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Pincushioned Doll is a Lair Boss Key you can get from Beast in the Ice and Lord Zir in Diablo 4 (D4). Read on to learn more about how to get Pincushioned Doll, how to use it, and its general overview here!
List of Contents
The best way to get the Pincushioned Doll by defeating the Beast in the Ice and opening its hoard using 12 Distilled Fear. Keep in mind that you can get higher drop rates in Torment I or above so make sure your build is optimized enough to take on higher difficulties.
The Beast in the Ice Location and Unique Drops
The Pincushioned Doll can also be obtained by defeating Lord Zir and opening his hoard. You can open Lord Zir's hoard by using 12 Exquisite Blood.
Lord Zir Location and Unique Drops

Using the Tribute of Titans in the Undercity of Kurast grants a chance of obtaining Pincushioned Doll along with other Uber and Laiir Boss Keys. This is the second most optimal way of farming Pincushioned Doll as its drop rate is quite high.
In order to use your Pincushioned Doll, you first have to defeat Andariel in the Hanged Man's Hall at Kehjistan. Doing so will spawn his hoard chest inside the boss area where you can use 3 Pincushioned Doll to open it.
Take note that Lair Bosses are now free to summon, but their rewards now drop from their respective reward chests called hoards.
Andariel Location and Unique Drops
| Icon | How to Use |
|---|---|
![]() | Show Names This button reveals the Name of every icon currently shown. |
![]() | Show Pins This button will toggle between showing and hiding all the pins which you have already marked as acquired. |
![]() | Fullscreen This button will change the map display to fill the screen. |
![]() | Search Mode Toggle This button will display a searchbar which you can use to search for an individual pin by its name. |
![]() | Icon Mode Toggle In Search Mode, this button will toggle you back to Icon Mode, removing the search bar and displaying the icons again. |
![]() | All Pins This button is shown along with the Icons on the right when there are over 6 types of pins. Click it for a full selection of all available pin types. |
![]() | Counter Tracks the number of pins you have of a certain type. The pin type shown is set to the page and currently cannot be changed; however, all pin type counters can be viewed by clicking the checklist icon on the right side. |
| View All Counters This icon is found on the right side of the Counter. When a map has more than one pin type, click this icon to see Counters for all pin types. | |
| Zoom In / Zoom Out This icon is found on the top left side of the map. You can press these buttons, or use your scroll wheel while hovering, to Zoom In and Out of the interactive map. |
Note that the Hanged Man's Hall will only appear on the map in Torment.
| Pincushioned Doll Overview | ||
|---|---|---|
![]() |
Type | Consumable - Lair Boss Key |
| Sell Value | 80,000 Gold | |
| Description | Only found in Torment difficulties. | |

| Diablo 4 Item Categories | ||
|---|---|---|
Upgrade Materials |
Currencies |
Consumables |
| Lair Boss | Required Materials |
|---|---|
| Lord Zir | ・Exquisite Blood |
| Echo of Varshan | ・Malignant Heart |
| Grigoire | ・Living Steel |
| The Beast in the Ice | ・Distilled Fear |
| Urivar | ・Judicator's Mask |
| Duriel | ・Shard of Agony |
| Andariel | ・Pincushioned Doll |
| Harbinger of Hatred | ・Abhorrent Heart |
| Belial | ・Betrayer's Husk |
How to Get Pincushioned Doll



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