This is a Blood Lance endgame build for Season 5 of Diablo 4 (D4). Read on to learn the Skill Tree, as well as all the Best Gear, Aspects, Affixes, Paragon Board, and how to play the build for Season 5.

Build Overview

Build Summary

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Summary		Skills and Specialization		Aspects and Affixes
Paragon Board		Gems		Playstyle

Build Summary
Blood Lance Necromancer
	Focus: Leveling, Helltide
Strong AoE Damage Easy Resource Management High Survivability and Can Remove STuns Low Mobility Ramping Damage

The Blood Lance Necromancer build capitalizes on using the Blood Orbs spawned by your blood skills and uses them as the primary source of your resource regeneration and damage amplification via Blood Lance related aspects to greatly ramp up your damage and defeat hordes of mobs with ease.

We maximize our HP to increase Overpower damage and Critical Strike and Damage to achieve millions of damage while throwing unlimited amounts of Blood Lances to enemies.
Leveling Guide

Skills And Specialization

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Summary		Skills and Specialization		Aspects and Affixes
Paragon Board		Gems		Playstyle

Skill List
Basic Skill Tree ┗ Hemorrhage (1/5) 　┗ Enhanced Hemorrhage 　　┗ Acolyte's Hemorrhage
Core Skill Tree ┗ Blood Lance (1/5) 　┗ Enhanced Blood Lance 　　┗ Supernatural Blood Lance ┗ Unliving Energy 　┗ Imperfectly Balanced ┗ Hewed Flesh
Corpse and Macabre Skill Tree 1 ┗ Blood Mist (1/5) 　┗ Enhanced Blood Mist 　　┗ Dreadful Blood Mist
Curse Skill Tree ┗ Amplify Damage (3/3) ┗ Death's Approach (3/3) ┗ Decrepify (5/5) 　┗ Enhanced Decrepify 　　┗ Abhorrent Decrepify
Corpse and Macabre Skill Tree 2 ┗ Corpse Tendrils (1/5) 　┗ Enhanced Corpse Tendrils 　　┗ Plagued Corpse Tendrils ┗ Gruesome Mending (1/3) 　┗ Coalesced Blood (3/3) 　　┗ Tides of Blood (3/3) ┗ Serration (1/3) 　┗ Rapid Ossification (3/3)
Ultimate Skill Tree ┗ Army of the Dead 　┗ Prime Army of the Dead 　　┗ Supreme Army of the Dead ┗ Inspiring Leader (3/3) ┗ Stand Alone (3/3) 　┗ Memento Mori (3/3)
Key Passive ┗ Rathma's Vigor

Book of the Dead

Skeleton Warriors	Skeleton Mages	Golem
Skirmisher Sacrifice	Bone Sacrifice	Iron Sacrifice

For your Book of the Dead, we will focus on sacrificing all summons for a Necromancer only playstyle.

Our sacrifices will be Skirmisher for Warriors, Bone for Mages and Iron for the Golem which would grant us Critical Strike Chance, Damage, and Overpower damage which are all important stats that the build severely needs.

Book of the Dead Guide

Best Gear Aspects and Affixes

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Summary		Skills and Specialization		Aspects and Affixes
Paragon Board		Gems		Playstyle

Gear	Aspect and Affixes
Head	Harlequin Crest ・Max Life ★★ ・Maximum Resource ・Armor★ ・Cooldown Reduction
Chest	Mutilator Plate ・Max Life ・Blood Lance Duration ・Damage Reduction from enemies affected by blood skills ・+ Rank to Blood Lance★★★
Gloves	Aspect of Gore Quills ・Max Life ・+ Rank to Blood Lance★★★ ・Attack Speed ・+ Max Life Temper: ・ Blood Attack Speed ・ Corpse Tendrils Size
Pants	Blood Moon Breeches ・Max Life ・Overpower Damage ★★★ ・Curse Duration ・ + Rank to Curse Skills
Boots	Aspect of Creeping Mist ・Max Life ・Max Life ★★★ ・Resistance to all Elements ・Intelligence Temper: ・ Movement Speed ・ Corpse Tendrils Size
Amulet	Aspect of Rathma’s Chosen ・Max Life ・Attack Speed ・Critical Strike Chance ・Ranks of Tides of Blood ★★★ Temper: ・ Blood Attack Speed ・ Blood Orb Restores Essence
Ring	Sacrificial Aspect ・Critical Strike Chance ・Critical Strike Damage ・Attack Speed Temper: ・ Blood Attack Speed ・ Blood Orb Restores Essence
Ring	Ring of Starless Skies ・Attack Speed ・Critical Strike Chance ・Lucky Hit Chance ・+ Rank to Core Skills
Weapon	Aspect of Grasping Veins ・Max Life ・Over Power Damage ・Intelligence Temper: ・ Bone Storm Duration ・ Blood Attack Speed
Offhand Weapon	Aspect of Hungry Blood ・Max Life ・Over Power Damage ・Intelligence Temper: ・ Bone Storm Duration ・ Blood Attack Speed

This is our Aspect and Gear setup for the Blood Lance build. For our Mythic Uniques, we slot in Harlequin Crest and Ring of Starless Skies for our Mythics due to their damage reduction and resource saving effects. Both can also increase our overall performance thanks to their Core Skill buff (+rank to skills).

For regular Uniques, we equip Blood Moon Breeches for the bonus Overpower damage to cursed units which synergizes well with Decrepify while having a good stat set save for Curse Duration. Additionally, we also require a Mutilator Plate to enhance our Blood Orb generation and also increase our Blood Lance's damage.

For our Aspects, we simply need to equip the two Blood Lance affixes Hungry Blood and Gore Quills to strengthen our mob clear. We also equipped Rathma's Chosen to grant us a massive Attack Speed steroid that can greatly ramp up our DPS, Overpower Triggers, and to spread our Blood Lance to multiple units. Grasping Veins is also equipped for the extra critical strike chance and damage which will top up our Critical Strike chance to max value.

Mythic Unique Alternatives

Gear Change
Aspect of Shielding Storm (Head)	>	Harlequin Crest
Aspect of Potent Blood (Chest)	>	Ring of Starless Skies

We highly recommend getting Shielding Storm to replace Harlequin Crest as the extra barrier we get from Bone Storm will be able to compensate the damage reduction we would otherwise get from the mythic helm.

For the ring, we'll want to replace Ring of Starless Skies with Aspect of Potent Blood. This will allow us to generate extra Essence that the Ring of Starless Skies would have otherwise saved us from spending.

Paragon Board Setup

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Summary		Skills and Specialization		Aspects and Affixes
Paragon Board		Gems		Playstyle

Starting Board - Control Glyph

For the Starting Board, we'll take the right path to take some damage stats but also scale down to get the resistance nodes.

We slotted in a Control glyph to maximize its effect thanks to the 70 Intelligence we can get from the starter board and maximize our damage against Decrepified enemies.

Blood Begets Blood - Dominate Glyph

We slot in the Dominate glyph for the second board and take all the Willpower nodes we can within its radius. Avoid the Blood Orb healing nodes as what we want from the board are its Overpower effects and the healing bonus it gives will not be valuable for our build.

We'll also want to make a detour and open two paragon boards from here so we'll make a route to the left gate to open the Bone Graft board and a path to the right to obtain several magic and rare damage nodes and another paragon board.

Bone Graft

This is a small board and we won't be taking any bone nodes nor the board's legendary node. Instead, we'll simply take the closest route possible and get the Essence per kill nodes to ensure that we're always topped up with Essence when dealing with mob groups.

Blood Bath - Essence Glyph

On the Blood Bath board, We'll want to hit every magic and rare node except for the healing nodes near the glyph node.

We'll want to slot in Essence and take all Dexterity nodes in its radius to maximize the 100% Critical strike chance we have when using Corpse Tendrils and Bone Storm together.

Flesh Eater - Undaunted Glyph

For the last board, we chose Flesh Eater as it has one of the better magic and rare nodes for non-blood builds as it allows us to get extra elemental resistance and damage to elites which our build is weak against.

For the actual glyph we'll use, we want to slot in Undaunted to get extra damage reduction and increased damage while Fortified which is extremely easy to attain with this build.

Best Gems

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Summary		Skills and Specialization		Aspects and Affixes
Paragon Board		Gems		Playstyle

Armor	Jewelry	Weapons
Royal Ruby	Royal Diamond	Royal Ruby

Similar to our Stat Affix priorities, we want to ramp up our Overpower damage as much as possible. Rubies on our Armor and Weapons will allow us to maximize our Overpower hits.

Our Accessory slot is flexible depending on our defensive needs. If we haven't hit our Armor value to 9230 yet, be sure to first equip Skulls to increase your armor to the required value. Otherwise, equip Diamonds to increase your resistances to the highest cap.

Build Playstyle and Tips

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Summary		Skills and Specialization		Aspects and Affixes
Paragon Board		Gems		Playstyle

How to Play the Blood Lance Build
Always Apply Debuffs Before Spamming Blood Lance
Use Blood Mist to Dispel Crowd Control

Always Apply Debuffs Before Spamming Blood Lance

Before initiating fights against mob groups, always use the debuffs that you can use. Most of the time, this would be Decrepify as there's no condition to use it save for some Essence cost and it will greatly amplify your damage thanks to Blood Moon Breeches as well as other effects we have from the build.

The second debuff would be Corpse Tendrils but to use it, you'll require an existing Corpse which won't always be available every fight. Always use Corpse Tendrils once a corpse is available and there's still a huge mob group to hasten your clears.

Use Blood Mist to Dispel Crowd Control

A unique aspect of Blood Mist is that it can be cast even when the Necromancer is stunned, petrified, or any form of Crowd Control. Use it to get out of sticky situations before resuming your Blood Lance spam.

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