TL;DR
- Sacrificial Heart drops randomly from any monster in Aggorat during Act 3
- The ritual altar spawns in map corners but requires thorough exploration to locate
- Completing the ritual grants two permanent passive skill points for your character
- Prepare for challenging enemy encounters surrounding the altar location
- Strategic pathing and build preparation significantly reduce completion time
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During your journey through Act 3 of Path of Exile 2, adventurers will discover a mysterious artifact known as the Sacrificial Heart. This unique item initiates an optional side quest that many players overlook due to its ambiguous nature. Understanding its purpose early can significantly enhance your character’s power progression.
The Sacrificial Heart artifact in PoE 2 can be obtained from any hostile creature within the Aggorat region. Unlike traditional quest items with fixed drop locations, this heart has complete random acquisition, meaning persistent area clearing yields the best results. Once secured, the item unlocks a valuable mini-quest chain with substantial character rewards.

Navigating to the ritual altar requires careful exploration of Aggorat’s expansive terrain. The structure consistently generates in corner positions of the map layout, though procedural generation ensures no fixed coordinates exist. Due to the zone’s substantial size and inherent dangers, locating the altar typically demands 10-15 minutes of systematic searching.
Successful altar hunters should prioritize perimeter exploration while maintaining combat readiness. The ritual site is consistently guarded by elite enemy packs, making unprepared approaches particularly hazardous. Visual identification is straightforward once nearby—the distinctive stone structure features ancient markings and a central platform designed specifically for heart placement.

Upon discovering the altar, the ritual sequence begins with placing the Sacrificial Heart on the central platform. This action triggers the appearance of the Sacrificial Dagger, which you must then use to pierce the heart. Successful completion immediately grants two additional passive skill points, permanently enhancing your character’s capabilities.
The entire ritual process from placement to reward acquisition takes approximately 30-45 seconds to complete. Unlike many PoE 2 mechanics that require complex inputs, this process is straightforward once the altar is located. The awarded passive points can be allocated immediately to any available skills on your tree, providing instant power spikes for your build.
Seasoned players recommend clearing Aggorat’s monster population before altar hunting to reduce interruption risks. Building your character with adequate mobility skills like Leap Slam or Flame Dash dramatically reduces search time. Common mistakes include abandoning the search too early or engaging altar guardians without proper flask preparation.
For optimal efficiency, combine this quest with other Act 3 objectives to minimize backtracking. The two bonus passive points particularly benefit critical build archetypes that rely on specific skill clusters or threshold jewels.
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Action Checklist
- Farm monsters in Aggorat until Sacrificial Heart drops
- Systematically explore map corners while watching for elite enemy packs
- Clear altar guardians before attempting ritual
- Place heart on altar and use appearing dagger to complete ritual
- Allocate two new passive points to optimize your build
No reproduction without permission:SeeYouSoon Game Club » How to use Sacrificial Heart in PoE 2. How to find altar and get two more passive skills in Path of Exile 2 Complete guide to finding the Sacrificial Heart altar and earning two bonus passive skills in Path of Exile 2 Act 3
