You can use the Malignant Heart to summon the Echo of Varshan in Diablo 4 (D4). Read on to learn more about the Malignant Heart, how to get it and farm, how to use it, and so much more.
| Malignant Body Parts | |||
|---|---|---|---|
| Gurgling Head | Trembling Hand | Blackened Femur |  Malignant Heart |
List of Contents
- How to Get
- How to Use
- Overview
- Season 1
- Related Guides
How to Get Malignant Hearts
| How to Get Malignant Hearts |
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Whispers of the Dead Caches
You can obtain the Malignant Heart by completing the Whispers of the Dead quest and opening the cache reward from the Tree of Whispers.
How to Complete the Tree of Whispers
Kill Treasure Goblins, Hellborne, and Blood Maiden
Killing a Treasure Goblins, Hellborne, and Blood Maiden has a chance to drop a random Malignant Body Part. You can easily find them in areas with Grim Favor rewards and Helltide Events. This means you can grind for these Elite enemies while completing your Whispers of the Dead quest.
Helltide Event Guide
Elites on Nightmare Dungeon
Elites found inside Ancestral Nightmare Dungeons have a chance to drop Malignant Heart. Try to clear the entire dungeon of any events that spawns a lot of Elites to make the most out of your runs.
Nightmare Dungeon Guide
Complete Legion and World Boss Events
Malignant Heart can be acquired as rewards upon completing Legion and World Boss events in World Tier 4. The drop rate for Malignant Heart is quite high, but the downside is that the events are time-gated.
| World Boss Timer | Legion Event Timer |
Season Journey Reward Caches
You can also receive a variety of boss summoning materials by opening the Cache Rewards from completing the Season Journey. This will give you a ton of materials, so make sure not to skip this, as it can help you obtain the necessary uniques you need to progress your character as you prepare for the endgame.
How to Complete Season Journey and Rewards
Transfers to Your Stash
If you miss a Malignant Heart drop, it will automatically be transferred to your stash. Be sure to check the Missed Equipment tab in your stash periodically.
How to Use Malignant Hearts
Summons Echo of Varshan
Malignant Heart is used to summon the Echo of Varshan inside the Malignant Burrow, located in The Writhing Mire beside the Tree of Whispers in the Hawezar region. Do note that as of Season 5 (Season of the Infernal Horde), the Malignant Heart is the only required item for summoning the Echo of Varshan.
Echo of Varshan Location and Unique Drops
Malignant Heart Overview
| Malignant Heart Overview | ||
|---|---|---|
 | Type | Consumable - Summoning |
| Sell Value | 30,000 Gold | |
| Description | Assembled beneath The Tree of Whispers within Malignant Burrow to summon a powerful enemy. Collected from Whisper caches. Drops randomly from Elites, Local Events, Treasure Goblins, Hellborne, and Blood Maiden. | |
Malignant Body Parts
Season 1 Malignant Hearts
Seasonal Mechanic That Grants Abilities
Back in Season 1, Malignant Hearts were items dropped by infected enemies to be used in equipment with Infested Sockets. These granted new abilities and unique effects, and there were a total of 32 Malignant Hearts in Season 1.
Drops From Malignant Enemies
| Malignant Enemy Types | |
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There were four types of Malignant Enemies: Vicious, Brutal, Devious, and Wrathful monsters. They are tougher than the average enemy and have different abilities. They are identifiable by their colors and drop a specific type of Malignant Heart.
Season 1 Release Time and What We Know
Crafting and Salvaging Hearts in Season 1
In season 1, you can visit Cormond's wagon to salvage unwanted Malignant Hearts for Ichor. Ichor is a resource used in crafting Malignant Hearts. Salvaging a Vicious, Brutal, or Devious Heart will yield 5-15 Ichor, while salvaging a Wrathful Heart will yield 2-5 Ichor, as with all other Heart types.
To craft a random Heart of a specific type, you would need 35 Ichor of the other Heart types. For example, if you want to craft a random Brutal heart, you would need 35 Vicious Ichor and 35 Devious Ichor. This means that on average, you will need to salvage ~7 Hearts to craft 1 new Heart.
Diablo 4 Related Guides
List of All Bosses
All Bosses By Type
| Main Quest Bosses | Stronghold Bosses | ||
| Dungeon Bosses | Uber Bosses |
All Uber Bosses and Required Materials
| Uber Boss | Required Materials |
|---|---|
| Lord Zir | ・Exquisite Blood |
| Echo of Varshan | ・Malignant Heart |
| Grigoire | ・Living Steel |
| Duriel | ・Mucus-Slick Egg ・Shard of Agony |
| The Beast in the Ice | ・Distilled Fear |
| Echo of Andariel | ・Sandscorched Shackles ・Pincushioned Doll |
| Uber Lilith | None |
All Bosses Per Region
| Fractured Peaks | Scosglen | Dry Steppes | |||
| Kehjistan | Hawezar | ||||
