Pincushioned Doll is a summoning material in Diablo IV, used to challenge Andariel, one of the Greater Lair Bosses. She can be target-farmed for Uber Unique items in The Hanged Man's Hall, a dungeon located in the Scouring Sands of Kehjistan.
“A crude effigy, pierced and bound, steeped in anguish. It writhes faintly when held."
Diablo 4 Pincushioned Doll Features
Item Type: Lair Boss Key | Tier: Account-bound
Used For: Summoning Andariel in The Hanged Man's Hall
Required Quantity: 2 per summon | World Tier: Torment (WT4)
Dropped By: The Beast in the Ice | Lord Zir (rare)
Additional Sources: Tribute of Titans | World Bosses (low chance)
Can be traded with other players
Cannot be salvaged
Sell Value: 70,000 Gold
How to Use Pincushioned Doll in Diablo 4
To summon Andariel, players must:
Travel to: The Hanged Man's Hall, east of Tarsarak (Kehjistan)
Required Materials:
Difficulty Requirement: World Tier 4 (Torment)
Access Method: Interact with the altar in The Wounded Court
Andariel shares the same Uber Unique loot table as Duriel, including:
Harlequin Crest
The Grandfather
Doombringer
Andariel's Visage
Tyrael's Might
How to Obtain Pincushioned Doll in Diablo 4
Primary Source: The Beast in the Ice (Torment-only boss)
Secondary Source: Lord Zir (low chance from hoard chest)
Additional Sources:
Drop Type: RNG-based | Account-bound on pickup
Not Obtainable From: Helltide Chests | Whisper Caches | Nightmare Dungeons
Diablo 4 Pincushioned Doll FAQs
What is Pincushioned Doll used for in Diablo 4?
Pincushioned Doll is a Lair Boss Key required to unlock Andariel's Hoard after defeating her in the Hanged Man's Hall. As of Season 10, summoning Andariel no longer requires materials, but accessing her loot cache still requires Pincushioned Dolls. The hoard contains high-end drops including 925-level Uber Uniques.
How can I obtain Pincushioned Doll?
Pincushioned Dolls are obtained by opening reward caches from specific bosses:
Beast in the Ice's Hoard: Requires 12 Distilled Fear to open after defeating the boss. This is the most consistent source.
Lord Zir's Hoard: Requires 12 Exquisite Blood to open. Drop rate is slightly lower than Beast in the Ice.
Kurast Undercity Tribute runs: Using Tribute of the Titans grants a chance to receive Pincushioned Dolls alongside other boss keys.
World Bosses: May drop Pincushioned Dolls on Torment difficulty, but this method is unreliable due to long spawn timers and low drop rates.
Note: You must open the hoard using the respective materials—defeating the boss alone does not yield the doll.
How many Pincushioned Dolls do I need to open Andariel's Hoard?
You need 3 Pincushioned Dolls to unlock Andariel's Hoard. These are consumed upon activation and are not refunded, regardless of loot outcome.
Is Pincushioned Doll tradable?
Yes. Pincushioned Doll is a tradable item with a sell value of 32,500 gold. This allows players to coordinate boss farming or purchase access to Andariel's loot table without running prerequisite encounters themselves.
What's the best strategy to farm Pincushioned Dolls efficiently?
The most reliable method is:
Run Beast in the Ice repeatedly and open its hoard using Distilled Fear
Supplement with Lord Zir runs if Exquisite Blood is available
Use Tribute of the Titans in Kurast Undercity for additional chances
Avoid relying on World Bosses unless already farming them for other purposes
How to Buy Pincushioned Doll from MMOJUGG
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Step 2:
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