This creates the Helltide loop:

1. Farm Baneful Hearts
2. Summon Blood Maiden
3. Kill her for loot and Diablo 4 Items Aberrant Cinders
4. Use Cinders on Tortured Gifts
5. Open chests for more Baneful Hearts
6. Repeat.

Top Ways to Farm Baneful Hearts

Baneful Hearts don't drop everywhere - they're tied to Helltides and their mechanics. Here are the best farming methods:

1. Open Tortured Gifts (Primary Source)

Drop Chance: ~15% base, with the pity system ensuring eventual drops
Best Chests: Tortured Gifts of Mysteries (highest value), plus Weapon/Armor types
Loop: Use Aberrant Cinders earned from Blood Maiden fights to open more Gifts → more Hearts → more summons

Pro Tip: Always save at least 250-300 Cinders before summoning the Blood Maiden, so you can immediately reinvest into more Gifts after defeating her.

2. Kill Helltide-Specific Enemies

Targets: Helltide Assassins, Hellborne packs
Drop Chance: ~1% with pity timer scaling
Efficiency: High density of mobs = steady supply, especially when chain-clearing

This method works best if you're running a fast-clearing build like Storm Claw Druid or Whirlwind Barbarian.

3. Defeat World Bosses During Helltide

Guaranteed Drop: 3 Baneful Hearts
Strategy: Track boss spawn timers via community tools and align your farming route with active Helltides

Few sources match the efficiency of World Bosses during Helltides - missing these spawns means missing out on Diablo 4 gold for sale guaranteed Hearts.