Elements
  • ⚒️ Maximum Life
  • ⚒️ Corpse Tendrils Size
  • Chest: Hardened Bones
    1. Maximum Life
    2. Essence per Second
    3. Intelligence
    4. Resistance to All Elements
  • ⚒️ Maximum Life
  • ⚒️ Corpse Tendrils Size
  • Gloves: Blood-bathed
    1. Ranks to Blood Surge
    2. Critical Strike Chance
    3. Maximum Life
    4. Intelligence
    5. Critical Strike Damage
    6. Vulnerable Damage
  • ⚒️ Blood Overpower Damage
  • ⚒️ Decrepify Size
  • Pants: Blood Moon Breeches
  • Otherwise Look For: Shielding Storm
    1. Maximum Life
    2. Intelligence
    3. Resistance to All Elements
  • ⚒️ Maximum Life
  • ⚒️ Corpse Explosion Size
  • Boots: Slaughter
    1. Movement Speed
    2. Maximum Life
    3. Essence per Second
    4. Intelligence
    5. Resistance to All Elements
  • ⚒️ Movement Speed
  • ⚒️ Decrepify Size
  • Weapon: Grasping Veins (2h-Sword)
    1. Maximum Life
    2. Resource Cost Reduction
    3. Intelligence
    4. Critical Strike Damage
    5. Vulnerable Damage
  • ⚒️ Blood Attack Speed
  • ⚒️ Blood Surge Size
  • Amulet: Rathma’s Chosen
    1. Ranks to Tides of Blood
    2. Ranks to Coalesced Blood
    3. Resource Cost Reduction
    4. Maximum Life
    5. Cooldown Reduction
  • ⚒️ Movement Speed
  • ⚒️ Maximum Life
  • Ring 1: Ring of the Sacrilegious Soul
  • Otherwise Look For: Sacrificial
    1. Maximum Life
    2. Critical Strike Chance
    3. Intelligence
    4. Critical Strike Damage
    5. Vulnerable Damage
  • ⚒️ Resource Cost Reduction
  • ⚒️ Blood Overpower Damage
  • Ring 2: Edgemaster’s
    1. Maximum Life
    2. Critical Strike Chance
    3. Lucky Hit: Vulnerable
    4. Intelligence
    5. Critical Strike Damage
    6. Vulnerable Damage
  • ⚒️ Resource Cost Reduction
  • ⚒️ Blood Overpower Damage

This build benefits the most from the following consumables:

  • Elixirs: Elixir of Destruction, Elixir of Precision, Elixir of Fortitude
  • Type I Incense: Sage's Whisper
  • Type II Incense: Soothing Spices to cap Resistances, Reddamine Buzz
  • Type III Incense: Chorus of War

FAQ & Mechanics

Once a guide is released, many players have questions on why and how we are approaching certain choices. In this section you can find the answers to the questions that have been asked the most.

How Does Overpower Work?

Blood Surge

Video Guide

Disclaimer: Always follow the Maxroll Guide for the most up to date build setups.


The Blood Surge Necromancer is incredibly nuanced and rewards the player for learning as much as you can about Overpower mechanics and how to maximize your Overpower procs. With your huge Maximum Life pool, Fortify and healing, you can survive damage that other builds could never conceive of!

  • Blood Surge can hit a target twice, as long as they're within range of the "drain" and the "surge". The "drain" hits the entire screen, while the "surge" only hits Close Enemies.
  • Overpower has been drastically overhauled in Patch 1.2! It finally plays well with other damage scalers like Critical Strike and Vulnerable.
  • Blood-bathed Aspect allows you to cheat out an extra "surge" for free. This Overpowers when the base Skill does.
  • Practice makes perfect! Don't be afraid to run slightly easier content of Nightmare Dungeons to get the flow of the gameplay loop.
  • Happy blasting 🚀!


Maintained by Chronikz

Originally written by MacroBioBoi
Reviewed by MacroBioBoi

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