Ailments are a type of debuff associated with specific damage types. Damaging ailments damage over time.
Damaging ailments: bleeding, poison, and ignite.
Non-damaging ailments: chill, freeze, shock and electrocute.
Mechanics
The chance for most ailments to be applied generally depends on the amount of damage dealt before mitigation compared to the defender's ailment threshold value. A player's base ailment threshold is based on half of their maximum life. This scaling is different for monsters; monster ailment threshold scales with monster level and is independent of monster life. Immobilization effects, such as freeze, electrocute, pin and stun use a different value called "poise". Both of these values have their own multiplier depending on rarity of the monster .
Chill will always be applied as long as the damage meets the minimum ailment threshold to not be discarded, though its slow magnitude scales with the ailment threshold formula.
The chance to inflict poison or bleeding is based on a static numerical chance instead rather than being calculated via the ailment threshold formula.
The chance to inflict an ailment is multiplicative against the chance to avoid an ailment. If the defender has 100% chance to avoid an ailment, they cannot be inflicted with that ailment, even by constant ground effects that usually bypass ailment avoidance chance.
Ailment and Poise Thresholds
Player ailment threshold is based on half of their maximum life by default, though modifiers can cause it to also scale from other stats such as Energy Shield or Mana instead.
Monster Ailment and Poise Thresholds depend on monster level. The values can be found in the table below. Unlike in Path of Exile 1, these thresholds are independent of monster life.
- Normal monsters in tier 1 waystones are level 65
- Normal monsters in tier 16 waystones are level 80
- Magic and Rare monsters have +1 monster level
- Boss monsters have +2 monster level
| Monster level | Ailment Threshold | Poise Threshold |
| 1 | 15 | 30 |
| 2 | 20 | 40 |
| 3 | 24 | 48 |
| 4 | 28 | 57 |
| 5 | 34 | 67 |
| 6 | 39 | 79 |
| 7 | 46 | 93 |
| 8 | 52 | 106 |
| 9 | 60 | 122 |
| 10 | 70 | 142 |
| 11 | 81 | 165 |
Elemental ailments
Elemental ailments refers to ailments associated with one of the elements, Fire, Cold or Lightning. Some support gems or passives may use this term to collectively refer to all of these ailments, but exclude ailments associated with Physical or Chaos damage.
- Ignite (fire)
- Chill (cold)
- Freeze (cold)
- Electrocute (lightning)
- Shock (lightning)
Spreading ailments
Some effects may cause an ailment to spread to other nearby targets. Spreading an ailment inflicts a new, matching ailment on another target, from the same source. The new ailment can potentially spread further, but never back to the same target twice.
Damaging ailments
This only includes ailments which directly deal damage themselves, not those which amplify damage from other sources. Some support gems or passives may use this term to collectively refer to all of these ailments.
- Bleeding
- Poison
- Ignite
List of ailments
Ignite, chill, freeze, shock and electrocute are elemental ailments. Bleeding and poison are non-elemental ailments.
| Ailment | Associated damage type | Effect | Elemental | Damaging |
| Bleeding | Physical | Bleeding enemies take physical damage over time, at 15% of the physical damage of the hit that inflicted bleeding per second. Bleeding deals an additional 100% damage per second if the enemy is moving | ||
| Poison | Physical and chaos | Poison causes the affected target to take chaos damage over time, at 20% of the combined physical and chaos damage of the hit that applied it per second, with an explicit source of poison chance. The | ||
| Ignite | Fire | Ignite causes the affected target to burn for 20% of the fire damage of the final hit that applied it, per second. The base duration is 4 seconds. | ||
| Chill | Cold | Cold damage always inflicts chill. Chill slows all actions of the affected target up to 50%, based on the cold damage of the hit. The base duration is 2 seconds. | ||
| Freeze | Cold | Freeze immobilises the target, reducing its action speed to 0% and preventing it from moving or acting for a duration. The base duration is 4 seconds. | ||
| Shock | Lightning | Shock causes the affected target to take 20% increased damage from all sources, based on the lightning damage of the hit. The base duration is 4 seconds. | ||
| Electrocute | Lightning | Electrocute immobilises the target, preventing it from moving or acting for a duration. The base duration is 5 seconds. |
Related skills
The following skills are related to multiple ailments or ailments in general:
| Gem | Tier | |||
| Pinnacle of PowerPinnacle of PowerSpell, Buff, Lightning, Cold, Fire, Duration, ConditionalLevel: 1Cost: 93 ManaCooldown Time: 4.00 secCan Store 1 Use(s)Cast Time: InstantConsume all Power Charges to | 0 | |||
| Shattering SpiteShattering SpiteAttack, AoE, Physical, Lightning, FireLevel: (1-20)Attack Damage: (125-453)% of baseRequires: SpearStamp your spear, destroying all Bloodstone Lances on each enemy in y | 0 | |||
| Unbound AvatarUnbound AvatarBuff, Lightning, Cold, Fire, Duration, ConditionalLevel: (1-20)Cooldown Time: 12.00 secCan Store 1 Use(s)Gain Unbound Fury by inflicting Elemental Ailments with Hits on ene | 0 | |||
| Living BombLiving BombSpell, AoE, Fire, Duration, RemnantTier: 3Level: (1-20)Cost: (8-85) ManaCast Time: 0.60 secCritical Strike Chance: 7.00%Plant a seed of Fire inside an enemy. Dealing enough damag | 3 | |||
| Tempest BellTempest BellAttack, AoE, Melee, Sustained, Duration, ConditionalTier: 3Level: (1-20)Cost: (14-98) ManaCooldown Time: 0.50 secCan Store 1 Use(s)Attack Speed: 120% of baseRequires: Quarterst | 3 | |||
| SnapSnapSpell, AoE, Lightning, Cold, Fire, Payoff, RemnantTier: 5Level: (1-20)Cost: (8-89) ManaCooldown Time: 4.00 secCan Store 1 Use(s)Cast Time: 0.50 secCritical Strike Chance: 13.00%Consume the ele | 5 | |||
| Elemental SunderingElemental SunderingAttack, AoE, Melee, Lightning, Cold, Fire, Nova, PayoffTier: 11Level: (1-20)Cost: (7-50) ManaAttack Speed: 55% of baseRequires: SpearPlunge your Spear into the gr | 11 | |||
| Shockchain ArrowShockchain ArrowAttack, AoE, Projectile, Lightning, Chaining, Payoff, RepeatableTier: 11Level: (1-20)Cost: (10-68) ManaAttack Speed: 70% of baseAttack Damage: (70-218)% of baseRequires | 11 | |||
| Shockburst RoundsShockburst RoundsAttack, AoE, Ammunition, Projectile, Lightning, PayoffTier: 11Level: (1-20)Cost: (14-100) ManaRequires: CrossbowLoad your Crossbow with a clip of charged bolts which | 11 |
Persistent skills
| Gem | Tier | |||
| File:Azmerian Swarms inventory icon.pngAzmerian SwarmsAzmerian SwarmsBuff, Minion, Persistent, Physical, Lightning, Cold, Fire, DurationLevel: (1-20)While active, summons short-lived Azmerian Swarms w | 0 | |||
| Fire Spell on HitFire Spell on HitBuff, Persistent, Trigger, Fire, MetaLevel: (1-20)While active, gains Energy when you Hit enemies with Melee Attacks and triggers socketed Fire spells on reaching max | 0 | |||
| Thundergod's WrathThundergod's WrathBuff, Persistent, Trigger, Lightning, MetaLevel: (1-20)While active, gains Energy when you Hit enemies with Melee Attacks and triggers socketed Lightning spells on | 0 | |||
| Mana RemnantsMana RemnantsBuff, Persistent, RemnantTier: 4Level: (1-20)Reservation: 30 SpiritConjure surging arcane energy to restore your Mana. While active, enemies you kill affected by Elemental Ai | 4 | |||
| Elemental InvocationElemental InvocationBuff, Persistent, Trigger, Lightning, Cold, Fire, Invocation, MetaTier: 8Level: (1-20)Reservation: 60 SpiritCooldown Time: 0.20 secCan Store 1 Use(s)While activ | 8 | |||
| Overwhelming PresenceOverwhelming PresenceBuff, Persistent, AuraTier: 8Level: (1-20)Reservation: 30 SpiritWhile active, emits an Aura that makes enemies in your Presence easier to Stun and inflict Ele | 8 | |||
| Time of NeedTime of NeedBuff, PersistentTier: 8Level: (1-20)Reservation: 30 SpiritWhile active, periodically invokes divine blessings to heal you and remove Curses and Elemental Ailments from you.(10- | 8 | |||
| Cast on CriticalCast on CriticalBuff, Persistent, Trigger, MetaTier: 14Level: (1-20)Reservation: 100 SpiritWhile active, gains Energy when you Critically Hit enemies and triggers socketed Spells on re | 14 | |||
| Cast on Elemental AilmentCast on Elemental AilmentBuff, Persistent, Trigger, Lightning, Cold, Fire, MetaTier: 14Level: (1-20)Reservation: 100 SpiritWhile active, gains Energy when you Freeze, Shock, o | 14 | |||
| Dread BannerDread BannerBanner, Buff, Persistent, AoE, Aura, Duration, ConditionalTier: 14Level: (1-20)Reservation: 30 SpiritWhile active, Attacking enemies builds Glory. When you have maximum Glory, | 14 |
Related support gems
| Gem | Tier | |||
| Tul's StillnessTul's StillnessSupport, Lineage, Cold, ChaosCategory: BreachlordCost & Reservation Multiplier: 120%Requires Level 65Support Requirements: +5 DexSupports Skills that can cause Damaging H | 0 | |||
| Esh's RadianceEsh's RadianceSupport, Lineage, Lightning, ChaosCategory: BreachlordCost & Reservation Multiplier: 120%Requires Level 65Support Requirements: +5 IntSupports Skills that can cause Damagin | 0 | |||
| Olroth's HubrisOlroth's HubrisSupport, LineageCategory: Runic InfusionRequires Level 65Supports Attacks you use or Trigger yourself, causing them to cost Runic Ward to use but deal additional Physical | 0 | |||
| Xoph's PyreXoph's PyreSupport, Lineage, Fire, ChaosCategory: BreachlordCost & Reservation Multiplier: 120%Requires Level 65Support Requirements: +5 StrSupports Skills that can cause Damaging Hits, gra | 0 | |||
| Withering TouchWithering TouchSupport, Chaos, DurationCategory: Withering TouchTier: 1Support Requirements: +5 IntSupports any skill that Hits enemies, giving it a chance to Wither enemies on Hit.With | 1 | |||
| CommiserateCommiserateSupportCategory: CommiserateTier: 2Support Requirements: +5 DexSupports Skills you use or Trigger yourself, which can cause Damaging Hits. Supported Skills inflict more powerful | 2 | |||
| DeathmarchDeathmarchSupport, Minion, PersistentCategory: DeathmarchTier: 2Support Requirements: +5 IntSupports Skills which create Persistent Minions. Supported Minions will restore Life to nearby All | 2 | |||
| Drain AilmentsDrain AilmentsSupport, SpellCategory: Drain AilmentsTier: 3Support Requirements: +5 IntSupports Spells that deal non-Ailment damage over time, causing them to consume Ailments on enemies | 3 | |||
| Elemental DischargeElemental DischargeSupport, Spell, AoE, Trigger, Lightning, Cold, Fire, PayoffCategory: Elemental DischargeTier: 3Support Requirements: +5 IntSupports any Spell that Hits enemies, c | 3 | |||
| Elemental FocusElemental FocusSupportCategory: Elemental FocusTier: 3Support Requirements: +5 IntSupports any skill that Hits enemies, causing it to deal more Elemental Damage but be unable to inflict | 3 | |||
| ExecrateExecrateSupportCategory: Grants CooldownTier: 3Cooldown Time: 8.00 secCan Store 1 Use(s)Support Requirements: +5 IntSupports any damaging Skill that you use yourself, granting it significantly | 3 |
Related passive skills
The following passive skills are related to ailments:
Chance to inflict ailments
| Name | Stats |
| Ailment Chance | 10% increased chance to inflict Ailments |
| Ailment Chance and Duration | 6% increased chance to inflict Ailments6% increased Duration of Damaging Ailments on Enemies |
| Ailment Chance and Effect | 6% increased chance to inflict Ailments6% increased Magnitude of Damaging Ailments you inflict |
| Ailment Chance and Elemental Damage | 6% increased chance to inflict Ailments10% increased Elemental Damage |
| One Handed Ailment Chance | Attacks with One-Handed Weapons have 15% increased Chance to inflict Ailments |
| Physical Damage and Ailment Chance | 8% increased Physical Damage8% increased chance to inflict Ailments |
| Projectile Ailment Chance | 20% increased chance to inflict Ailments with Projectiles |
| Shapeshifting Elemental Ailment Chance | 20% increased Elemental Ailment Application if you have Shapeshifted to an Animal form Recently |
| Advanced Munitions | 25% increased chance to inflict Ailments with Projectiles |
| Coated Arms | 25% increased Damage with One Handed WeaponsAttacks with One-Handed Weapons have 20% increased Chance to inflict Ailments |
| Exploit the Elements | 24% increased Damage with Hits against Enemies affected by Elemental Ailments30% increased chance to inflict Ailments against Rare or Unique Enemies |
Ailment magnitude
| Name | Stats |
| Ailment Chance and Effect | 6% increased chance to inflict Ailments6% increased Magnitude of Damaging Ailments you inflict |
| Ailment Effect | 12% increased Magnitude of Ailments you inflict 10% increased Magnitude of Ailments you inflict |
| Ailment Effect and Duration | 5% increased Magnitude of Ailments you inflict5% increased Duration of Damaging Ailments on Enemies |
| Ailment Magnitude | 10% increased Magnitude of Ailments you inflict |
| Non-Damaging Ailment Magnitude | 10% increased Magnitude of Non-Damaging Ailments you inflict |
| Spell Critical Chance and Critical Ailment Effect | 10% increased Critical Hit Chance for Spells15% increased Magnitude of Damaging Ailments you inflict with Critical Hits |
| Breaking Point | 30% increased Magnitude of Non-Damaging Ailments you inflict10% increased Duration of Elemental Ailments on Enemies |
| Cruel Fate | 20% increased Critical Damage Bonus20% increased Magnitude of Non-Damaging Ailments you inflict with Critical Hits |
| Deterioration | 20% increased Magnitude of Damaging Ailments you inflictDamaging Ailments Cannot Be inflicted on you while you already have one |
| Lasting Trauma | 30% increased Magnitude of Ailments you inflict20% increased Duration of Damaging Ailments on Enemies5% reduced Attack Speed |
| Shredding Force | 15% increased Critical Hit Chance for Spells15% increased Critical Spell Damage Bonus15% increased Magnitude of Damaging Ailments you inflict with Critical Hits |
Ailment duration
| Name | Stats |
| Ailment Chance and Duration | 6% increased chance to inflict Ailments6% increased Duration of Damaging Ailments on Enemies |
| Ailment Duration | 10% increased Duration of Ailments on Beasts |
| Ailment Effect and Duration | 5% increased Magnitude of Ailments you inflict5% increased Duration of Damaging Ailments on Enemies |
| Breaking Point | 30% increased Magnitude of Non-Damaging Ailments you inflict10% increased Duration of Elemental Ailments on Enemies |
| Decrepifying Curse | 20% increased duration of Ailments you inflict against Cursed Enemies |
| Exposed to the Inferno | Damage Penetrates 18% Fire Resistance15% increased Duration of Ailments against Enemies with Exposure |
| Hunter | 50% increased Damage against Demons50% increased Immobilisation buildup against Constructs50% increased Duration of Ailments on Beasts50% increased Critical Hit Chance against Humanoids |
| Intense Dose | 20% increased chance to inflict Ailments15% increased Duration of Damaging Ailments on Enemies |
| Lasting Trauma | 30% increased Magnitude of Ailments you inflict20% increased Duration of Damaging Ailments on Enemies5% reduced Attack Speed |
| Protraction | 20% increased Skill Effect Duration15% increased Duration of Damaging Ailments on Enemies |
| Shedding Skin | 40% increased Elemental Ailment Threshold10% reduced Duration of Ailments on You |
Ailment threshold
| Name | Stats |
| Ailment Threshold | 15% increased Elemental Ailment Threshold 25% increased Elemental Ailment Threshold |
| Ailment Threshold and Companion Resistance | 8% increased Elemental Ailment ThresholdCompanions have +12% to all Elemental Resistances |
| Ailment Threshold and Slow Effect on You | 10% increased Elemental Ailment Threshold5% reduced Slowing Potency of Debuffs on You |
| Ailment Threshold from Energy Shield | Gain additional Ailment Threshold equal to 12% of maximum Energy Shield |
| Stun and Ailment Threshold from Energy Shield | Gain additional Stun Threshold equal to 8% of maximum Energy ShieldGain additional Ailment Threshold equal to 8% of maximum Energy Shield |
| Against the Elements | 30% increased Elemental Ailment Threshold15% reduced Slowing Potency of Debuffs on You |
| Dampening Shield | 28% increased maximum Energy ShieldGain additional Stun Threshold equal to 12% of maximum Energy ShieldGain additional Ailment Threshold equal to 12% of maximum Energy Shield |
| Eldritch Will | Gain additional Stun Threshold equal to 15% of maximum Energy ShieldGain additional Ailment Threshold equal to 15% of maximum Energy Shield3% increased maximum Life, Mana and Energy Shield |
| Fan the Flames | 40% increased Elemental Ailment Threshold25% reduced Ignite Duration on you |
| Favourable Odds | 30% increased Block chance while Surrounded10% increased Deflection Rating while Surrounded40% increased Ailment and Stun Threshold while Surrounded |
| Feel the Earth | 40% increased Elemental Ailment Threshold25% reduced Shock duration on you |
Miscellany
| Name | Stats |
| Damage against Ailments | 12% increased Damage with Hits against Enemies affected by Elemental Ailments |
| Faster Ailments | Damaging Ailments deal damage 5% faster |
| Deterioration | 20% increased Magnitude of Damaging Ailments you inflictDamaging Ailments Cannot Be inflicted on you while you already have one |
| Direct Approach | 35% increased Critical Hit Chance against Enemies that are affectedby no Elemental Ailments |
| Exploit | 25% increased Damage with Hits against Enemies affected by Elemental Ailments15% increased Duration of Ignite, Shock and Chill on Enemies |
| Exploit the Elements | 24% increased Damage with Hits against Enemies affected by Elemental Ailments30% increased chance to inflict Ailments against Rare or Unique Enemies |
| Exposed Wounds | 15% increased chance to inflict AilmentsHits Break 30% increased Armour on targets with Ailments |
| Fast Acting Toxins | Damaging Ailments deal damage 12% faster |
| Harness the Elements | 20% increased Damage for each type of Elemental Ailment on Enemy |
| Splinters | Hits Break 50% increased Armour on targets with Ailments30% increased Stun Buildup |
| Stand Ground | Regenerate 1% of maximum Life per second while stationaryRegenerate 1% of maximum Life per second while affected by any Damaging Ailment |
Paths Not Taken passive skills
The following passive skills are exclusive the Oracle with The Unseen Path allocated:
| Name | Stats |
| Elemental Threshold | 17% increased Elemental Ailment Threshold |
| Stun and Elemental Threshold | 11% increased Stun Threshold11% increased Elemental Ailment Threshold |
| Flesh Withstands | 21% increased Stun Threshold21% increased Elemental Ailment Threshold30% increased Life Regeneration rate while Ignited+500 to Armour while Frozen30% increased Mana Regeneration Rate while Shocked |
Ascendancy passive skills
The following Ascendancy passive skills are related to ailments:
| AscendancyClass | Name | Stats |
| Acolyte of Chayula | Inner Turmoil | Gain 1 Volatility on inflicting an Elemental AilmentTake no Damage from Volatility |
| Invoker | ...and I Shall Rage | Grants Skill: Unbound Avatar |
| Smith of Kitava | Heatproofing | Body Armour grants Unaffected by Damaging Ailments |
| Tactician | Polish That Gear | Gain Deflection Rating equal to 20% of ArmourGain 100% of Evasion Rating as extra Ailment Threshold |
Version history
| Version | Changes |
| 0.2.0e | Bleeding no longer only considers damage dealt to the target's life. Damage dealt to energy shield (or mana) can now cause bleeding. Spreading ignites, such as from WildfireWildfireSupport, AoE, FireC |
| 0.2.0 | Player base Ailment Threshold is now half of Maximum Life (previously all of Maximum Life). |
| 0.1.0 | Introduced to the game |
