The Ritual of Anguish is a powerful tool for farming Mythic Unique items in Diablo 4. To start, you need:
- Two Sandscorched Shackles
- Two Pincushioned Dolls
Enter the Hanged Man’s Hall and clear the monsters in one of the hallways. Proceed to the main arena with the altar and interact with it. Place the shackles and dolls into the bowl to consume them and commence the ritual. Andariel will appear, ready for battle. Defeat her for a chance at Mythical Unique items and guaranteed standard Uniques.
The Ritual of Anguish is essentially summoning Andariel. Most end-game bosses in Diablo 4 have their own lair with an altar requiring specific items. These rituals, including the Blood Maidens in the Helltides, become a crucial part of the gameplay loop for better gear.
For an even greater challenge, try the tormented version of the Ritual of Anguish. You’ll need:
- Six Sandscorched Shackles
- Six Pincushioned Dolls
- Two Stygian Stones
This summons a level 200 Andariel. Ensure your gear is up to the task before attempting this version to avoid wasting valuable Stygian Stones. Remember, the Ritual of Anguish is always available, so take your time and prepare well.