How to Get Malignant Body Parts

Malignant Body Parts are the materials needed to summon the Echo of Varshan in Diablo 4 (D4). Read on to learn more about the Malignant Body Parts, how to get, and how to use them.

Malignant Body Parts
Gurgling Head	Trembling Hand	Blackened Femur	Malignant Heart

How to Get Malignant Body Parts

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

Complete Whispers of the Dead

Completing Whispers of the Dead rewards you with a cache that has a chance to drop a random Malignant Body Part (Gurgling Head, Trembling Hand, Blackened Femur, and Malignant Heart). However, as of Season 5 (Season of the Infernal Horde), the only Malignant Body Part that you need to summon Echo of Varshan is the Malignant Heart

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 Body Parts. 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 Body Parts can be acquired as rewards upon completing Legion and World Boss events in World Tier 4. The drop rate for Malignant Body Parts 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 and Rewards

Transfers to Your Stash

If you miss a Malignant Body Part drop, it will automatically be transferred to your stash. Be sure to check the Missed Equipment tab in your stash periodically.

Transmute Malignant Body Parts

As of Season 5, the Trembling Hand, Gurgling Head, and Blackened Femur have been removed as requirements for summoning the Echo of Varshan, you can instead use them at the Alchemist to transmute these items into a Malignant Heart.

List of All Items

How to Use Malignant Body Parts

Used to Summon Echo of Varshan

In the previous seasons, you will need a full set of Malignant Body Parts to summon the Echo of Varshan inside the Malignant Burrow, located in The Writhing Mire beside the Tree of Whispers in the Hawezar region. However, as of Season 5 (Season of the Infernal Horde), you only need the Malignant Heart to summon the the Echo of Varshan.

Echo of Varshan Location and Unique Drops

Malignant Body Parts Overview

Gurgling Head

Gurgling Head Overview
	Type	Consumable - Summoning
	Sell Value	20,000 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. Can be Refined at the Alchemist.

How to Get Gurgling Head

Trembling Hand

Trembling Hand Overview
	Type	Consumable - Summoning
	Sell Value	20,000 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. Can be Refined at the Alchemist.

How to Get Trembling Hand

Blackened Femur

Blackened Hand Overview
	Type	Consumable - Summoning
	Sell Value	20,000 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. Can be Refined at the Alchemist.

How to Get Blackened Femur

Malignant Heart

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.

How to Get Malignant Hearts

Diablo 4 Related Guides

List of All Bosses

All Uber Bosses and Required Materials

All Bosses By Type

All Bosses Per Region