Aggravated Ailments | PoE2 Mechanic

What Aggravated Ailments does

Current rules

Aggravated Bleeding always treats its target as moving and therefore deals 100% extra damage. Aggravated Ignite also deals 100% extra damage. Aggravation belongs to each individual Ailment instance, persists for that instance's remaining duration, and does not automatically apply to Bleeds or Ignites created later.

Bleeding deals 100% extra damage: An Aggravated Bleed always treats the target as moving, causing that Bleed to deal 100% extra damage. Movement and Aggravation are the same extra-damage condition for Bleeding and do not multiply each other.
Ignite deals 100% extra damage: An Aggravated Ignite deals 100% extra damage. Unlike Bleeding, this rule is not expressed through movement; it is a direct extra-damage property of the Aggravated Ignite.
Each instance is independent: Every Bleed and Ignite instance tracks Aggravation separately. Aggravating one instance does not change other instances unless the effect explicitly aggravates them too.
Aggravation lasts until expiry: Once an individual Bleed or Ignite becomes Aggravated, it remains Aggravated until that Ailment instance expires. Removing or replacing the Ailment also removes the state with that instance.
New Ailments are not included: Aggravating current Ailments does not make later Ailments Aggravated. Effects that aggravate Bleeding on a target normally affect all current Bleeds unless their wording gives a narrower scope.
Trigger wording controls the source: Saitha's Spear aggravates all Ignites only when that weapon aggravates a Bleed. A Bleed already aggravated by Blood Barbs or another source does not satisfy the weapon's trigger by itself.

Ways to apply Aggravation

5 cases

01

Always Aggravated

Apron of Emiran makes every Bleed you inflict Aggravated. Crimson Assault does the same while also setting base Bleeding duration to one second and granting more Bleeding Magnitude.

02

Conditional Bleed Aggravation

The Smiling Knight aggravates Bleeding on targets critically hit with Attacks. Beetlebite aggravates current Bleeds when an enemy enters your Presence.

03

Skill and Support application

Bleeding Concoction aggravates Bleeding on enemies it hits. Rupture aggravates Bleeding when a supported Skill hits a Heavily Stunned enemy, while Rusted Spikes does so when a supported Skill Pins an enemy.

04

Saitha's Spear and Ignite

Saitha's Spear can aggravate Bleeding with its own Hits. When that weapon performs the aggravation, it also aggravates every current Ignite on the target.

Physical Damage(34-46) to (65-70)Critical Hit Chance6%Attacks per Second1.5Weapon Range1.5Fire Damage(33-41) to (47-53)RequiresLevel 33, 20 Str, 47 DexGrants Skill: Spear Throw (Level 25)Bleeding you inflict deals Damage (10-20)% fasterAdds (14-26) to (27-32) Physical DamageAdds (33-41) to (47-53) Fire Damage(15-25)% chance to cause Bleeding on HitAggravating any Bleeding with this Weapon also Aggravates all Ignites on the target(25-40)% chance to Aggravate Bleeding on HitBorn in a star of man's own make,fused to her hand by her last mistake., Ignite, Bleeding

05

Blood Barbs

Blood Barbs makes Bleeding you inflict on Cursed targets Aggravated. That Aggravation does not activate Saitha's Ignite clause unless Saitha's Spear itself also performs the aggravation.

Related: Bleeding, Blood Barbs

Limits and exceptions

5 rules

Aggravation changes damage for one Ailment instance. It does not increase the Hit that inflicted the Ailment.
Aggravating current Bleeds or Ignites does not automatically aggravate later instances.
Bleeding movement and Aggravation do not provide two separate 100% extra-damage multipliers.
Saitha's Spear requires that weapon to aggravate a Bleed before its Ignite clause applies.
Aggravated Ignite is currently tied to explicit item wording and should not be inferred from ordinary Bleed Aggravation.

Related pages

10 connections

mechanicBleeding

Bleeding is a damaging Ailment that deals Physical damage over time and bypasses Energy Shield. It lasts five seconds by default and requires an explicit chance or effect that can inflict Bleeding.

mechanicIgnite

Ignite is a damaging Elemental Ailment that deals Fire damage over time for four seconds by default. A Hit's chance to Ignite comes from the target's total Flammability, including Flammability applied by that same Hit.

mechanicAilments

Ailments are damage-type-related debuffs: Bleeding, Ignite, Chill, Freeze, Shock, Electrocute, and Poison. Some deal damage over time, while others impair the target.

unique itemSaitha's Spear

Adds (14-26) to (27-32) Physical Damage

Saitha's SpearUnique | Barbed Spear

Physical Damage(34-46) to (65-70)Critical Hit Chance6%Attacks per Second1.5Weapon Range1.5Fire Damage(33-41) to (47-53)RequiresLevel 33, 20 Str, 47 DexGrants Skill: Spear Throw (Level 25)Bleeding you inflict deals Damage (10-20)% fasterAdds (14-26) to (27-32) Physical DamageAdds (33-41) to (47-53) Fire Damage(15-25)% chance to cause Bleeding on HitAggravating any Bleeding with this Weapon also Aggravates all Ignites on the target(25-40)% chance to Aggravate Bleeding on HitBorn in a star of man's own make,fused to her hand by her last mistake.

unique itemThe Smiling Knight

+(50-100) to Accuracy Rating

unique itemBeetlebite

(20-30)% increased Movement Speed

unique itemApron of Emiran

(30-50)% increased Evasion and Energy Shield

skillBleeding Concoction

Consume charges from your Mana Flask to throw a flask that explodes, dealing Physical Attack damage in an area and Aggravating Bleeding on Enemies hit. This damage is not based on your unarmed damage, so this is not considered an Unarmed Attack