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Quest-medium - This skill may be earned from a quest. See skill information for details.

Energy - Energy requirement
Activation - Activation Time
Recharge - Recharge Time
Sacrifice - Amount of health sacrificed

Necromancer[]

Blood Magic[]

Barbed Signet Barbed Signet Signet. For 1...16 seconds, whenever you use a Necromancer skill on a foe, that foe suffers from Bleeding for 2...13 seconds.
15% Sacrifice     1 Activation 10 Recharge
Core   Can be obtained through a quest
Blood Renewal Blood Renewal Enchantment Spell. For 7 seconds, you gain +3...5 Health regeneration. When Blood Renewal ends, you gain 40...160 Health.
15% Sacrifice 1 Energy 1 Activation 7 Recharge
Prophecies   Can be obtained through a quest
Blood Ritual Blood Ritual Enchantment Spell. For 8...13 seconds, target touched ally gains +3 Energy regeneration. Blood Ritual cannot be used on the caster.
17% Sacrifice 5 Energy 2 Activation 2 Recharge
Prophecies   Can be obtained through a quest
Blood is Power Blood is Power Elite Enchantment Spell. For 10 seconds, target other ally gains +3...5 Energy regeneration.
33% Sacrifice 1 Energy ¼ Activation    
Core    
Dark Fury Dark Fury Enchantment Spell. For 5 seconds, whenever any party member hits with an attack, that party member gains one hit of adrenaline. (50% failure chance with Blood Magic of 4 or less.)
17% Sacrifice 10 Energy ¾ Activation 5 Recharge
Prophecies    
Dark Pact Dark Pact Spell. Deal 10...40 shadow damage to target foe.
10% Sacrifice 1 Energy 1 Activation 2 Recharge
Core   Can be obtained through a quest
Offering of Blood Offering of Blood Elite Spell. You gain 8...18 Energy.
20% Sacrifice 1 Energy ¼ Activation 15 Recharge
Prophecies    
Order of Pain Order of Pain Enchantment Spell. For 5 seconds, whenever a party member hits a foe with physical damage, that party member does an additional 3...13 damage.
17% Sacrifice 10 Energy 2 Activation    
Core    
Order of the Vampire Order of the Vampire Elite Enchantment Spell. For 5 seconds, whenever a party member who is not under the effects of another Necromancer enchantment hits a foe with physical damage, that party member steals up to 3...13 Health.
17% Sacrifice 5 Energy 2 Activation 5 Recharge
Prophecies    
Ravenous Gaze Ravenous Gaze Elite Spell. Deal 15...27 damage and steal 15...27 Health from target foe and all nearby foes.
8% Sacrifice 1 Energy 1 Activation 10 Recharge
Nightfall    
Signet of Agony Signet of Agony Signet. You suffer from Bleeding for 25 seconds. All nearby foes take 10...58 damage.
10% Sacrifice     ¾ Activation 8 Recharge
Core   Can be obtained through a quest
Touch of Agony Touch of Agony Skill. Target touched foe takes 20...50 shadow damage.
10% Sacrifice 1 Energy ¾ Activation 3 Recharge
Prophecies Duplicate of Wallow's Bite  
Wallow's Bite Wallow's Bite Skill. Target touched foe takes 20...50 damage.
10% Sacrifice 1 Energy ¾ Activation 3 Recharge
Factions Duplicate of Touch of Agony  

Curses[]

Defile Flesh Defile Flesh Hex Spell. For 5...29 seconds, target foe gains only two-thirds Health from healing.
10% Sacrifice 10 Energy 1 Activation 10 Recharge
Core   Can be obtained through a quest
Enfeebling Blood Enfeebling Blood Spell. Target foe and all nearby foes suffer from Weakness for 5...17 seconds.
10% Sacrifice 1 Energy 1 Activation 8 Recharge
Core   Can be obtained through a quest
Meekness Meekness Hex Spell. For 5...25 seconds, target foe and all foes in the area attack 50% slower.
17% Sacrifice 15 Energy 2 Activation 15 Recharge
Nightfall    
Plague Sending Plague Sending Spell. Transfer 1...3 negative conditions and their remaining durations from yourself to target foe and all adjacent foes.
10% Sacrifice 1 Energy 1 Activation 5 Recharge
Prophecies    

Death Magic[]

Contagion Contagion Elite Enchantment Spell. For 60 seconds, whenever you suffer from a new condition, all foes in the area suffer from that same condition and you sacrifice 10...6% maximum Health.
    5 Energy 1 Activation 20 Recharge
Nightfall    
Blood of the Master Blood of the Master Spell. All of your undead allies are healed for 30...99. You sacrifice an additional 2% maximum Health per minion healed in this way.
5%+ Sacrifice 5 Energy 1 Activation 2 Recharge
Core   Can be obtained through a quest
Verata's Aura Verata's Aura Enchantment Spell. All hostile animated undead in the area become bound to you. Verata's Aura ends after 120...264 seconds. When Verata's Aura ends, you lose your bond with any undead bound to you. (50% failure chance with Death Magic 4 or less.)
33% Sacrifice 15 Energy ¾ Activation 30 Recharge
Prophecies    
Verata's Sacrifice Verata's Sacrifice Spell. For 5...9 seconds, your undead allies gain +10 Health regeneration. All conditions are removed from those allies and transferred to you. If this spell is successful and you have control of 3 or fewer minions, Verata's Sacrifice instantly recharges.
15% Sacrifice 10 Energy 2 Activation 60 Recharge
Prophecies    

Soul Reaping[]

Masochism Masochism Enchantment Spell. For 10...34 seconds, you have +2 to your Death Magic and Soul Reaping attributes and sacrifice 5...3% of your maximum Health whenever you cast a spell.
    5 Energy 1 Activation 20 Recharge
Eye of the North    
Wail of Doom Wail of Doom Elite Hex Spell. For 1...3 seconds, all of target foe's attributes are set to 0.
10% Sacrifice 1 Energy ¼ Activation 15 Recharge
Factions    

Ritualist[]

Channeling Magic[]

Offering of Spirit Offering of Spirit Elite Spell. You gain 8...15 Energy. If any spirits are within earshot, you do not sacrifice Health.
17% Sacrifice 5 Energy ¼ Activation 15 Recharge
Nightfall    

Restoration Magic[]

Generous Was Tsungrai Generous Was Tsungrai Item Spell. Hold Tsungrai's ashes for up to 15...51 seconds and gain +50...122 maximum Health. When you drop his ashes, you gain 100...244 Health.
10% Sacrifice 5 Energy 1 Activation 15 Recharge
Factions   Can be obtained through a quest
Spirit Light Spirit Light Spell. Target ally is healed for 60...156. If any spirits are within earshot, you don't sacrifice Health.
17% Sacrifice 5 Energy 1 Activation 4 Recharge
Factions    

Spawning Power[]

Ritual Lord Ritual Lord Elite Skill. For 5...29 seconds, your Ritualist attributes are boosted by 2...4 for your next skill. If that skill is a Binding Ritual, it recharges 10...51% faster and Ritual Lord recharges instantly.
2% Sacrifice         45 Recharge
Factions    

Other skills involving Health sacrifice[]

Awaken the Blood Awaken the Blood Enchantment Spell. For 20...39 seconds, you gain +2 Blood Magic and +2 Curses, but whenever you sacrifice Health, you sacrifice 50% more than the normal amount.
    10 Energy 1 Activation 45 Recharge
Prophecies    
Dark Aura Dark Aura Enchantment Spell. For 30 seconds, whenever target ally sacrifices Health, Dark Aura deals 5...41 shadow damage to adjacent foes, and you lose 5...17 Health.
    10 Energy 1 Activation 10 Recharge
Core   Can be obtained through a quest
Masochism Masochism (PvP) Enchantment Spell. For 30 seconds, you gain 1...3 Energy whenever you sacrifice Health.
    5 Energy 1 Activation 20 Recharge
Eye of the North    
Scourge Sacrifice Scourge Sacrifice Hex Spell. For 8...18 seconds, every time target foe and adjacent foes sacrifice life, they sacrifice twice the normal amount.
    10 Energy 1 Activation 5 Recharge
Prophecies    
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