Hunting for the elusive Sacrificial Heart in Path of Exile 2? This mysterious, pulsating relic drops randomly from foes in the treacherous Utzaal and Aggorat regions of Act 3, but its true power lies not in possession, but in sacrifice. To unlock its potent rewards-two rare weapon set passive skill points-you must journey deep into Aggorat, find the hidden Sacrificial Dagger and altar, and perform a ritual that will forever enhance your combat prowess. Ready to turn this gruesome trophy into a game-changing boon? Here’s your essential guide to mastering the Sacrificial Heart quest on PC, PlayStation, and Xbox.
The item will appear as a random drop from enemies in Aggorat – and, since it’s a quest item, you cannot remove it from your inventory. The heart doesn’t seem to give you a quest to track and it takes up valuable space in your inventory, so you’ll need to figure out how to use the heart to get rid of it. On the bright side, it does provide you with a nice reward.
Here’s how to use the Sacrificial Heart in Path of Exile 2.
How to use the Sacrificial Heart in Path of Exile 2
To use the Sacrificial Heart in Path of Exile 2, first obtain it by defeating enemies in the Utzaal area during Act Three. After acquiring the heart, progress to the next zone, Aggorat, which you can access by defeating the Viper Napuatzi boss in Utzaal. In Aggorat, locate the Sacrificial Dais, a ritual altar usually found near the northeast side of the map, often marked by a green exclamation point and surrounded by bodies. At the altar, pick up the Sacrificial Dagger, place the Sacrificial Heart on the altar, and interact with it to complete the ritual. Doing so grants you two passive skill points and two weapon set skill points, which are valuable for customizing your character’s combat abilities. Since the altar’s exact location changes with each map, use your map markers and look for stairs leading to the ritual site to find it efficiently.
After exploring Aggorat, you may have come across the Sacrificial Heart, a quest item that’ll give you two weapon set passive skill points if sacrificed at the proper ritual site.
Now, all you have to do is find the ritual site. Luckily, the ritual site is on the same map, Aggorat, but it may take you some time to find it, as the maps in Path of Exile 2 are procedurally generated. You’ll need to explore the map until you find an altar that has a sacrificial dagger and a location to place the sacrificial heart.

Although the map is procedurally generated, every time we’ve found the ritual site, it has been up a set of stairs leading to the northeast. Once you head up the stairs, the ritual site will be in its own area exactly like the area shown in the image above.
To help ease your search, try opening your transparent map and search for a green exclamation point marker and any stairs heading northeast. The green marker and stairs can be easy to miss on your mini map, so there is a chance you already walked past it!
How can I unlock the secrets of the Sacrificial Heart in Path of Exile 2
To unlock the secrets of the Sacrificial Heart in Path of Exile 2, follow these key steps:
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Obtain the Sacrificial Heart: This quest item drops randomly from enemies in the Utzaal and Aggorat regions of Act 3. You may need to kill many foes or reset the area to get it.
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Access Aggorat: After defeating the Viper Napuatzi boss in Utzaal, proceed to Aggorat. If you have progressed past Act 3 or are on Cruel difficulty, use the Time Travel Gateway in Act 3 town to reach Aggorat and unlock its waypoint.
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Find the Ritual Altar: In Aggorat, locate the Sacrificial Dais (ritual altar), usually found in the northeast section of the Trail of Atziri area, past chanting Vaal and near the Atziri statue.
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Use the Sacrificial Heart: Pick up the Sacrificial Dagger from the altar, then interact with the altar to place and stab the Sacrificial Heart. This completes the sacrifice and rewards you with two rare Weapon Set passive skill points, which are valuable for customizing your build.
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Troubleshooting: If you missed sacrificing the heart before progressing to Act 1 Cruel or lost access to Aggorat, use the Time Travel Gateway in the Ziggurat Encampment to return and complete the quest.
By following these steps, you unlock the full potential of the Sacrificial Heart, gaining unique passive skill points essential for enhancing your weapon sets in Path of Exile 2.
What is the best way to ensure the Sacrificial Heart drops in PoE 2
The best way to ensure the Sacrificial Heart drops in Path of Exile 2 is to thoroughly clear all enemies in the Utzaal and Aggorat regions, as the heart is a random drop from foes in these areas. If it doesn’t drop after clearing all enemies, reset the area instances and repeat the process to maximize your chances. Using checkpoints in these zones helps to efficiently respawn enemies and farm the item. Additionally, targeting tougher enemies like Vaal Goliaths and Vaal Overseers may increase your odds. Staying persistent and methodical in clearing these areas and resetting instances every 8-15 minutes is the most effective strategy to obtain the Sacrificial Heart.
