Uploaded February 2023 | Updated September 2026, 1 day ago

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POB: pastebin.com/NKi1nDzK

How the Wurm's Molt leech works: youtube.com/watch?v=STZVxY7Xwxw

0:00 - Toxic Sewer Mapping
1:09 - Intro
1:46 - How the build works
9:15 - Minimum required items
16:02 - Luxury desirable items
18:34 - Optional items
21:07 - Other ideas
23:16 - All gems, gear, tree
24:12 - Conclusion
24:28 - Shaper kill

Summary:
- Cyclone cwc forbidden rite poison, recover with wurms + leech flask (78% of life/sec with my setup), immortal ambition to leech at full life
- Defensive flasks with perma sustain
- Trigger cast when damage taken, blade vortex, curses, immortal call
- poison prolif and unspeakable gifts explosion for fast clearing
- Mana issues solved with Mana recoup mastery
- FR -- 14 projectiles auto-aims enemies, and additional 6 proj shoots at mouse cursor (against bosses, I get 1+6=7 proj.)
- Pantheon: Lunaris, Garukhan
- Bandits: kill all
- Map mods I cant run: less recovery, reduced flask charge, minus max res
- Map mods I can run: reflect (use deadly ailments on BV), no leech (I self-leech), no regen (I recoup mana)

Necessary items/gear/stats (Can start on budget):
- I recommend leveling with poison concoction.
- Vaal pact (on tree, relic, or skin of lords)
- 6link chest (vaal pact skin of lords recommended)
- Wurm's molt (look for high life leech rate)
- Nearly perfect flasks (Reduced mana, curse effect, leech. But unique flasks are unnecessary)
- 100% chance to poison (tree, herald of agony, cluster jewels, circle of nostalgia)
- Glorious vanity jewel with Ahuana, wither on hit, immortal ambition keystone (to leech on full life)

Get eventually, but not necessary to start:
- progenesis (be tanky)
- lvl 3 awakened CWC (lvl 3 + 2 from chest = stun immune)
- Divergent cyclone (fast)
- Anomolous FR (more proj)
- Divergent BV (more stacks)
- Cluster jewels (unspeakable gifts, overwhelming malice, enduring composure)
- Impossible escape - iron reflexes
- Watcher's eye

Optional:
- gloves, helm, boots, weapon, rings, amulet are all quite flexible. Spend as much as u can/want
- Chest (I use dialla but it can be anything. Skin of lords is cheap and very good)
- Divergent BV Divergent CWDT 6 link (adds extra damage)
- Enhance support (Void manipulation is more damage, but enhance is higher clear speed. More speed and Anomolous FR projectiles)
- immortal call (replace with inspiration if triggering curses have mana issues)
- Anomolous GMP (helps with mana)
- Ashes of the stars (Improves BV stacks, cyclone speed, herald poison chance, FR proj)

Other ideas I considered:
- Replace BV with something else? (I chose BV because it is a duration spell that works well with poison. Other spells could work too)
- Dying sun (good dmg but bad sustain, so I dont like it)
- call of void/winterweave self-reverse-chill (doesnt work well with taste of hate)
- non-poison spell hit version (cant poison prolif, but can do petrified blood + pain attunement)