In Last Epoch, the Siphon of Anguish stands out as a coveted Unique Ring, offering significant enhancements for melee and damage-over-time (DoT) builds. Particularly advantageous for players leveraging lifesteal mechanics or ailment stacking, this ring can profoundly influence your gameplay and survivability.
This comprehensive guide delves into the unique features of Siphon of Anguish, including its affixes, drop locations, and the builds that can maximize its potential.
Unique Attributes of Siphon of Anguish
As a Unique Ring, Siphon of Anguish provides a formidable combination of damage amplification, leech effectiveness, and ailment application. It’s ideally suited for dynamic combat situations where your survival hinges on the ability to inflict consistent damage.

The following modifiers characterize this ring:
- (1 to 3)% of Melee Damage Leeched as Health
- (1 to 3)% of Void Damage Leeched as Health
- (10 to 30)% Increased Leech Rate
- (3 to 8)% Increased Movement Speed
- (10 to 30)% Chance to Apply Doom on Hit
- (10 to 30)% Void Penetration with Doom
These properties indicate that the ring is particularly advantageous for builds that focus on leech mechanics in combination with applying status ailments, especially Doom, a void-based effect that amplifies damage as it accumulates.
How to Acquire Siphon of Anguish
The Siphon of Anguish is obtained as a random world drop, potentially arising from various loot sources including defeated foes, treasure chests, and rewards from Monolith Echo events.
1. Farming Through Monolith of Fate

The Fall of the Outcasts timeline, specifically the Shade of Orobyss which boasts an 83.33% chance of dropping rings and accessories, is a prime target within the Monolith of Fate. Players should aim for Echoes that reward with “Unique or Set Ring” to enhance drop chances, particularly via the Confluence of Oblivion Woven Echo, which can yield drop rates as high as 208.33% with item rarity boosts.
Engaging with Empowered Monoliths while increasing corruption levels will further elevate the odds of finding rare uniques like Siphon of Anguish, given its relatively low drop weight in the loot table.
2. Crafting with Rune of Ascendance

By using a Rune of Ascendance on a rare ring, particularly those that match the type, players can attempt to reforge it into a random Unique Ring. While this doesn’t guarantee Siphon of Anguish, it remains a viable farming strategy.
3. Utilizing Loot-enhancing Blessings
Defeating timeline bosses grants the opportunity to select blessings that augment Unique item drop rates or specifically heighten Unique Ring drop chances. These blessings can passively improve your likelihood of obtaining Siphon of Anguish while farming.
Optimal Builds for Siphon of Anguish
To fully leverage the capabilities of Siphon of Anguish, it is best suited for builds that emphasize leech effects, status ailment stacking, and damage-over-time mechanics. Consider the following examples:
1) Void Knight (Doom Builds)
Void Knights that employ Doom as a primary mechanic can rapidly enhance damage output through the ring’s boosts to ailment effects and Doom application. The bonuses to lifesteal and movement speed also enhance their survivability and agility in battle.
2) Melee Builds with Bleed or Ignite
Melee characters capable of applying Bleed, Ignite, or Poison derive substantial benefits from the ring’s enhanced damage-over-time interactions and leech capabilities. Increased attack speed leads to more frequent procs, ultimately resulting in improved healing and long-term sustainability.
3) Hybrid Builds for Lich and Acolyte
Lich builds that focus on health leech and damage-over-time scaling can utilize Siphon of Anguish for remarkable sustainability during intense encounters, particularly in designs that manage multiple ailments simultaneously.
If your character’s strategy revolves around damage-over-time effects, stacking ailments, or lifesteal, then acquiring Siphon of Anguish is undoubtedly worthwhile. Its unique combination of offensive enhancements and survivability makes it an essential addition to DoT-focused builds.
While Siphon of Anguish is a random drop, players can significantly increase their acquisition chances through focused Echo farming, rune crafting, and timeline blessings. For those aiming to optimize their endgame potential, integrating Siphon of Anguish into your equipment can dramatically boost both damage output and defensive capabilities.