How to get Andariel's Visage in Diablo 4
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Despite knowing that some ultra-rare unique items are lootable in Diablo 4, players are finding it incredibly difficult to actually find them. One of the prime examples of this is Andariel’s Visage, as it seems as though only one player has confirmed to have looted it. Andariel’s Visage is a unique helm that can be used by any class in Diablo 4.

It has 820 item power and comes with four primary affixes: an increase to all stats, extra attack speed, increased life steal, and poison resistance. The Legendary Aspect for Andariel’s Visage has the following effect: “Lucky Hit: Up to a [15 to 20]% chance to trigger a poison nova that applies [x] Poisoning damage over 5 seconds to enemies in the area.”

There are several requirements to meet before you can even think about looting Andariel’s Visage in Diablo 4. Below, I will explain those requirements and the best way to go about looting it.

Getting Andariel’s Visage in Diablo 4

Andariel's Visage in Diablo 4
Screengrab via Upcomer

The first requirement that players must meet to have a chance of acquiring Andariel’s Visage is to play on World Tier 4, or Nightmare difficulty. World Tier 4 is unlocked after completing the Nightmare Capstone Dungeon, which has a level recommendation of 70. Speaking from experience, I recommend you be at least level 68 to even have a prayer of surviving this dungeon.

Once you are on World Tier 4, you want to turn your focus to slaying enemies and not opening chests. Andariel’s Visage, as far as I know, can only be looted after killing an enemy. It cannot spawn as a loot drop from opening a chest. This means that opening Tortured Gift chests in Helltide events and opening caches from the Tree of Whispers are not ways you can acquire the helm.

Furthermore, Andariel’s Visage only drops from enemies who are level 85 and higher. This means you need to be at least level 82 to see level 85 enemies out in the world. Nightmare Dungeons are likely going to be your best bet to see enemies of this level consistently. However, you need to use a Nightmare Sigil of at least Tier 31, as this will ensure your dungeon will feature level 85 enemies. If you’re not at this level, you can attempt to play with higher-level friends and try to avoid some of the tougher enemies.

I would say good luck finding Andariel’s Visage in Diablo 4, but you will need far more than luck to loot this unique helm.

Joey Carr is a full-time writer for multiple esports and gaming websites. He has 7+ years of experience covering esports and traditional sporting events, including DreamHack Atlanta, Call of Duty Championships 2017, and Super Bowl 53.