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 how to use it!

Malignant Body Parts
Gurgling Head	Trembling Hand	Blackened Femur	Malignant Heart

How to Get Malignant Hearts

How to Get Malignant Hearts
Whispers of the Dead Caches Kill Treasure Goblins and Helltide Elites Elites on Nightmare Dungeon Complete Legion and World Boss Events Season Journey Reward Caches

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 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 Hearts have a chance to be acquired as rewards upon completing Legion and World Bosses. The drop rate for Malignant Heart is quite high, but the downside is that the events are time-gated.

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

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 Hearts are used to summon the Echo of Varshan inside the Malignant Burrow, located beside the Tree of Whispers in the Hawezar region. Do note that you can still get other Malignant Body Parts but only Malignant Hearts are needed for summoning the Echo of Varshan.

Echo of Varshan Location and Unique Drops

Malignant Heart Overview

Malignant Heart Description

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
Vicious Malignant	Brutal Malignant
Devious Malignant	Wrathful Malignant

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.

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