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Plague Bearer is a Spirit Gem in Path of Exile 2 (PoE 2). Continue reading to learn about its effects, modifiers, how to obtain it, its requirements, and other gems you can pair with it.
List of Contents
The Plague Bearer Spirit Gem allows you to store all Poison damage, allowing you to detonate it and release a Plague Nova. The explosion will deal Physical Damage and apply Poison based on the amount of damage stored based on the expected Poison damage.
Naturally, the Plague Bearer synergizes with builds like the Poison Pathfinder, which hones in on Poison damage. To use the Plague Nova, you must equip the skill by hovering over the Skills tab beside your mana pool and assigning it a hotkey!
Use the Plague Bearer to its maximum potential by only using the skill when you have accumulated 100% Poison damage. You will receive a sound cue, and your character will be highlighted with a sickly green tinge when you have reached the maximum amount!
Glossary and Basic Game Mechanics
Plague Bearer
|
|||
| Type | Spirit | ||
|---|---|---|---|
| Tier | 4 | ||
| Tags | |||
| Chaos, Physical, Nova, Persistent, AoE | |||
| Reservation | 30 Spirit | ||
| Requirements | |||
| Level | 10 | Dex | None |
| Str | 25 | Int | None |
| Description | |||
| Stores all Poison Damage you deal. Using the Plague Nova skill unleashes the stored Poison. | |||
| Effects |
|---|
|
・Stores 4% of Expected Poison damage ・Stores up to 197 Poison Damage |
You can unlock the Plague Bearer Spirit Gem in the Gemcutting menu by engraving the skill using a Level 4 or higher Uncut Spirit Gem.

| Gem Types | |||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Skill | Support | Spirit | |||||||||
| Meta | Lineage | ||||||||||
Does anyone know how to actually use the skill to do damage? I see it charging up as I deal poison but the skill bind doesn’t seem to activate it even at 100% charge.
Plague Bearer Gem Effects and How to Get



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You have to activate it through the "Plague Nova" skill.