A Complete Guide to Acquire and Utilize Sacrificial Heart in Path of Exile 2

A Complete Guide to Acquire and Utilize Sacrificial Heart in Path of Exile 2

Updated: November 10,2025 | Game: POE 2
A Complete Guide to Acquire and Utilize Sacrificial Heart in Path of Exile 2

Introduction

Path of Exile 2 is an expansive Action RPG that offers players a myriad of hidden quest items, one of which is the Sacrificial Heart. This enormous heart plays a pivotal role in a secret side quest, rewarding players with substantial passive skill points necessary for character development.

While engaging with this quest isn't obligatory, the reward of two additional passive skill points makes it a worthwhile endeavor for serious players. This guide will not only help you locate the Sacrificial Heart but also explain how to effectively utilize it in your Path of Exile 2 journey.

Finding the Sacrificial Heart

The Sacrificial Heart can be found specifically from enemies encountered during Act 3 in Path of Exile 2. Not all enemies will drop this item; you must seek out the formidable Vaal Goliaths, who are renowned for being some of the largest foes in the game.

After traversing through the Temple of Kopec and defeating Ketzuli, you gain access to the time machine. Travel back in time to Utzaal, where you will continue your main quest. As you progress toward the area boss, Viper Napuatzi, the Vaal Goliaths will likely drop the Sacrificial Heart during combat.

When you successfully acquire it, listen for the unique sound it makes upon dropping—this signifies its presence on the battlefield. The Sacrificial Heart will be marked in green text to distinguish it from other loot. If you're unable to claim it in Utzaal, rest assured it can also drop in the following area, Aggorat.

Using the Sacrificial Heart

To convert the Sacrificial Heart into rewards, you must offer it at a designated altar. The goddess Atziri demands sacrifice in exchange for power. After acquiring the heart, navigate to the Aggorat area and locate the altar, generally situated on the right side within the morbid Trial of Sacrifice area.

Prepare for a potential encounter, as some Vaal followers may already be attempting a sacrifice. You might need to eliminate them to proceed. Once the area is secure, retrieve the Sacrificial Dagger and approach the altar. Place the heart upon it and use the dagger to finalize the ritual, thereby completing the 'Blood Sacrifice' quest.

Conclusion

Completing the secret quest with the Sacrificial Heart not only enriches your gameplay experience but also rewards you with invaluable passive skill points that can enhance your character's abilities significantly. For players interested in enhancing their progression and acquiring essential items, consider exploring POE 2 items for sale and purchasing POE 2 currency for an optimized gaming experience. Happy gaming and may your sacrifices yield fruitful rewards!