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Path of Exile 2 Sacrificial Heart Guide: Location, Ritual, and Rewards

Find the Sacrificial Heart in Utzaal or Aggorat, complete the Blood Sacrifice ritual, and claim two Weapon Set Passive Skill Points.

Path of Exile 2 Sacrificial Heart Guide: Location, Ritual, and Rewards
Path of Exile 2 Sacrificial Heart Guide: Location, Ritual, and Rewards

The Sacrificial Heart is an optional quest item in Path of Exile 2 that rewards careful exploration with additional character progression points. Finding it is straightforward once we know which enemies to target, but completing the objective requires reaching the correct altar in Aggorat. When planning our campaign progression and managing POE 2 Currency, we recommend handling this objective while Act 3 is still fresh in our route.

Our team has found that the main challenge is not defeating the enemies themselves, but connecting the heart's drop location with its actual use. The item does not grant its reward simply by entering the inventory. We need to carry it to the Blood Sacrifice altar, collect the required dagger, and interact with the ritual site to finish the process.

Where to Find the Sacrificial Heart

The Sacrificial Heart drops randomly from Vaal Goliaths in two Act 3 areas: Utzaal and Aggorat. These enemies are the specific targets to look for, so defeating unrelated monsters is not a reliable way to complete the objective.

Utzaal is a natural starting point because it appears before Aggorat along the campaign route. If the heart has not dropped by the time we reach Aggorat, we can continue checking eligible enemies there instead of repeatedly clearing areas that cannot provide the item.

LocationWhat to doPractical advice
UtzaalDefeat Vaal GoliathsCheck the surrounding packs while progressing through the area
AggoratContinue hunting Vaal Goliaths if neededKeep the heart's destination in mind while exploring
Blood SacrificeComplete the ritual after obtaining the heartThis is the reward location, not the farming target

Because the drop is random, there is no guaranteed number of enemies we can defeat before receiving it. Our recommendation is to prioritize Vaal Goliaths encountered along the normal route rather than turning the objective into an unnecessarily long farming session.

Vaal Goliaths in the Utzaal area of Path of Exile 2
Vaal Goliaths in Utzaal and Aggorat are the enemies to target when searching for the Sacrificial Heart.

How to Find the Blood Sacrifice Altar

Once we have the heart, our next destination is Aggorat. Explore the Trial of Sacrifice section and watch for the Blood Sacrifice landmark on the map. The altar is located near a checkpoint, which provides a useful reference when navigating the area.

The landmark name matters. Aggorat contains several paths and encounters, so searching for an unspecified altar can waste time. We recommend checking the map as we approach the Trial of Sacrifice instead of pushing directly toward the next major encounter.

If we reach the entrance to The Black Chambers without finding the ritual site, we should review the explored section of Aggorat and check for any missed paths. The Blood Sacrifice landmark is the point we need to locate before moving on.

Blood Sacrifice altar in the Trial of Sacrifice area of Aggorat
Look for the Blood Sacrifice altar near a checkpoint in Aggorat's Trial of Sacrifice area.

How to Use the Sacrificial Heart

Completing the ritual requires both the Sacrificial Heart and the Sacrificial Dagger. The dagger can be picked up directly in front of the altar, so we do not need to search for a separate dungeon or defeat another boss specifically to obtain it.

Follow these steps to finish the objective:

  • Enter Aggorat and locate the Blood Sacrifice altar in the Trial of Sacrifice area.
  • Pick up the Sacrificial Dagger lying in front of the altar.
  • Interact with the altar and place the Sacrificial Heart on it.
  • Use the dagger to perform the sacrifice.
  • Confirm that the reward has been granted before leaving the area.

Carrying the Sacrificial Heart is only preparation for the ritual, not completion of the objective. We must use the Sacrificial Dagger at the Blood Sacrifice altar to receive the reward.

The most common mistake is stopping after collecting the heart. Carrying the item is only preparation for the ritual, not completion of the objective. Our team recommends finishing the interaction immediately when the altar is available, especially if we are already close to the end of Act 3.

Sacrificial Heart and Sacrificial Dagger ritual at the Blood Sacrifice altar
Place the Sacrificial Heart on the altar and use the Sacrificial Dagger to complete the ritual.

What Rewards Does the Ritual Give?

Completing the sacrifice grants two Weapon Set Passive Skill Points. These points are associated with weapon-set passive allocation and should not be confused with two additional ordinary passive-tree points.

This distinction matters when planning a character's progression. Weapon-set passive points provide flexibility for builds that use different weapon configurations, allowing us to tailor passive allocations to the relevant weapon set rather than treating every point as interchangeable.

For players comparing progression options or looking for cheap POE 2 Orbs, it is worth remembering that this objective rewards points through gameplay rather than through an item purchase. Completing the ritual is therefore a useful step to include in our campaign checklist.

We also recommend checking the character's available weapon-set points after the interaction. This simple confirmation helps distinguish a successfully completed ritual from an objective that has been left unfinished.

The ritual rewards two Weapon Set Passive Skill Points, not two ordinary passive-tree points. Keep this distinction in mind when planning your character's progression.

Summary

The Sacrificial Heart objective is easy to overlook if we focus only on the main campaign route, but the solution is simple once we understand the sequence. Hunt Vaal Goliaths in Utzaal or Aggorat, find the Blood Sacrifice altar in Aggorat, pick up the Sacrificial Dagger, and perform the ritual.

The reward is two Weapon Set Passive Skill Points. Our team's main recommendation is to complete the ritual while we are already exploring Act 3, rather than leaving the heart in our inventory and relying on an older campaign guide to find the way back later.

FAQ

Can the Sacrificial Heart drop from any monster?

No. The heart drops randomly from Vaal Goliaths in Utzaal and Aggorat. Focus on these enemies instead of farming unrelated monster packs.

Where exactly do we use the Sacrificial Heart?

Use it at the Blood Sacrifice altar in the Trial of Sacrifice area of Aggorat. The Sacrificial Dagger is found directly in front of the altar.

Does the ritual give ordinary passive skill points?

The reward described for this ritual is two Weapon Set Passive Skill Points. Do not confuse these with ordinary passive-tree points when planning your build.

What if we have already progressed beyond Act 3?

Check the current campaign map and available waypoints before following older instructions that refer to Cruel difficulty. Campaign access and progression routes can change between versions, so use the current route available to your character rather than assuming an older method still applies.

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