Vitality Decay Damage is a type of duration damage associated with Vitality Damage. Spirit increases vitality decay damage at a rate of 0.33% per point. It is the least common damage type.



Solael's Witchfire (Skill) Icon Solael's Witchfire: Adds +% vitality decay

  • Second Rite (Skill) Icon Second Rite: Adds vitality decay damage to Solael's Witchfire

Possession (Skill) Icon Possession: Adds +% vitality decay

Blood of Dreeg (Skill) Icon Blood of Dreeg


Anatomy of Murder (Skill) Icon Anatomy of Murder: Adds +% vitality decay and +% vitality decay duration


Wendigo Totem (Skill) Icon Wendigo Totem

  • Blood Pact (Skill) Icon Blood Pact: Adds +% vitality decay and +% vitality decay duration to Wendigo Totem

Grasping Vines (Skill) Icon Grasping Vines

  • Entangling Vines (Skill) Icon Entangling Vines: Adds vitality decay damage to Grasping Vines


File:Necrotic Edge (Skill) Icon.png Necrotic Edge: Deals vitality decay damage

File:Siphon Souls (Skill) Icon.png Siphon Souls

File:Drain Essence (Skill) Icon.png Drain Essence: Deals vitality decay damage

File:Harbinger of Souls (Skill) Icon.png Harbinger of Souls: Deals vitality decay damage, adds +% vitality decay and +% vitality decay duration

File:Bone Harvest (Skill) Icon.png Bone Harvest

File:Reap Spirit (Skill) Icon.png Reap Spirit: Deals vitality decay damage

File:Ill Omen (Skill) Icon.png Ill Omen: Deals vitality decay damage


File:Path of the Three (Skill) Icon.png Path of the Three: Adds +% vitality decay

Non-mastery skillsEdit

  • Reaping Cascade: Granted by Omen


Base itemsEdit

  • Daggers
    • Sacrificial Knife
    • Spellblade
    • Ritual Blade
  • Off-Hands
    • Groble Death Idol
    • Groble Death Effigy
  • Scepters
    • Wand
    • Scepter
    • Arcane Wand
    • Ritual Wand
    • Ritual Scepter
    • Exalted Scepter

Unique itemsEdit

Monster infrequent itemsEdit



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