All 32 Diablo 4 Malignant Hearts and How to Get Them

One of the biggest additions in the first season of Diablo 4 (Season of the Malignant) is a new item called Malignant Hearts to help enhance your best builds. These are unique socket items that drop when you defeat Malignant enemies and can be equipped in jewelry sockets. Well, this new mechanic sounds enticing, but the Malignant Hearts can be challenging to acquire. Worry not, as we’re here to help. In this article, we have detailed the different types of Malignant Hearts and how to get these socket items in the game. We have also added a complete list of 32 Malignant Hearts and their effects in Diablo 4, so continue reading.

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What Are Malignant Hearts in Diablo 4

In Diablo 4 Season 1 (also known as the Season of the Malignant), Malignant Hearts drops from the Malignant Monsters, which are born from a deviant form of Lilith’s sinister side. Malignant Monsters are filled with rage and attack anyone in sight. But, once defeated, these creatures drop an item called Malignant Heart. Throughout the season, players can collect these items and use them exclusively on jewels instead of regular gems, and each Malignant Heart adds a category of power to the item.

Types of Malignant Hearts in Diablo 4

As per an official blog post, Diablo 4 season 1 introduces 32 Malignant Hearts in the game. Each of them provide a build-altering bonus and change your attack behavior, as you can socket the hearts in rings or medallions. Some Malignant Hearts provide an increased barrier, while others help with elemental damage build-up. In Season 1, players will come across four types of Malignant Hearts in-game, and they are listed below:

• Vicious Heart: Vicious Hearts contains offensive power inside them. It drops from the Vicious malignant monsters around the world. Vicious Hearts helps in amplifying your attack damages.
• Brutal Heart: Brutal Hearts contains defensive power, such as barrier generation and more. Like Vicious Hearts, players can grab them by defeating brutal malignant monsters.
• Devious Heart: Devious Hearts provide utility power, and like every other heart in the game currently, drop from the devious malignant monsters.
• Wrathful Heart: These hearts are the rarest of the four in the game currently. Much like the previous types, these drops from the wrathful malignant monsters. However, the drops are very rare, and you can slot these hearts in any gear with a socket.

Complete List of Diablo 4 Malignant Hearts

As previously mentioned, Diablo 4 season 1 brings a total of 32 malignant hearts. Some of them are general, usable with all the five classes in Diablo 4, while others are specific to each class. That said, here’s a long list of malignant hearts you can find in the game and what effect they have on your builds.

General Malignant Hearts

Heart Name	Heart Type	What It Does
The Picana	Vicious	Critical strikes electrically charge enemies for 0.75-2.50 seconds. This causes lightning to arc between enemies and any other charged enemies, dealing lightning damage.
The Dark Dance	Vicious	Every five seconds above 60% life, core skills cost 68-51 life. Skills-consuming life deals increased damage. This malignant heart is found in world tier 3.
Tempting Fate	Vicious	Players gain 40-60% critical strike damage, but noncritical strike damage deals less damage. This is found in world tier 3.
The Lionheart	Brutal	Players using these malignant hearts in Diablo 4 will gain 10% barrier generation. You also heal 3-7 life per second while having an active barrier.
Revenge	Brutal	Suppresses incoming damage by 10-20%. Additionally, using a defensive, subterfuge, or macabre skill, every suppressed damage amplifies by 250% and explodes, dealing fire damage. This is found in world tier 3.
Prudent Heart	Brutal	These will make you immune for 2-4 seconds after you lose more than 20% life in a hit. This occurs every 110 seconds. This is found in world tier 3.
Determination	Devious	Resource-draining effects are 40-50% less effective. Additionally, you will gain 3-8% increased resource generation.
Retaliation	Devious	Deal 510-680 fire damage to surrounding enemies whenever a crowd-controlled effect is removed. Found only in world tier 3.
The Calculated	Devious	Your next attack stuns enemies hit for two seconds, after spending 150-200 of your primary resource. Found only in world tier 3.
The Malignant Pact	Wrathful	Cycle through a malignant bonus every twenty kills. If used with a vicious heart, you’ll gain 20% attack speed. If used with a devious heart, your core and basic skills get a 15% chance to restore primary resources. If used with brutal heart, you’ll gain a barrier absorbing damage every 21 seconds.
Creeping Death	Wrathful	The damage over time effects increases by 30-40% each differed crowd control effects on the target. Unstoppable and staggered monsters take 110-130% increased damage from DoT effects.
The Barber	Wrathful	Critical strikes and subsequent damages are absorbed by your target. It then erupts onto surrounding enemies.

Barbarian Malignant Hearts

Heart Name	Heart Type	What It Does
Focused Rage	Vicious	Spending 100-60 fury within 2 seconds will increase your next non-basic skill’s critical strike chance by 20-30%.
Resurgent Life	Brutal	If below 40-60% life, you will receive 50-60% more healing from every sources.
Punished Speed	Devious	Your skills have a 20-30% chance to knock down enemies for 1.25 seconds, if the attack speed is higher than 35-20%.
Ignoring Pain	Wrathful	Incoming damage has a 5-15% chance of being ignored. Instead, it can heal you for 17-68.

Druid Malignant Hearts

Heart Name	Heart Type	What It Does
The Moonrage	Vicious	Kills have a 5% chance to summon a wolf companion to your side for 20-30 seconds.
The Agitated Winds	Brutal	When 8-13 close enemies, automatically cast cyclone armor. This occurs once every 10-20 seconds.
Inexorable Force	Devious	Up to 30-50 distant enemies are pulled toward you when your ultimate is active.
The Unconstrained Beast	Wrathful	When hit, there is a 40-60% chance to automatically activate Grizzly Rage for three seconds. Found in world tier 4.

Necromancer Malignant Hearts

Heart Name	Heart Type	What It Does
The Sacrilegious	Vicious	Walking around a corpse automatically activates a corpse skill every second, dealing 30-40% reduced damage.
The Decrepit Aura	Brutal	When at least five enemies are nearby, receive an aura which automatically curses surrounding enemies with decrepify for 5-15 seconds.
Frozen Terror	Devious	Up to a 10-20% chance of inflicting fear for 2.5 seconds. Scared enemies are chilled for 20% every second.
The Great Feast	Wrath	Each minion drains 1-2 essence per second, dealing 50-75% increased damage. With no minion, this bonus applies to the player and drains 5 essences per second. Found in world tier 4.

Rogue Malignant Heart

Heart Name	Heart Type	What It Does
Cluster Munitions	Vicious	You have up to a 20% chance to launch three stun grenades that deal 26-32 physical damage and stun enemies for 0.50 seconds.
Trickery	Brutal	While using subterfuge skills, leave behind a shadow decoy trap that taunts enemies. The trap will explode after six seconds, dealing 680-1020 shadow damage. Happens once every 5 seconds.
The Clipshot	Devious	Up to 20-40% chance for the cutthroat skills to slow by 40% for three seconds and marksman skills to knock back enemies.
The Vile Apothecary	Wrathful	Your attacks have a 5-15% chance to apply all imbuement effects at 40-50% of normal potency. Obtainable in World Tier 4.

Sorcerer Malignant Hearts

Heart Name	Heart Type	What It Does
Tal’Rasha	Vicious	Each unique element you deal damage with, you deal 7-21% increased damage for 3-10 seconds.
Spellbreaking	Brutal	After taking elemental damage, get 20-40% resistance to that element for five seconds.
Spite	Devious	When you get afflicted with a crowd control effect, you gain 20-40% chance that the same enemy and enemies around you are also afflicted with the same effect for three seconds.
Omnipower	Wrathful	Core Skills that launch a projectile consume the entirety of your mana. For every 45-35 extra mana consumed, you launch an additional projectile, and the damage increases by 3-5%.

How to Obtain Malignant Hearts In Diablo 4

There are a few specific ways to get a Malignant Heart in Diablo 4. These involve battling malignant monsters and gathering items from them. Follow the below steps. Before doing so, make sure you have progressed through the season’s storyline:

• First, track down a partially corrupted monster. Once you find one of these monsters, kill them as usual.
• Upon killing them, they will drop a Malignant heart.

• Interact with this heart using the cage of bindings. This will revive the partially corrupted monster into a fully corrupted monster.

• Take it down to cage the malignant heart and pick it up. You can now slot this Malignant Heart into your rings or amulets.

You can also craft a Malignant Heart at Cormond’s workbench. These workbenches can be found in the main towns of the game, and there is one in particular at Kyovashad. You will require Malignant Ichor to craft a caged heart in Diablo 4. Malignant Ichors, for the uninitiated, are obtainable from various chests in-game, specifically from chests received after an event. Another way of getting yourself ichor is salvaging the duplicate caged hearts at the workbench.

Once you have enough malignant ichors, you can craft a Vicious, Brutal, and Devious Malignant Heart in the game. The properties of these crafted hearts are randomized, and players cannot decide their properties. Furthermore, Wrathful Malignant Hearts drops randomly from the enemies and at higher levels and aren’t craftable.

Frequently Asked Questions