Path of Exile 2 Sacrificial Heart Guide – Location and Usage

Publication date : 2025-10-09

Table of Contents

Where can the Sacrificial Heart to be found?
How do you use the Sacrificial Heart?
Conclusion

In Path of Exile 2, the Sacrifice Heart is an item you absolutely have to see. It is described as a soul still connected to the remnants of life—and that is exactly what grants your character permanent advantages. In summary: To become stronger, you need to hunt this part. Here you will find information on where to find the Sacrificial Heart and what you can do with it.

Where can the Sacrificial Heart to be found?

You need to reach the 3rd Act to even have a chance at the Sacrificial Heart. In this place, certain enemies drop the heart, but without guarantee.That means crush everything that comes your way. The hotspots where the drop chance is increased are: Utzaal—You enter after the portal from the Ziggurat camp. Aggorat—it is located immediately behind Utzaal. These two types of enemies are the ones most likely to drop your heart: Vaal Goliaths and Vaal Overseers. In Utzaal, you can farm these mobs multiple times. In Aggorat, it works too, but the access is a bit tricky. In Utzaal, after the boss fight, you hear singing—follow the sound, go behind the statue, and up the stairs. Here is a new area.

Important: The drop rate is heavily influenced by elite monsters. If you don't get any hearts, just stay relaxed. You can reset the instances via the checkpoints in Utzaal or Aggorat and restart the grind.

How do you use the Sacrificial Heart?

After you have picked one up, you return to Aggorat and enter the dungeon "Trail of Sacrifice." The altar is not always in the same place, but it is usually found in the northeast. On your way, you will find Blood Sacrifice and must defeat an elite enemy before the altar. Guided upwards by steps, you arrive directly at the grand sacrificial site. This is how the ritual is performed: Place the sacrificial heart on the altar in the center. Pierce the heart and unsheathe the sacrificial dagger. The sacrifice is performed while kneeling; your character and the target disappear.

The reward is really high for that:

+2 passive skill points

+2 weapon skill points

These points are permanent and can be freely distributed—ideal for making builds even more rounded.

Attention: You can only use each Sacrifice Heart once. If you miss the moment, it's no problem—just reload Aggorat and try again.

Conclusion

The Sacrifice Heart is not just a simple drop item; it is a boost for your entire journey in Path of Exile 2. The farming and sacrifice you undertake for it are rewarded with permanent skill points—something that is worth its weight in gold in a game like PoE2.

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