How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (2024)

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (1)
You can use the Malignant Heart to summon the Echo of Varshan in Diablo 4 (D4). Read on to learn more about the Malignant Heart, how to get it and farm, how to use it, and so much more.

Malignant Body Parts
Gurgling Head Trembling Hand Blackened Femur How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (5)Malignant Heart

List of Contents

  • How to Get
  • How to Use
  • Overview
  • Season 1
  • Related Guides

How to Get Malignant Hearts

How to Get Malignant Hearts

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (6)Whispers of the Dead Caches

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (7)Kill Treasure Goblins and Helltide Elites

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (8)Elites on Nightmare Dungeon

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (9)Complete Legion and World Boss Events

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (10)Season Journey Reward Caches

Whispers of the Dead Caches

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (11)
You can obtain the Malignant Heart by completing the Whispers of the Dead quest and opening the cache reward from the Tree of Whispers.

How to Complete the Tree of Whispers

Kill Treasure Goblins, Hellborne, and Blood Maiden

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (12)
Killing a Treasure Goblins, Hellborne, and Blood Maiden has a chance to drop a random Malignant Body Part. You can easily find them in areas with Grim Favor rewards and Helltide Events. This means you can grind for these Elite enemies while completing your Whispers of the Dead quest.

Helltide Event Guide

Elites on Nightmare Dungeon

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (13)
Elites found inside Nightmare Dungeons have a chance to drop Malignant Heart. Try to clear the entire dungeon of any events that spawns a lot of Elites to make the most out of your runs.

Nightmare Dungeon Guide

Complete Legion and World Boss Events

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (14)
Malignant Hearts have a chance to be acquired as rewards upon completing Legion and World Bosses. The drop rate for Malignant Heart is quite high, but the downside is that the events are time-gated.

World Boss Guide Legion Event Guide

Season Journey Reward Caches

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (15)
You can also receive a variety of boss summoning materials by opening the Cache Rewards from completing the Season Journey. This will give you a ton of materials, so make sure not to skip this, as it can help you obtain the necessary uniques you need to progress your character as you prepare for the endgame.

How to Complete Season Journey and Rewards

Transfers to Your Stash

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (16)
If you miss a Malignant Heart drop, it will automatically be transferred to your stash. Be sure to check the Missed Equipment tab in your stash periodically.

How to Use Malignant Hearts

Summons Echo of Varshan

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (17)
Malignant Heart is used to summon the Echo of Varshan inside the Malignant Burrow, located in The Writhing Mire beside the Tree of Whispers in the Hawezar region. Do note that as of Season 5 (Season of the Infernal Horde), the Malignant Heart is the only required item for summoning the Echo of Varshan.

Echo of Varshan Location and Unique Drops

Malignant Heart Overview

Malignant Heart Description

Malignant Heart Overview
How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (18) Type Consumable - Summoning
Sell Value 30,000 Gold
Description Assembled beneath The Tree of Whispers within Malignant Burrow to summon a powerful enemy. Collected from Whisper caches.
Drops randomly from Elites, Local Events, Treasure Goblins, Hellborne, and Blood Maiden.

Malignant Body Parts

Season 1 Malignant Hearts

Seasonal Mechanic That Grants Abilities

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (19)
Back in Season 1, Malignant Hearts were items dropped by infected enemies to be used in equipment with Infested Sockets. These granted new abilities and unique effects, and there were a total of 32 Malignant Hearts in Season 1.

Drops From Malignant Enemies

Malignant Enemy Types

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (20)

Vicious Malignant

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (21)

Brutal Malignant

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (22)

Devious Malignant

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (23)

Wrathful Malignant

There were four types of Malignant Enemies: Vicious, Brutal, Devious, and Wrathful monsters. They are tougher than the average enemy and have different abilities. They are identifiable by their colors and drop a specific type of Malignant Heart.

Season 1 Release Time and What We Know

Crafting and Salvaging Hearts in Season 1

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (24)
In season 1, you can visit Cormond's wagon to salvage unwanted Malignant Hearts for Ichor. Ichor is a resource used in crafting Malignant Hearts. Salvaging a Vicious, Brutal, or Devious Heart will yield 5-15 Ichor, while salvaging a Wrathful Heart will yield 2-5 Ichor, as with all other Heart types.

To craft a random Heart of a specific type, you would need 35 Ichor of the other Heart types. For example, if you want to craft a random Brutal heart, you would need 35 Vicious Ichor and 35 Devious Ichor. This means that on average, you will need to salvage ~7 Hearts to craft 1 new Heart.

Diablo 4 Related Guides

How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (25)

List of All Bosses

All Bosses By Type

Main Quest BossesStronghold Bosses
Dungeon BossesUber Bosses

All Uber Bosses and Required Materials

Uber Boss Required Materials
Lord Zir Exquisite Blood
Echo of Varshan Malignant Heart
Grigoire Living Steel
Duriel Mucus-Slick Egg
Shard of Agony
The Beast in the Ice Distilled Fear
Echo of Andariel Sandscorched Shackles
Pincushioned Doll
Uber Lilith None

All Bosses Per Region

Fractured Peaks Scosglen Dry Steppes
Kehjistan Hawezar
How to Get Malignant Hearts | Diablo 4 (D4)|Game8 (2024)
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