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Path of Exile 2: How to Craft the Perfect Blood Mage Amulet

For Blood Mage players in Path of Exile 2, survival and Path of Exile 2 Currency damage scaling are tightly connected. The Reap Blood Mage archetype thrives on balancing both - sustaining health through powerful life mechanics while delivering devastating spell damage. One of the best ways to elevate this balance is by crafting a powerful custom Amulet tailored specifically to your build.

This guide walks you through the exact process of creating a high-end Blood Mage Amulet designed for the Reap Blood Mage Build. The result will feature +3 to All Spell Skills, high Maximum Life, % Maximum Life, Spell Damage, Cast Speed, and % Life Gained on Kill - the dream combination for any Blood Mage main.

Better yet, this craft is highly deterministic, affordable, and scales perfectly into endgame Echoes. Whether you play Solo Self-Found or Trade League, this is one of the most reliable and rewarding item crafts available.

What You'll Need

Before beginning, make sure you have the following Path of Exile 2 Items ready:

2× Bloodstone Amulet (Item Level 75+) with Tier 1 (25-28%) Cast Speed
2× Bloodstone Amulet (Item Level 75+) with any low-tier mod (ideally with +40 Maximum Life implicit)
2× Orbs of Annulment
2× Perfect Exalted Orbs
2× Omen of Recombination
2× Omen of Homogenizing Exaltation
2× Omen of Greater Exaltation
1× Omen of the Sovereign
1× Omen of Abyssal Echoes
1× Omen of Dextral Necromancy
1× Preserved Collarbone
50× Black Scythe Artifacts

If you're missing bases or currency, you can buy POE2 Items or buy POE2 Currency from trusted sources to speed up the process.

Step 1: Isolate Tier 1 Cast Speed

The foundation of this craft is a clean, high-tier Cast Speed modifier.

1. Combine one T1 Cast Speed Amulet with another Bloodstone Amulet containing a single low-tier modifier using an Omen of Recombination. This provides a "Lucky" roll, giving roughly a 75% chance to keep the T1 mod.
2. Use an Orb of Annulment to remove any unwanted low-tier affixes. This has a 50% chance of success.

If the annul accidentally removes Cast Speed, simply restart the process. When done correctly, you'll have a clean T1 Cast Speed Bloodstone Amulet, the perfect foundation for the next stages.

Step 2: Add +3 to All Spell Skills and Spell Damage

Now we'll add raw spell power.

1. Use an Omen of Homogenizing Exaltation.
2. Follow up with an Omen of Greater Exaltation.
3. Apply a Perfect Exalted Orb.

Why it works:

Because Cast Speed has the Caster and Speed tags - and there are no other Speed mods available - the Exalt is restricted to Caster modifiers. The only possible high-tier rolls are +Level of All Spell Skills and % Spell Damage, and the Perfect Exalted Orb guarantees the best possible tiers.

Your Amulet now boasts both power and precision for Blood Mage gameplay.

Step 3: Secure a Life-Tagged Modifier

Next, you'll add sustain - crucial for Reap builds that constantly consume life.

1. Use Omen of the Sovereign.
2. Activate Omen of Dextral Necromancy.
3. Apply Preserved Collarbone to the Amulet.

This combination guarantees a Ulaman Desecrated Modifier, one of which includes "Recover 2-3% Life on Kill."

Visit the Well of Souls to reveal the hidden mod.
Before revealing, use an Omen of Abyssal Echoes - this lets you reroll if the desired mod doesn't appear.

If you still don't hit Life on Kill, use an Omen of Light and Orb of Annulment to remove the Desecrated mod and retry. Though a bit costly, success here adds a massive sustain boost for mapping and boss encounters.

Step 4: Add Flat and % Maximum Life

Now it's time to turn this into a true endgame item by stacking both Flat Life and % Increased Maximum Life.

1. Use Omen of Homogenizing Exaltation.
2. Use Omen of Greater Exaltation again.
3. Apply another Perfect Exalted Orb.

Since the item already contains a Life-tagged modifier, these Omens force future Exalted Orbs to add more Life-based affixes. The possible results are limited to Flat Life and % Life, both of which will land at T1-T2 tiers.

At this point, your Amulet includes:

+3 All Spell Skills
High Spell Damage
T1 Cast Speed
Life on Kill
Flat Maximum Life
% Increased Maximum Life

Step 5: Finishing Touches

To finalize the craft:

Apply Flesh Catalysts for additional Quality, increasing Life-related stats.
Anoint the Amulet with nodes that fit your build. For the Reap Blood Mage, strong options include Hemomancer (for spell leech and blood synergy) or Sanctum of Thought (for reduced damage taken).
Optionally, add a defensive implicit via Crucible or Well crafting for extra survivability.

Final Overview

Your finished Blood Mage Amulet should look like this:

+3 to All Spell Skills
High % Spell Damage
T1 Cast Speed
Recover 2-3% Life on Kill
+Flat Maximum Life
% Increased Maximum Life

This combination delivers exceptional damage, sustain, and defensive scaling, all while remaining efficient to craft compared to other mirror-tier gear.

Final Thoughts

This Amulet craft stands out as one of the most deterministic and rewarding in Path of Exile 2. While it requires several Omens and Perfect Exalts, the result is almost guaranteed - a high-performance piece that defines your endgame setup.

For Reap Blood Mage players, this Amulet provides everything you could need: unparalleled spell scaling, top-tier survivability, and powerful sustain for fast-paced farming or boss fights.
If you're serious about pushing your Blood Mage to its limits, invest in this craft - and don't hesitate to buy POE2 Items to make the process smoother.

Once complete, you'll wield one of the strongest caster Amulets in Path of Exile 2, capable of buy POE 2 Orbs turning every drop of blood into overwhelming magical power.