All Malignant Hearts in Diablo 4 Listed

Collecting hearts like I'm Jack the Ripper

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.

Table of Content

All General Malignant Hearts

NameTypeWorld Tier RequirementEffect
The PicanaVicious / OffensiveN/ACritical 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 DanceVicious / OffensiveWorld Tier 3Every 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 FateVicious / OffensiveWorld Tier 3 You gain 40-60% Critical Strike Damage but your Non-Critical Strikes deal 20-15% less damage.
The LionheartBrutal / DefensiveN/AYou gain 10% Barrier Generation. You Heal 3-7 Life per second while you have an active Barrier.
RevengeBrutal / DefensiveWorld Tier 310-20% 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 HeartBrutal / DefensiveWorld Tier 3You 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.
DeterminationDevious / UtilityN/AResource draining effects are 40-50% less effective. In addition, gain 3.0-8.0% increased Resource Generation.
RetaliationDevious / UtilityWorld Tier 3 Deal 510-680 Fire damage to surrounding enemies whenever a Crowd Control effect is removed from you.
The CalculatedDevious / UtilityWorld Tier 3After spending 150-200 of your Primary Resource, your next attack Stuns enemies hit for 2 seconds.
The Malignant PactWrathful / SuperN/ACycle 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 DeathWrathful / SuperN/AYour 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 BarberWrathful / SuperWorld Tier 3Critical 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

NameTypeWorld Tier RequirementEffect
Focused RageVicious / OffensiveN/AAfter spending 100-60 Fury within 2 seconds, your next Non-Basic Skill’s Critical Strike Chance is increased by 20-30%.
Resurgent LifeBrutal / DefensiveN/AWhile below 40-60% Life, you receive 50-60% more Healing from all sources.
Punishing SpeedDevious / UtilityN/AYour 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 PainWrathful / SuperWorld Tier IVIncoming damage has a 5-15% chance of being ignored and instead Healing you for 17-68.

Druid Malignant Hearts

NameTypeWorld Tier RequirementEffect
The MoonrageVicious / OffensiveN/AKills have a 5% chance to summon a Wolf Companion to your side for 20-30 seconds. In addition, gain +3 to Wolves.
The Agitated WindsBrutal / DefensiveN/AWhen 8-13 Close enemies, automatically cast Cyclone Armor. This cannot occur more than once every 10-20 seconds.
Inexorable ForceDevious / UtilityN/AUp to 30-50 Distant enemies are pulled toward you while you have an Ultimate Skill active.
The Unconstrainted BeastWrathful / SuperWorld 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

NameTypeWorld Tier RequirementEffect
The SacrilegiousVicious / OffensiveN/AWalking near a Corpse automatically activates an equipped Corpse Skill every second, dealing 40-30% reduced damage.
The Decrepit AuraBrutal / DefensiveN/AWhen at least 5 enemies are near you, gain an aura that automatically curses surrounding enemies with Decrepify for 5-15 seconds.
Frozen TerrorDevious / UtilityN/AUp to a 10-20% chance of inflicting Fear for 2.5 seconds. Feared enemies are Chilled for 20% every second.
The Great FeastWrathful / SuperWorld Tier IVEach 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.

Related: All Class Changes in Diablo 4 Season 1 Listed

Rogue Malignant Hearts

NameTypeWorld Tier RequirementEffect
Cluster MunitionsVicious / OffensiveN/ALucky 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.
TrickeryBrutal / DefensiveN/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 ClipshotDevious / UtilityN/ALucky 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 ApothecaryWrathful / SuperWorld Tier IVYour attacks have a 5-15% chance to apply all Imbuement effects at 40-50% of normal potency.

Sorcerer Malignant Hearts

NameTypeWorld Tier Requirement Effect
Tal’RashaVicious / OffensiveN/AFor each unique element you deal damage with, you deal 7-12% increased damage for 3-10 seconds.
SpellbreakingBrutal / DefensiveN/AAfter taking Elemental damage, gain 20-40% Resistance to that element for 5 seconds.
SpiteDevious / UtilityN/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.
OmnipowerWrathful / SuperWorld Tier IVCore 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%.

For more information on Malignant Hearts, ranging from how to get them to how to socket them, check out our guide here: What Are Malignant Hearts in Diablo 4 – Answered.

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Daphne Fama
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