Bleeding Heart is a unique level 4 amulet in Last Epoch prized for its exceptional sustain through Damage Leeched as Health, making it a favorite for many early to mid-game builds. However, acquiring this item requires targeted farming and some patience due to its rarity and specific drop conditions.

What Makes Bleeding Heart Special?
Bleeding Heart uses a Jade Amulet base and grants a powerful Damage Leeched as Health modifier that applies to all damage types, allowing you to regain health from any damage dealt—melee, ranged, or spells. This makes it an outstanding sustain item for many builds. However, it reduces your Health Regeneration and causes you to bleed when casting spells, which can be mitigated by constantly dealing damage to maintain the leech effect.

Where to Find Bleeding Heart
The most reliable way to obtain Bleeding Heart is by farming the Monolith of Fate, particularly focusing on the Age of Winter timeline. This timeline is known for having Echoes that specifically reward unique or set amulets, increasing your chances of finding Bleeding Heart. While Bleeding Heart can drop as a random world drop during your campaign or other timelines, farming Age of Winter is the most efficient method.

In the Monolith of Fate, you’ll want to look for Echoes that promise unique item rewards. You can reveal these Echoes by charging beacons on the timeline map. Although not every unique item Echo guarantees a Bleeding Heart, repeatedly running these Echoes improves your odds over time.

Farming Tips
1. Patience and Persistence: Bleeding Heart is rare, so expect to farm for a significant amount of time.
2. Focus on Echoes with Unique Rewards: Prioritize Echoes that explicitly offer unique or set amulets.
3. Legendary Potential: When you do find a Bleeding Heart, check if it has Legendary Potential (LP). LP adds extra random modifiers, making the amulet more powerful. If your drop lacks LP, continue farming for a better version.
4. Corruption Level: Higher corruption levels in Echoes can improve drop quality, so aim for corruption around 300-500+ if possible.

Community Insights
Players have mixed feelings about Bleeding Heart. Some find it invaluable for boosting survivability and damage output, especially in builds that rely on sustained damage and leech mechanics. Others note that the item’s downsides require careful build synergy to fully benefit from it.So please use it reasonably.
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