If you thought gems felt a little lackluster in the Eternal Realm, Season 1 of Diablo has the answer. Malignant Hearts are much more powerful and we have 32 to farm and build around. Here are all Malignant Hearts in Diablo 4.
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All Caged Hearts in Diablo 4 Listed
Malignant Hearts (or Caged Hearts) have been unveiled in Season 1 and fall into four categories: vicious, brutal, devious, and wrathful. And within each of these categories are Malignant Hearts that range in power. Some Hearts are available for all classes, some Hearts are class-specific. So, let’s dive right in. Click on the link of the class you’re most interested in to be brought straight there.
Critical Strikes electrically charge the enemy for 0.75-2.50 seconds, causing lightning to arc between them and any other charged enemies dealing 68-136 Lightning damage.
The Dark Dance
Vicious / Offensive
World Tier 3
Every 5 seconds while above 60% Life, Core Skills cost 68-51 Life instead of your Primary Resource. Skills that consume Life deal 10-20% increased damage.
Tempting Fate
Vicious / Offensive
World Tier 3
You gain 40-60% Critical Strike Damage but your Non-Critical Strikes deal 20-15% less damage.
The Lionheart
Brutal / Defensive
N/A
You gain 10% Barrier Generation. You Heal 3-7 Life per second while you have an active Barrier.
Revenge
Brutal / Defensive
World Tier 3
10-20% of incoming damage is instead suppressed. When you use a Defensive, Subterfuge or a Macabre skill, all suppressed damage is amplified by 250% and explodes, dealing up to 1360-2040 Fire damage to Nearby enemies.
Prudent Heart
Brutal / Defensive
World Tier 3
You become Immune for 2.0-4.0 seconds after you lose more than 20% Life in a single hit. This effect can only occur once every 110 seconds.
Determination
Devious / Utility
N/A
Resource draining effects are 40-50% less effective. In addition, gain 3.0-8.0% increased Resource Generation.
Retaliation
Devious / Utility
World Tier 3
Deal 510-680 Fire damage to surrounding enemies whenever a Crowd Control effect is removed from you.
The Calculated
Devious / Utility
World Tier 3
After spending 150-200 of your Primary Resource, your next attack Stuns enemies hit for 2 seconds.
The Malignant Pact
Wrathful / Super
N/A
Cycle through a Malignant bonus every 20 kills: Vicious: Gain 20% Attack Speed. Devious: Core and Basic Skills have a 15% chance to fully restore your Primary Resource. Brutal: Every 21 seconds, gain a Barrier absorbing 85-102 damage.
Creeping Death
Wrathful / Super
N/A
Your damage over time effects are increased by 30-40% for each different Crowd Control effect on the target. Unstoppable monsters and Staggered bosses instead take 110-130% increased damage from your damage over time effects.
The Barber
Wrathful / Super
World Tier 3
Critical Strikes and all subsequent damage within 2.0-4.0 seconds is absorbed by your target. Then, the absorbed damage erupts onto surrounding enemies. Stored damage is increased by 10% per second.
Barbarian Malignant Hearts
Name
Type
World Tier Requirement
Effect
Focused Rage
Vicious / Offensive
N/A
After spending 100-60 Fury within 2 seconds, your next Non-Basic Skill’s Critical Strike Chance is increased by 20-30%.
Resurgent Life
Brutal / Defensive
N/A
While below 40-60% Life, you receive 50-60% more Healing from all sources.
Punishing Speed
Devious / Utility
N/A
Your Skills have a 20-30% chance to Knock Down all enemies for 1.25 seconds when that Skill’s Attack Speed is higher than 35-20%.
Ignoring Pain
Wrathful / Super
World Tier IV
Incoming damage has a 5-15% chance of being ignored and instead Healing you for 17-68.
Druid Malignant Hearts
Name
Type
World Tier Requirement
Effect
The Moonrage
Vicious / Offensive
N/A
Kills have a 5% chance to summon a Wolf Companion to your side for 20-30 seconds. In addition, gain +3 to Wolves.
The Agitated Winds
Brutal / Defensive
N/A
When 8-13 Close enemies, automatically cast Cyclone Armor. This cannot occur more than once every 10-20 seconds.
Inexorable Force
Devious / Utility
N/A
Up to 30-50 Distant enemies are pulled toward you while you have an Ultimate Skill active.
The Unconstrainted Beast
Wrathful / Super
World Tier IV
When you are hit with a Stun, Freeze or Knock Down effect, there is a 40-60% chance to automatically activate Grizzly Rage for 3 seconds.
Necromancer Malignant Hearts
Name
Type
World Tier Requirement
Effect
The Sacrilegious
Vicious / Offensive
N/A
Walking near a Corpse automatically activates an equipped Corpse Skill every second, dealing 40-30% reduced damage.
The Decrepit Aura
Brutal / Defensive
N/A
When at least 5 enemies are near you, gain an aura that automatically curses surrounding enemies with Decrepify for 5-15 seconds.
Frozen Terror
Devious / Utility
N/A
Up to a 10-20% chance of inflicting Fear for 2.5 seconds. Feared enemies are Chilled for 20% every second.
The Great Feast
Wrathful / Super
World Tier IV
Each Minion drains 1.0-2.0 Essence per second but deals 50-75% increased damage. With no Minions, this bonus applies to you and drains 5 Essence per second.
Lucky Hit: You have up to a 20% chance to launch 3 Stun Grenades that deal 26-32 Physical damage and Stun enemies for 0.50 seconds.
Trickery
Brutal / Defensive
N/A
When you use a Subterfuge Skill, leave behind an unstable Shadow Decoy Trap that Taunts enemies. The Shadow Decoy Trap will explode after 6.0 seconds dealing 680-1020 Shadow damage. Cannot occur more than once every 5 seconds.
The Clipshot
Devious / Utility
N/A
Lucky Hit: Up to a 20-40% chance for your Cutthroat Skills to Slow by 40% for 3 seconds and your Marksman Skills to Knock Back enemies.
The Vile Apothecary
Wrathful / Super
World Tier IV
Your attacks have a 5-15% chance to apply all Imbuement effects at 40-50% of normal potency.
Sorcerer Malignant Hearts
Name
Type
World Tier Requirement
Effect
Tal’Rasha
Vicious / Offensive
N/A
For each unique element you deal damage with, you deal 7-12% increased damage for 3-10 seconds.
Spellbreaking
Brutal / Defensive
N/A
After taking Elemental damage, gain 20-40% Resistance to that element for 5 seconds.
Spite
Devious / Utility
N/A
When you are afflicted with a Crowd Control effect, there is a 20-40% chance that the same enemy and enemies around you are also afflicted with the same effect for 3 seconds.
Omnipower
Wrathful / Super
World Tier IV
Core Skills that launch a projectile consume all of your Mana. For every 45-35 extra Mana consumed, you launch an additional projectile, and the damage is increased by 3.0-5.0%.
A Staff Writer at Prima Games since 2022, Daphne Fama spends an inordinate amount playing games of all stripes but has a soft spot for horror, FPS, and RPGs. When she’s not gaming, she’s an author and member of the Horror Writers Association with a debut novel coming out in 2025. In a previous life, she was an attorney but found she preferred fiction to contracts and forms