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PoE2 Where To Get Sacrificial Heart & Dagger

Nick M. by Nick M.
March 29, 2025
in Path Of Exile
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PoE2 Where To Get Sacrificial Heart & Dagger Quest Guide For Act 3 Utzaal By FragMeta

PoE2 Where To Get Sacrificial Heart & Dagger Quest Guide For Act 3 Utzaal By FragMeta

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Yo, Path of Exile 2 grinders! Need to snag that sweet Sacrificial Heart but running around Act 3 like a headless chicken? Don’t sweat it, fam – FragMeta’s got your back with the ultimate PoE2 where to get sacrificial heart & dagger guide to bag that beating organ and score some juicy skill points!

Contents

Toggle
  • The Heart of the Matter: What’s the Deal with the Sacrificial Heart?
  • PoE2 Where To Get Sacrificial Heart: Farming Locations
    • Utzaal: Heartbreak Hotel (But Hopefully Heart-Drop Hotel)
    • Aggorat: The Altar Awaits (and Maybe More Hearts?)
  • Heart to Heart: Using the Sacrificial Heart for Skill Point Glory
    • Stab, Stab, Skill Points! The Sacrificial Ritual
    • Double the Heart, Double the Points? Cruel Mode Shenanigans
  • Frequently Asked Questions
    • Where is the altar for Sacrificial Heart?
    • What is the Sacrificial Heart in Path of Exile 2?
    • Does the Sacrificial Heart drop in Cruel PoE 2?
    • How to get rid of Sacrificial Heart PoE 2?
  • Wrapping Up

Alright listen up, exile! Path of Exile 2 Early Access is here and it’s already got us hooked. We’re diving headfirst into this dark fantasy world, smashing monsters, looting gear, and trying to figure out all the new hotness. And if you’re anything like us, you’ve probably heard whispers about the Sacrificial Heart, a mysterious item that everyone’s chasing after.

This ain’t just some random drop for your stash tab to gather dust, oh no. This bad boy is your ticket to POWER. We’re talking permanent skill points, baby! In a game where every point counts to make your build truly busted, you NEED to get your hands on this thing. But where do you even start? The game ain’t exactly handing out maps with flashing neon signs, right? That’s where your trusty FragMeta crew comes in. We’ve been grinding, testing, and probably dying way too many times to bring you the definitive guide to finding the Sacrificial Heart in PoE 2.

PoE2 Where To Get Sacrificial Heart & Dagger Infographic By FragMeta

The Heart of the Matter: What’s the Deal with the Sacrificial Heart?

So, you’re probably wondering, what’s the big fuss about this Sacrificial Heart anyway? Is it just another one of those cryptic PoE items that sounds cool but does nothing? Nah, fam, this one’s legit. Unlike the Paua Amulet in PoE 1, the Sacrificial Heart is a key item in Act 3 of Path of Exile 2, and it’s tied to a side quest that rewards you with some seriously valuable goodies. We’re talking passive skill points AND weapon skill points. Yeah, you heard that right – free points to pump up your character and make your enemies cry.

Think of it like this: in the brutal world of Wraeclast (or whatever messed up time period PoE2 throws us into), skill points are like gold dust. You grind for them, you plan your build around them, and you definitely don’t wanna miss out on any easy ones. And trust us, getting the Sacrificial Heart, while it takes a bit of effort, is definitely worth it for the permanent boost it gives your character. Plus, let’s be real, stabbing a heart on an altar? That’s just peak PoE aesthetic right there. So, if you’re ready to power up and embrace the dark rituals of Path of Exile 2, let’s dive into where to actually find this elusive organ.

PoE2 Where To Get Sacrificial Heart: Farming Locations

Alright, let’s get down to brass tacks – you wanna know where to farm this beating heart, right? Forget wandering aimlessly and hoping for a miracle drop. We’ve got the intel you need to target your farming and maximize your chances. The Sacrificial Heart isn’t just gonna fall into your lap, but with the right strategy, you’ll be swimming in hearts in no time… well, maybe not swimming, but you’ll definitely get one. And that’s all that matters, right?

First things first, you gotta be in Act 3. That’s your starting point. Once you’ve smashed your way through Act 2 (and hopefully geared up a bit), you’ll be able to use the portal in the Ziggurat Encampment to jump into the glorious chaos of Act 3. This is where the Sacrificial Heart starts dropping, so if you’re still in Act 1 or 2, keep pushing forward, the heart-farming goodness awaits! Trust us, Act 3 is where the loot starts getting juicy, and the Sacrificial Heart is just the tip of the iceberg.

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Utzaal: Heartbreak Hotel (But Hopefully Heart-Drop Hotel)

Utzaal PoE2 Area Screenshot by FragMeta

Okay, so you’re in Act 3, stoked to find the answer to “PoE2 Where To Get Sacrificial Heart”. Your first stop on this heart-hunting adventure is Utzaal. This is the initial area you’ll stumble into after teleporting from the Ziggurat Encampment. Utzaal is crawling with all sorts of nasty creatures, and guess what? Some of them have a chance to drop the Sacrificial Heart! Think of Utzaal as your heart-farming tutorial zone. It might take a bit of grinding, but persistence is key, exile!

Now, who are the VIPs in Utzaal when it comes to heart drops? According to the whispers in the community, your prime targets are Vaal Goliaths and Vaal Overseers. These beefy boys are more likely to cough up a Sacrificial Heart than your average Joe monster. So, when you’re clearing Utzaal, keep an eye out for these Vaal baddies. Focus them down, unleash your most devastating skills, and pray to the RNG gods that they’re feeling generous with the heart drops. Remember, every Vaal Goliath and Overseer you obliterate is a step closer to that sweet, sweet skill point reward.

Don’t be afraid to die a few times in Utzaal, seriously. This is Path of Exile, death is just a minor inconvenience, right? The references even say “don’t be afraid of your character’s death and rebirth”! Embrace the grind, learn the enemy patterns, and keep smashing those Vaal monsters. Pro tip: setting up checkpoints strategically in Utzaal can seriously speed up your farming. Drop a checkpoint near areas with high concentrations of Vaal Goliaths and Overseers. That way, if you wipe or just wanna reset the area, you’re right back in the action without trekking through miles of monster-infested zones again. Efficiency is the name of the game, exiles!

And while you’re heart-hunting in Utzaal, don’t forget about the other loot! Seriously, farming for the Sacrificial Heart is also a great way to rack up some sweet gear and PoE 2 Currency. Think of the heart as the grand prize, and all the other drops as consolation goodies. You might find some upgrades for your build, some crafting materials, or even some valuable currency to trade. So, even if the heart is being stubborn, you’re still making progress and getting stronger. It’s a win-win situation, kinda! Plus, who knows, maybe you’ll even stumble upon some POE 2 Exalted Orbs while you’re at it. Now THAT would be a lucky heart-farming session!

Aggorat: The Altar Awaits (and Maybe More Hearts?)

So, you’ve cleared Utzaal, maybe you’ve scored a Sacrificial Heart already, maybe not. Either way, your heart-hunting journey can continue in Aggorat. This area is accessible after you conquer the Legion Blockade boss in Utzaal. Follow the mysterious “lead singing voice” (sounds spooky, right?) to the back of a giant statue, and you’ll find the stairs leading to Aggorat. Think of Aggorat as Utzaal 2.0 – more monsters, potentially more hearts, and definitely the location of the all-important altar.

Aggorat also features those juicy Vaal Goliaths and Vaal Overseers that we love to hate (and farm). So, the same farming strategy applies here: hunt down those Vaal baddies and hope they drop a Sacrificial Heart. While the references mention Aggorat is “more difficult to enter”, don’t let that scare you off. It’s just the next step in your adventure, and the potential rewards, including another Sacrificial Heart and the altar itself, make it totally worth exploring. Plus, exploring new areas is half the fun of PoE, right? Who knows what other secrets and loot are lurking in Aggorat?

Remember those checkpoints we talked about in Utzaal? Yeah, they’re just as crucial in Aggorat. Set ’em up strategically to minimize downtime and maximize your monster-slaying efficiency. The more checkpoints you have, the faster you can get back to farming those heart-dropping enemies. And remember, checkpoints aren’t just for respawning after death. They’re also your best friend for resetting areas and refreshing monster spawns. So, use them wisely, exile, and you’ll be drowning in Sacrificial Hearts… okay, maybe not drowning, but you’ll definitely get your skill points!

Heart to Heart: Using the Sacrificial Heart for Skill Point Glory

The PoE2 Sacrificial Heart Item

Alright, congrats, exile! You’ve braved Utzaal and Aggorat, you’ve smashed countless monsters, and you’ve finally snagged a Sacrificial Heart. Now what? Don’t just stare at it in your inventory like it’s some weird trophy. This thing is meant to be USED! And using it is how you unlock those sweet, sweet skill points we’ve been talking about. Get ready for a little ritual action, FragMeta style!

Your next destination is back to Aggorat. Remember that area we just talked about farming? Yeah, that’s where the magic happens. You’re looking for the Trail of Sacrifice in Aggorat. Follow this trail, and it’ll lead you to the Blood Sacrifice location. Along the way, you’ll encounter some “corpses that can cause you a lot of bleeding damage”. Sounds pleasant, right? Make sure you’ve got some blood damage resistance or some POE 2 Items in your build to mitigate that bleeding pain. Nobody wants to bleed out on the way to their skill point reward, trust us.

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Once you’ve navigated the Trail of Sacrifice and dealt with those pesky bleeding corpses, you’ll arrive at the altar. Hallelujah! You’re almost there. As you approach the altar, you’ll notice a Sacrificial Dagger chilling there. This dagger is your key to unlocking the heart’s power. Grab that dagger, because it’s time for a little heart surgery, FragMeta style! With both the Sacrificial Heart and the Sacrificial Dagger in your inventory, the ritual can begin.

Stab, Stab, Skill Points! The Sacrificial Ritual

Okay, ritual time! This is the moment you’ve been grinding for. With the Sacrificial Heart and Sacrificial Dagger in hand, head to the altar. When you interact with the altar, you’ll initiate the blood sacrifice ceremony. The Sacrificial Heart and Dagger will merge in your inventory (don’t worry, they’re not gone forever, just transformed). And then, the magic words will appear: “Stab Sacrificial Heart”. Click that option like your life depends on it!

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Prepare for a visually stimulating cutscene. Your character will kneel down, grab that Sacrificial Dagger, and plunge it right into the Sacrificial Heart. It’s a bit gruesome, but hey, it’s Path of Exile, we’re used to a bit of blood and guts, right? After the cutscene, poof! The Sacrificial Heart and Dagger are gone from your inventory. But fear not, exile, they’ve been transformed into something way better: two permanent passive skill points and two weapon skill points! BOOM! Skill point city, population: YOU.

These skill points are yours to spend however you want. Wanna beef up your damage? Pump up your defenses? Unlock some crazy new skills? The choice is yours! These points are permanent, so you can really fine-tune your build and make it even more of a monster-slaying machine. The references mention you can “invest in or reduce the passive skills in your build that are related to specific elemental damage types”. Basically, these skill points are your ticket to customizing your character exactly how you want and dominating the endgame content that PoE 2 Early Access is gonna throw at you.

Double the Heart, Double the Points? Cruel Mode Shenanigans

Think getting skill points once is cool? How about getting them TWICE? Yeah, Path of Exile 2 is generous like that. If you’re brave enough to tackle the harder Cruel difficulty, you can actually score another Sacrificial Heart in Act 3 and repeat the whole altar ritual again! The references explicitly state “in the harder Cruel difficulties you can collect another Sacrificial Heart in Act 3 and then destroy it again on the same Aggorat altar.” That’s right, double the heart, double the skill point goodness!

Now, the reward for the second sacrifice is the same: two passive and two weapon skill points. You don’t get bonus points for being extra cruel, sadly. But hey, four extra skill points total from Sacrificial Hearts? That’s nothing to scoff at! So, if you’re planning on playing through PoE 2 on Cruel difficulty (and you should, for the extra challenge and loot!), make sure to grab that second Sacrificial Heart and hit up the altar again. Those extra skill points can make a real difference in your build’s power, especially when you’re facing tougher enemies and content.

Frequently Asked Questions

Where is the altar for Sacrificial Heart?

The altar for the Sacrificial Heart is located in Aggorat, specifically at the end of the Trail of Sacrifice. To get to Aggorat, you need to progress through Utzaal in Act 3 and defeat the Legion Blockade boss. After defeating the boss, follow the “lead singing voice” to find stairs leading to Aggorat. Once in Aggorat, follow the Trail of Sacrifice, dealing with bleeding corpses along the way, and you’ll eventually reach the altar. It’s usually found in the Northeast side of the map, but keep an eye out for visual cues and the Sacrificial Dagger on the altar itself to confirm you’re in the right spot.

What is the Sacrificial Heart in Path of Exile 2?

The Sacrificial Heart is a special item in Path of Exile 2 Early Access that drops from certain enemies in Act 3, specifically in the Utzaal and Aggorat areas. It’s not just a random loot drop; it’s a key item for a side quest. Its description hints at its purpose: “Sacrifice this heart at the proper ritual site.” By finding the altar in Aggorat and performing a ritual with the Sacrificial Heart and Sacrificial Dagger, players are rewarded with two passive skill points and two weapon skill points. These points are permanent and can be used to enhance your character build, making the Sacrificial Heart a highly valuable item to obtain.

Does the Sacrificial Heart drop in Cruel PoE 2?

Yes, the Sacrificial Heart does drop in Cruel difficulty in Path of Exile 2. In fact, you can obtain and use the Sacrificial Heart in Act 3 on both regular difficulty and Cruel difficulty. Even better, you can actually get two Sacrificial Hearts and perform the ritual twice – once in regular difficulty and once in Cruel difficulty – to receive the skill point rewards twice! So, if you’re playing on Cruel, make sure to farm for that Sacrificial Heart and double up on those valuable skill points. It’s a great way to boost your character’s power even further in the tougher difficulty.

How to get rid of Sacrificial Heart PoE 2?

You don’t really need to “get rid of” the Sacrificial Heart in PoE 2 in the traditional sense, because it’s a valuable item that you’ll want to use for the skill point reward. Once you use the Sacrificial Heart at the altar in Aggorat, it disappears from your inventory as part of the ritual process. It’s transformed into those sweet skill points, so it’s not like it’s cluttering up your stash forever. If for some reason you have a Sacrificial Heart and don’t want to use it (which is kinda crazy, skill points are awesome!), you could technically just leave it in your inventory or stash. But seriously, just use it at the altar and enjoy the free skill points!

A quick video guide on what to do with the Sacrificial Heart in PoE2 by Gamers Heroes
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Wrapping Up

So there you have it, exiles! Your complete FragMeta guide to scoring the Sacrificial Heart in Path of Exile 2. Now you know exactly where to farm, who to kill, and how to perform the ritual to unlock those precious skill points. No more wandering around Act 3 cluelessly! Get out there, smash some Vaal Goliaths and Overseers in Utzaal and Aggorat, grab that Sacrificial Heart, and claim your rightful skill point rewards. Your build will thank you, and your enemies will fear you even more!

Remember, Path of Exile 2 Early Access is all about exploration, grinding, and getting stronger. The Sacrificial Heart quest is a perfect example of that. It’s a rewarding side objective that gives you a significant boost to your character. So, don’t miss out on this opportunity to power up! And as always, keep checking FragMeta for more PoE 2 guides, tips, and all the latest news to help you dominate Wraeclast (or wherever we are now!). Happy heart hunting, exiles, and may your drops be ever in your favor!

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Nick M.

Nick M.

Nick is an avid gamer with a passion for the written word - he is the Editor in Chief at FragMeta. Gaming aside, he enjoys cooking, hiking and exploring the world, one trip at a time.

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