All Diablo 4 Malignant Hearts and Effects - Diablo 4 Guide - IGN (2024)

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Malignant Hearts are items exclusive to Diablo 4 Season 1: Season of the Malignant. When you interact with these items, they summon monsters that drop equippable Caged Hearts, which offer powerful enhancements to your build. Here's everything you need to know about how to get Malignant and Caged Hearts, how to use them, and the bonuses and effects they each impart.

Malignant Heart Colors

There are four colors of Malignant Hearts, and the color corresponds to the type of effect the Caged Hearts produce.

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Malignant Heart Types
Vicious HeartBrutal HeartDevious HeartWrathful Heart
Offensive PowerDefensive PowerUtility PowerSuper Power

How to Equip Caged Hearts

Devious, Brutal, and Vicious Hearts can only be slotted in Infested Sockets of the same color, so you'll need to obtain compatible gear in order to equip them. 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.

Jeweller Vendors can add an Infested Socket to your gear, but it will cost you 1 Heart to add it. The color of the slot is randomized, so you are unable to pick the specific type of Socket you would like to add.

You can equip three Caged Hearts at once, using one slot in your amulet and one slot in each of your two rings.

Once Season 1 concludes, your Caged Hearts will disappear. These special bonuses won't carry over when your character moves to the Eternal Realm at the end of the season.

How to Unlock Malignant Hearts

When you begin the new season, you will spawn inside of Kyovashad where a light green priority quest marker will be seen right next to the main Waypoint you spawn in on.

The first quest of the new season questline will task you with finding any survivors on the road outside of the city. You will locate an NPC named Cormond who is being chased by a large corrupted beast. Cormond will run into a nearby tunnel, where you will fight off the beast in order to save the NPC. You will exit the dungeon and meet Cormond again next to a wagon and table that you will be able to interact with.

Cormond will explain to you what you witnessed in the Tunnel, and how the malignant hearts can be cleansed of their corruption and saved. Cormond will then teach you how to use the Cage of Binding Ritual in order to harness these Malignant Hearts' powers.

From there, you will unlock access to the new Malignant Tunnels which can be seen on your map. They look like regular dungeons, but have a little green leaf in the top corner of the dungeon icon. If you hover over these Dungeons, you will be able to see what type of Malignant Invoker you need in order to clear the Outgrowths within.

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How to Get Caged Hearts

There are two ways to get Caged Hearts: farming them from Malignant Monsters, and crafting them at Cormond's Wagon.

You'll need to farm plenty of Hearts in order to salvage them at Cormond's Wagon to get Ichor.

Then, to get the best Caged Hearts, you'll want to craft Malignant Invokers to use on Outgrowths in the Tunnels.

Farming Malignant Hearts

Caged Hearts can be obtained from Malignant Monsters using the Cage of Binding, which you'll gain access to as part of the season's questline, Burning from Within.

Malignant Monsters can be found throughout Sanctuary, but if you want to farm Hearts, the best place to encounter them is the Malignant Tunnels, a new type of dungeon.

Each boss and mini boss will spawn a random color Malignant Heart when first killed. The color of this Malignant Heart will correspond with the color of the Caged Heart the boss or mini-boss will drop.

When you interact with the Malignant Heart, the boss will spawn again, but this time they will be a bit stronger. Once you defeat the boss for a second time, they will drop a Caged Heart that matches the color of the initial Malignant Heart you looted to summon the more powerful boss.

At the end of each Malignant Tunnel, you'll encounter a Malignant Outgrowth. Using a craftable item called the Invoker on the Outgrowth summons a Malignant Elite that will drop another even more powerful Caged Heart.

Crafting Caged Hearts

You can craft the following items at Cormond's Wagon:

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  • A random Vicious, Brutal, or Devious Caged Heart.
    • Note: Wrathful Hearts cannot be crafted.
  • A Vicious, Brutal, or Devious Invoker for use on Outgrowths in the Malignant Tunnels.
  • A random Caged Heart or random Invoker.
    • Note: This may be the only way to obtain Wrathful Malignant Invokers, and thus the only way to obtain the most powerful Wrathful Hearts.

To craft these items, you'll need Ichor, which is obtained from Salvaged Caged Hearts and from lesser Malignant Monsters.

Salvaging each Vicious, Brutal, and Devious Heart will provide you with 5-15 Ichor, and Wrathful Hearts provide 2-5 Ichor of all other Heart types.

Creating a random Heart of a specific type costs 35 Ichor of the other two primary-colored Hearts. For example, if you wanted to craft a Vicious heart, you would need 35 Brutal Ichor and 35 Devious Ichor.

The Hearts you craft will be scaled to the Level of your character, and will always either be for your specific Class or Class-agnostic.

Don't forget to salvage any lower level Caged Hearts you have for their Ichor!

All Malignant Hearts

As of the July 20 Diablo IV 1.1.0b patch, Malignant Hearts will now always grant armor that directly maps with their item power.

There are four Malignant Hearts - one of each type - specific to each Class, and 12 General Malignant Hearts - three of each type - that can be equipped by any Class.

Below, you'll find a full list of the 32 available Caged Hearts and their effects. Click the links below to skip to:

  • General Malignant Hearts
  • Barbarian Malignant Hearts
  • Druid Malignant Hearts
  • Necromancer Malignant Hearts
  • Rogue Malignant Hearts
  • Sorcerer Malignant Hearts

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General Malignant Hearts

The PicanaCritical Strikes electrically charge the enemy for 0.75-2.50 seconds, causing lightning to arc between them and any other charged enemies dealing 68-136 Lightning damage.
Vicious
The Dark DanceWorld Tier III
Every 5 seconds while above 60% Life, Core Skills cost 68-51 Life instead of your Primary Resource. Skills that consume Life deal 10-20% increased damage.
Vicious
Tempting FateWorld Tier III
You gain 40-60% Critical Strike Damage but your Non-Critical Strikes deal 20-15% less damage.
Vicious
The LionheartYou gain 10% Barrier Generation. You Heal 3-7 Life per second while you have an active Barrier.
Brutal
RevengeWorld Tier III
10-20% of incoming damage is instead suppressed. When you use a Defensive, Subterfuge or a Macabre skill, all suppressed damage is amplified by 250% and explodes, dealing up to 1360-2040 Fire damage to Nearby enemies.
Brutal
Prudent HeartWorld Tier III
You become Immune for 2.0-4.0 seconds after you lose more than 20% Life in a single hit. This effect can only occur once every 110 seconds.
Brutal
DeterminationResource draining effects are 40-50% less effective. In addition, gain 3.0-8.0% increased Resource Generation.
Devious
RetaliationWorld Tier III
Deal 510-680 Fire damage to surrounding enemies whenever a Crowd Control effect is removed from you.
Devious
The CalculatedWorld Tier III
After spending 150-200 of your Primary Resource, your next attack Stuns enemies hit for 2 seconds.
Devious
The Malignant PactCycle through a Malignant bonus every 20 kills:
  • Vicious:Gain 20% Attack Speed.
  • Devious:Core and Basic Skills have a 15% chance to fully restore your Primary Resource.
  • Brutal:Every 21 seconds, gain a Barrier absorbing 85-102 damage.
Wrathful
Creeping DeathYour damage over time effects are increased by 30-40% for each different Crowd Control effect on the target. Unstoppable monsters and Staggered bosses instead take 110-130% increased damage from your damage over time effects.
Wrathful
The BarberWorld Tier III
Critical Strikes and all subsequent damage within 2.0-4.0 seconds is absorbed by your target. Then, the absorbed damage erupts onto surrounding enemies. Stored damage is increased by 10% per second.
Wrathful

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Barbarian Malignant Hearts

Focused RageAfter spending 100-60 Fury within 2 seconds, your next Non-Basic Skill's Critical Strike Chance is increased by 20-30%.
Vicious
Resurgent LifeWhile below 40-60% Life, you receive 50-60% more Healing from all sources.
Brutal
Punishing SpeedYour Skills have a 20-30% chance to Knock Down all enemies for 1.25 seconds when that Skill's Attack Speed is higher than 35-20%.
Devious
Ignoring PainWorld Tier IV
Incoming damage has a 5-15% chance of being ignored and instead Healing you for 17-68.
Wrathful

Druid Malignant Hearts

The MoonrageKills have a 5% chance to summon a Wolf Companion to your side for 20-30 seconds. In addition, gain +3 to Wolves.
Vicious
The Agitated WindsWhen 8-13 Close enemies, automatically cast Cyclone Armor. This cannot occur more than once every 10-20 seconds.
Brutal
Inexorable ForceUp to 30-50 Distant enemies are pulled toward you while you have an Ultimate Skill active.
Devious
The Unconstrained BeastWorld Tier IV
When you are hit with a Stun, Freeze or Knock Down effect, there is a 40-60% chance to automatically activate Grizzly Rage for 3 seconds
Wrathful

Necromancer Malignant Hearts

The Sacrilegious Walking near a Corpse automatically activates an equipped Corpse Skill every second, dealing 40-30% reduced damage.
Vicious

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The Decrepit Aura When at least 5 enemies are near you, gain an aura that automatically curses surrounding enemies with Decrepify for 5-15 seconds.
Brutal
Frozen TerrorLucky Hit: Up to a 10-20% chance of inflicting Fear for 2.5 seconds. Feared enemies are Chilled for 20% every second.
Devious
The Great FeastWorld Tier IV
Each Minion drains 1.0-2.0 Essence per second but deals 50-75% increased damage. With no Minions, this bonus applies to you and drains 5 Essence per second
Wrathful

Rogue Malignant Hearts

Cluster MunitionsLucky Hit: You have up to a 20% chance to launch 3 Stun Grenades that deal 26-32 Physical damage and Stun enemies for 0.50 seconds.
Vicious
TrickeryWhen you use a Subterfuge Skill, leave behind an unstable Shadow Decoy Trap that Taunts enemies. The Shadow Decoy Trap will explode after 6.0 seconds dealing 680-1020 Shadow damage. Cannot occur more than once every 5 seconds.
Brutal
The ClipshotLucky Hit: Up to a 20-40% chance for your Cutthroat Skills to Slow by 40% for 3 seconds and your Marksman Skills to Knock Back enemies.
Devious
The Vile ApothecaryWorld Tier IV
Your attacks have a 5-15% chance to apply all Imbuement effects at 40-50% of normal potency.
Wrathful

Sorcerer Malignant Hearts

Tal’RashaFor each unique element you deal damage with, you deal 7-12% increased damage for 3-10 seconds.
Vicious
Spellbreaking After taking Elemental damage, gain 20-40% Resistance to that element for 5 seconds.
Brutal
SpiteWhen you are afflicted with a Crowd Control effect, there is a 20-40% chance that the same enemy and enemies around you are also afflicted with the same effect for 3 seconds.
Devious

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OmnipowerWorld Tier IV
Core Skills that launch a projectile consume all of your Mana. For every 45-35 extra Mana consumed, you launch an additional projectile, and the damage is increased by 3.0-5.0%
Wrathful

Up Next: Battle Pass

PreviousDiablo 4 Season 1 Build: Landslide Druid Leveling BuildNextBattle Pass

Top Guide Sections

  • Beginner's Guide - Tips for Getting Started
  • Walkthrough
  • How to Start A Seasonal Character
  • World Tier Guide and Overview

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In This Guide

All Diablo 4 Malignant Hearts and Effects - Diablo 4 Guide - IGN (1)

Diablo IV

Blizzard

ESRB: Mature
PCPlayStation 4Xbox Series X|SXbox OnePlayStation 5

Related Guides

OverviewBeginner's Guide - Tips for Getting StartedWalkthroughHow to Start A Seasonal Character

All Diablo 4 Malignant Hearts and Effects - Diablo 4 Guide - IGN (2024)
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