How to get Atalui's Bloodletting in Path of Exile 2, and its unique effects

In Path of Exile 2, there is a wide range of gems that determine how a build works, how resources are managed, and how much damage the build can do. Atalui's Bloodletting is one such support gem that stands out for its unique ability. It not only changes how the skills work, but it also increases the damage output. This unique item has become extremely desirable to players who want to have a high-performing build in the endgame of Path of Exile 2.

In this guide, we will break down what Atalui's Bloodletting gem is, how it works, and how you can acquire it in Path of Exile 2.

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What is Atalui's Bloodletting in Path of Exile 2?

Atalui's Bloodletting is one of the Lineage Support Gems that fall under the Lifetap category. It completely alters the resource management of any build, turning any mana cost skill into a hybrid mana-life cost build. This creates a balance for builds that have low mana and high health. The gem also grants you bonus physical damage scaling according to the life spent.

Item information

• Category: Lifetap
• Cost & Reservation Multiplier: 150%
• Requires Level 65
• Support Requirements: +5 Str

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Unique abilities

• Supports any Skill, turning a portion of its Mana cost into a Life cost.
• Does not support Skills that reserve Spirit.
• Supported Skills Gain a portion of their Life cost as extra Physical Damage.
• Skill Mana Costs are converted to Life Costs.
• Supported Skills Gain 2% of Damage as extra Physical Damage per 10 Life cost.

This means that any heavy and expensive skills become less stressful to use and deal more damage. So the more you spend the resource, the higher the damage you deal. This allows for highly aggressive gameplay while maintaining resources more optimally.

The Atalui’s Bloodletting gem does not work with skills that reserve spirit since it overlaps with aura setups.

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How to get the Atalui’s Bloodletting gem in Path of Exile 2

The Atalui’s Bloodletting gem exclusively drops from Anomaly bosses inside Sealed vaults of Path of Exile 2 (Image via Grinding Gear Games)

Atalui’s Bloodletting is drop-restricted, meaning it can’t be acquired randomly around the world; it can only be acquired from specific sources in Path of Exile 2.

Sealed Vault bosses

The Atalui’s Bloodletting gem exclusively drops from Anomaly bosses within the Sealed Vault, especially:

• Ytzara, Blood Oracle
• Maztli, Flesh-Shaper

Both of these bosses are located in the Estazunti’s Vault (Sealed Vault Map), which is part of the endgame Atlas maps in Path of Exile 2.

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Unlocking the Sealed Vault

In order to unlock the Sealed Vault, you must gather the Idol of Estazunti, which is a vault key. This key is crucial to accessing the map.

• Item type: Vault key
• Description: Grants access to a Sealed Vault on the Atlas.

How to acquire the Idol of Estazunti

This vault key is not a guaranteed drop in Path of Exile 2. It can randomly drop from enemies in the maps surrounding the Sealed Vault on the Atlas. So you need to do quite a bit of farming to get your hands on the Idol of Estazunti, since it's RNG-based.

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Path of Exile 2 builds that can use Atalui’s Bloodletting

Any build that focuses on life leech or high life regeneration is the best choice for using this gem (Image via Grinding Gear Games)

Atalui’s Bloodletting is an extremely versatile piece of gem in Path of Exile 2, allowing you to use a portion of the mana cost as life. The builds that can utilize this gem are:

• Any build that focuses on life leech or high life regeneration is the best choice, allowing you to easily balance out the resource cost while keeping the life pool up.
• Builds that use high-cost skillsets can utilize their increased physical damage, which scales with the amount of life spent as resources.

This gem can synergize perfectly with builds that depend on raw physical power and have a high life pool. Tanky builds can also utilize this gem, where sacrificing a little bit of survivability can be negligible.

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Atalui’s Bloodletting can be the core of any high-risk, high-reward build in Path of Exile 2. By converting mana cost into life cost, this gem creates a unique resource management system.

While the gem gives you a ton of build freedom with its effects, acquiring the gem is quite difficult. So if you want to acquire the Atalui’s Bloodletting Lineage Support Gem, you will have to grind for Vault keys in the maps, which are rare drops. While the grind may be rigorous, the final payoff is worth the grind.

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Check out our other Path of Exile 2 guides and features:

• Path of Exile 2: Sorceress build guide (0.3.0 League-starter)
• Path of Exile 2 Endgame systems guide
• Path of Exile 2 Item Crafting guide
• Path of Exile 2 Runes and Sockets guide