Path of Exile 2: How to Get Atalui's Bloodletting and Its Unique Effects

Path of Exile 2 continues the legacy of deep build customization with its expanded gem system. Every gem has the potential to completely reshape how a character functions, from skill mechanics to resource management. Among the most sought-after support gems is Atalui's Bloodletting, a Lineage Lifetap gem that fundamentally changes how builds spend resources while also increasing their damage potential.

In this guide, we'll break down what Atalui's Bloodletting is, its unique effects, how to acquire it in Path of Exile 2, and which Path of Exile 2 Items benefit most from this powerful gem.

What Is Atalui's Bloodletting in Path of Exile 2?

Atalui's Bloodletting is part of the Lineage Support Gem category and specifically falls under the Lifetap type. Its primary function is to convert mana costs into hybrid life costs, allowing skills to be fueled by a player's health pool instead of relying exclusively on mana.

This provides a huge advantage for builds with low mana reserves but large life pools, giving them an efficient way to keep casting expensive skills. Beyond resource management, the gem also adds a unique damage boost mechanic by rewarding players for the life they sacrifice.

Item Information

·Category: Lifetap Support Gem

·Cost & Reservation Multiplier: 150%

·Requires Level: 65

·Support Requirements: +5 Strength

Unique Abilities

·Supports any skill by converting its mana cost into a life cost.

·Cannot support skills that reserve Spirit (aura-based setups are excluded).

·Supported skills gain a portion of their life cost back as extra Physical Damage.

·For every 10 lives spent, supported skills gain 2% of damage as extra Physical Damage.

This creates a high-risk, high-reward playstyle. The more life you spend to cast abilities, the more physical damage you deal. Heavy-hitting, high-cost skills become more powerful, rewarding aggressive players who can sustain the constant life drain through regeneration, leech, or defensive layering.

How to Get Atalui's Bloodletting in Path of Exile 2

Unlike many gems in the game that can drop from random sources, Atalui's Bloodletting is drop-restricted. This means you can only acquire it from specific bosses in the endgame.

Sealed Vault Bosses

The gem drops exclusively from Anomaly bosses within the Sealed Vault endgame maps, particularly:

·Ytzara, Blood Oracle

·Maztli, Flesh-Shaper

Both bosses can be found inside Estazunti's Vault (Sealed Vault Map), which is part of the Atlas endgame mapping system.

Unlocking the Sealed Vault

To enter the Sealed Vault, you must acquire the Idol of Estazunti, a special vault key.

·Item Type: Vault Key

·Description: Grants access to a Sealed Vault on the Atlas.

The Idol of Estazunti is not guaranteed. Instead, it randomly drops from enemies in maps surrounding the Sealed Vault region on the Atlas, making farming necessary. Given its RNG nature, you may need to grind extensively before gaining consistent access to the Vault and its bosses.

Builds That Benefit From Atalui's Bloodletting

Because of its dual function-resource management and bonus damage-Atalui's Bloodletting is highly versatile. However, certain archetypes benefit from it more than others.

1. Life-Leech and Life-Regeneration Builds

Any build with strong life recovery mechanics can comfortably use Atalui's Bloodletting. By converting mana costs into life costs, these builds can cast freely while their recovery systems counterbalance the drain. Popular examples include Marauder or Warrior archetypes that naturally invest in life sustain.

2. High-Cost Skill Builds

Skills with large mana requirements often restrict build creativity. With Atalui's Bloodletting, these skills instead use life as a resource, making them far easier to sustain. The added physical damage scaling makes them hit even harder.

3. Physical-Damage and Tanky Builds

Since the gem directly converts life spent into physical damage, any build focused on raw physical power synergizes perfectly. Tanky characters with large life pools can afford to sacrifice life per cast while still maintaining survivability. Heavy melee warriors, bleed builds, or slam-focused characters are prime candidates.

Pro Tip: If farming takes too long, some players turn to trading systems where they buy POE2 Currency to more quickly get gems, crafting bases, or Sealed Vault keys.

Why Atalui's Bloodletting Is So Powerful

Atalui's Bloodletting represents more than just another support gem-it's a build-defining item. It opens up new ways to play, especially for builds that would otherwise be constrained by mana limitations. By tapping into the life pool, it offers:

·Resource flexibility - No longer bottlenecked by low mana reserves.

·Scaling damage - The gem rewards aggressive spending with higher physical output.

·Unique playstyle options - Encourages experimentation with tanky or lifesteal-heavy setups.

The gem does have restrictions, such as not working with Spirit-reserving aura skills, but within its niche, it's incredibly impactful.

Final Thoughts

In Path of Exile 2, Atalui's Bloodletting stands as one of the most desirable support gems for endgame players. Its ability to convert mana costs into life costs while simultaneously amplifying physical damage makes it a cornerstone of aggressive, high-damage builds.

Acquiring it requires grinding for the Idol of Estazunti to unlock Sealed Vault maps, then defeating bosses like Ytzara, Blood Oracle, and Maztli, Flesh-Shaper. While the grind may be long, the payoff is enormous-granting you access to one of the most versatile and build-defining gems in the game.

If you're looking to push your Path of Exile 2 character into high-risk, high-reward gameplay, Atalui's Bloodletting might just be the gem that unlocks your build's full potential.