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Trembling Hand is one of the four Malignant Body Parts needed to summon the Echo of Varshan in Diablo 4 (D4). Read on to learn more about the Trembling Hand, how to get it, how to use it, and so much more.
| Malignant Body Parts | |||
|---|---|---|---|
 Gurgling Head |
 Trembling Hand |
 Blackened Femur |
 Malignant Heart |
List of Contents
Completing Whispers of the Dead in World Tier 3 and World Tier 4 rewards you with a cache that contains a random Malignant Body Part (Gurgling Head, Trembling Hand, Blackened Femur, and Malignant Heart). This is the most efficient way to farm these materials because it's possible to obtain multiple of them from a single cache.
How to Complete the Tree of Whispers
Killing a Grotesque Debtor guarantees a random Malignant Body Part. You can easily find them in areas with Grim Favor rewards and areas with the Blood Harvest Event. This means you can grind for this Elite enemy while completing your Whispers of the Dead quest.
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.
If you have duplicates of a required item, you can transmute them at the Alchemist to receive a cache with a random body part. If you're targeting a specific body part, you can use Malignant Hearts to craft any of the other 3 Malignant Body Parts.
| Result | Material Cost | ||
|---|---|---|---|
| Malignant Body Cache | Gurgling Head x1 | Abstruse Sigil x1 | Veiled Crystal x5 |
| Malignant Body Cache | Trembling Hand x1 | Baleful Fragment x1 | Veiled Crystal x5 |
| Malignant Body Cache | Blackened Femur x1 | Coiling Ward x1 | Veiled Crystal x5 |
| Blackened Femur | Malignant Heart x1 | Coiling Ward x4 | Veiled Crystal x15 |
| Gurgling Head | Malignant Heart x1 | Abstruse Sigil x4 | Veiled Crystal x15 |
| Trembling Hand | Malignant Heart x1 | Baleful Fragment x4 | Veiled Crystal x15 |
The Trembling Hand is one of the four Malignant Body Parts used to summon the Echo of Varshan inside the Malignant Burrow, located in The Writhing Mire beside the Tree of Whispers in the Hawezar region. Do note that the Malignant Heart is only required when summoning the Echo of Varshan in World Tier 4.
Echo of Varshan Location and Unique Drops
| 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. | |
| Main Quest Bosses | Stronghold Bosses | ||
| Dungeon Bosses | Uber Bosses |
| Uber Boss | Required Materials |
|---|---|
| Lord Zir, The Dark Master | ・Exquisite Blood |
| Echo of Varshan | Malignant Body Parts: ・Gurgling Head ・Blackened Femur ・Trembling Hand ・Malignant Heart (WT4 only) |
| Grigoire, The Galvanic Saint | ・Living Steel |
| Duriel, King of Maggots |
・Mucus-Slick Egg ・Shard of Agony |
| The Beast in the Ice | ・Distilled Fear |
| Uber Lilith | None |
| Fractured Peaks | Scosglen | Dry Steppes | |||
| Kehjistan | Hawezar | ||||
How to Get Trembling Hand
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