Path of Exile 2 Atalui's Bloodletting

Atalui's Bloodletting is a Lineage Support Gem introduced in Patch 0.3.0, The Third Edict. It belongs to the Lifetap category and supports any damage Skill with mana cost, converting Mana cost into Life cost and granting bonus Physical Damage based on Life spent.

"Atazek and Atalui rose, battered and dark, bleeding from a hundred different wounds. She gave her brother a sinister grin. 'Shall we show them what happens to those who challenge the Vaal?'"

Place into a Skill's Support Gem socket in the Skills Panel to apply its effects to that Skill. You cannot have multiple Support Gems of the same Category socketed within one Skill.

Path of Exile 2 Atalui's Bloodletting Features

• Item Type: Lineage Support Gem

• Requires Level: 65

• Support Requirements: +5 Strength

• Support Gem Effect: Supports any Skill, turning a portion of its Mana cost into a Life cost. Does not support Skills which reserve Spirit.

  • Skill Mana Costs Converted to Life Costs

  • Supported Skills Gain 2% of Damage as extra Physical Damage per 10 Life cost

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

Atalui's Bloodletting is a Lineage Support Gem and cannot be obtained via Uncut Support Gems or Engraving.

Confirmed Drop Sources:

• Drops from Anomaly bosses: Ytzara, Blood Oracle and Maztli, Flesh-Shaper in Sealed Vault

• Obtain from the in-game Currency Exchange System - Lineage Support Gem Section.

• Can be acquired via player-to-player trading or third-party marketplaces.

Clarifications:

• Not obtainable via Uncut Support Gems or Engraving.

• Drop rate increases slightly with higher-tier anomalies and sealed vault progression.

• Does not drop during campaign or early acts.

• Best used in builds that convert Mana to Life and scale Physical Damage.

Atalui's Bloodletting Lineage Mechanic & Use

Atalui's Bloodletting Lineage Mechanic:

• Converts Mana cost into Life cost for supported skills

• Grants bonus Physical Damage based on Life spent (2% per 10 Life)

• High synergy with Lifetap builds, Blood Magic archetypes, and Physical scaling setups

• Does not support Spirit-reserving skills

Atalui's Bloodletting Skill Compatibility:

• Only damage-dealing skills that consume Mana are compatible with Atalui's Bloodletting.

• This excludes utility, movement, or reservation-based skills that do not spend Mana or deal damage.

• The gem is best suited for active offensive abilities—whether melee, ranged, or spell-based—that have a defined Mana cost and produce direct damage.

• Skills that reserve Spirit or deal no damage cannot benefit from its Lifetap conversion or Physical scaling.

Path of Exile 2 Atalui's Bloodletting FAQs

How does Life cost conversion work with Atalui's Bloodletting?

The gem converts the Mana cost of supported skills into Life cost. This allows builds that bypass Mana or use Blood Magic to cast freely, while scaling damage from Life spent.

What is the Physical Damage bonus scaling formula?

For every 10 points of Life spent on casting a supported skill, you gain 2% of that skill's damage as bonus Physical Damage. This scales with high-cost skills and Life investment.

Can this gem be used with Spirit-reserving skills like Auras?

No. Atalui's Bloodletting does not support any skill that reserves Spirit. It is intended for active skill use only.

Which builds benefit most from Atalui's Bloodletting?

Best suited for:

• Blood Magic melee builds that use high-cost strikes

• Physical spellcasters who convert Life into burst damage

• Hybrid tank builds that leverage high Life pools for offense

Does this gem interact with Lifetap or Recoup mechanics?

Yes. It synergizes well with Lifetap passives and gear that recoup Life on skill use, allowing sustained casting and damage scaling.

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